Liposuction or more Belkyra for skin irregularities? (Photos)

Question

I have been left with skin irregularities and small lumps that I can feel when I stretch out my neck post one Belkyra treatment I had 5 years ago. I want to smooth out these lumps and irregularities, as well as continue treatment to lessen fat under the chin and jawline. I am worried about more Belkyra because of what happened the first time. Should I do more Belkyra or could I try liposuction? Would liposuction help to smooth out the dents and lumps and better contour jawline and chin?

Randal Haworth, MD, FACS · Answer

It's important to note that Belkyra and liposuction are two different procedures, each with their own benefits and potential risks. Your decision on which procedure to pursue should be based on your specific concerns, medical history, and goals for treatment.

In your case, it sounds like you experienced some unwanted side effects from your previous Belkyra treatment, including skin irregularities and small lumps. While it's possible that additional Belkyra treatments could help to lessen the fat under your chin and jawline, it's also important to consider whether this treatment is the best choice for you given your previous experience.

Liposuction is another option that may help to smooth out the dents and lumps and better contour your jawline and chin. This procedure involves the removal of excess fat from targeted areas using a small, thin tube called a cannula. Liposuction can be effective for reducing the appearance of a double chin, improving facial contour, and providing more dramatic results than Belkyra.

However, it's important to understand that liposuction is a surgical procedure that carries some risks, including bleeding, infection, and scarring. You should consult with a qualified and experienced plastic surgeon who specializes in facial procedures to determine the best course of action for your specific needs. They will be able to evaluate your individual case, discuss your concerns and goals, and recommend the most appropriate treatment options.

Ultimately, the decision to pursue additional Belkyra treatments or liposuction should be made in consultation with your plastic surgeon, taking into consideration your individual goals, medical history, and any potential risks and benefits associated with each treatment.

Best of luck !

Mats Hagstrom, MD (license on probation) · Answer

Having been left with an uneven fat distribution this is going to be very difficult to improve upon and further proof that chemical fat destruction is not a good option compared to liposuction. Your problem is that all or almost all the fat was eliminated from the injections. This treatment and how it was done leaves unpredictable outcomes. Creating a normal even fat distribution in this area will be difficult.
I recommend avoiding more of the same.
Most plastic surgeons do not do this form of fat removal.
Best,
Mats Hagstrom, MD
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