Chin lipo or skin tightening for conservative results? (Photos)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

There appears to be some excess subcutaneous fat that skin tightening alone won't remove. I would recommend fine liposuction with a small diameter cannula or one to two treatments with kybella.

Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
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Regards
Dr. J

When considering options for addressing a small excess of fat under the chin, both liposuction and non-surgical treatments like Kybella or skin tightening procedures can be viable options, each with its own set of benefits and considerations. At 31, with presumably good skin elasticity, you have a few options to achieve a conservative result.

Chin Liposuction: This surgical option is effective for removing localized fat deposits and can provide precise contouring. Given your concern about a conservative result, liposuction can be tailored to remove just the right amount of fat. However, it's important to consider potential risks such as the prominence of platysmal bands or changes in facial contours, which can occur if too much fat is removed.

Kybella: This non-surgical injectable treatment gradually dissolves fat cells under the chin. It's a good option for those looking for a less invasive approach, although it typically requires multiple sessions to achieve desired results. The gradual nature of the treatment can lead to a more subtle and conservative outcome.

Skin Tightening Treatments: Options such as radiofrequency or ultrasound-based therapies can improve skin laxity and may be used alone or in conjunction with fat reduction techniques. These treatments can enhance skin firmness and contour without surgery.

Ultimately, the choice between these treatments depends on your specific anatomy, aesthetic goals, and how conservative you want the outcome to be. Consulting with a board-certified plastic surgeon or dermatologist will provide you with a comprehensive evaluation and help determine the best approach for your needs. They can discuss the potential risks and benefits of each option, ensuring the aesthetic risks align with your desired results.

You have a well developed mandible, and your subcutaneous fat layer is quite thin.For that reason, you have good jaw line definition, and I would recommend you do nothing.Liposuction is a risky procedure.If you don’t find the right provider, you can be left permanently disfigured. Thinking you know how to find the right plastic surgeon is overly optimistic.Finding the right providers is extremely difficult and patience with good intentions who thought they had “done their homework” still end up with horrific results and go hiding in shame.I don’t wanna come across as alarmist or overly pessimistic, but surgery should be avoided, unless there’s a clear indication.Mastering Liposuction is more difficult than most people realize.The number of plastic surgeons who have mastery and Liposuction is in reality quite small.It may seem like a simple procedure, but it is not.Because you don’t have much fat to remove the impact, it’s going to be subtle.Still, the risk is higher, especially of over treating.I don’t like Kybella. I believe Liposuction is a better option if you want to have that removed.Any form of non-surgical skin tightening is going to leave you with invisible results.The idea of tightening skin without surgery is the holy Grail that still has not been found.If you were a man, I’d tell you to stop looking in the mirror, but you’re not so I won’t.You look great and don’t need surgery.Best,Mats Hagstrom MD