Chin lipo revision to fix dents and unevenness? (photo)

Thanks for sharing your story and photos—they clearly show some contour irregularities and asymmetry under the chin and along the jawline. At one year post-op, your result is considered stable, so it’s a good time to evaluate options.

These dents and unevenness may be due to over-removal of fat, residual fat, or scar tethering where the skin sticks to deeper tissue. At age 45, reduced skin elasticity can also exaggerate these effects.

Potential Solutions:
Fat Grafting
This is often the best option to soften dents and fill hollow areas. Fat is taken from another part of your body and grafted into the areas of irregularity, helping to restore smooth contours.
Revision Liposuction
If certain areas were undertreated, precise, small-volume liposuction can help balance things—though it must be done carefully to avoid overcorrection.
Microneedling with RF (e.g., Morpheus8)
For surface-level dents or mild tethering, this can stimulate collagen and improve texture, especially if skin tightening is also needed.
Subcision
In deeper scar-tethered areas, this minor procedure can release tight fibrous bands, often done with or followed by fat grafting.

A consult with a board-certified plastic surgeon experienced in facial contour revision will help determine what’s causing the irregularities—volume loss, tethering, or skin laxity—and create a custom plan. Most often, fat grafting combined with light skin remodeling yields excellent results.

You’ve done the healing. Now it’s about fine-tuning—and you’re absolutely on the right track.

All the best,
Earl Stephenson, Jr., MD, DDS, MBA
ESJ Aesthetics

Based on your photos, it appears that the irregularities extend up onto your face. We do not advocate facial liposuction at all. Neck liposuction is helpful for removing unwanted deposits of neck fat, and for improving upon somebody's jawline. Perhaps you still have fat in your neck and a well performed neck liposuction may be considered for an improved contour and jawline, depending on your examination. Thank you so much for this question. Sincerely, Dr Joseph

Chin liposuction can sometimes result in unevenness or dents, which can be concerning. Here are some considerations and possible options for addressing these issues:

Assessment by a Professional:

Consultation: It is important to consult with a board-certified plastic surgeon or dermatologist who specializes in facial contouring. They can assess the extent of the irregularities and recommend the best course of action.
Underlying Causes: Determining whether the dents are due to residual fat, skin laxity, or scar tissue is crucial for selecting the appropriate treatment.
Possible Treatment Options:

Revision Liposuction: In some cases, additional liposuction can help to even out the contour by removing any remaining uneven fat deposits.
Fat Grafting: This involves taking fat from another area of the body and injecting it into the dents to smooth out the surface.
Non-Surgical Treatments: Options such as dermal fillers might be considered to temporarily fill in the dents and create a more even appearance.
Skin Tightening Procedures: If skin laxity is contributing to the unevenness, treatments such as radiofrequency or ultrasound therapy may help tighten and smooth the skin.
Considerations:

Healing Time: Be prepared for additional recovery time if undergoing revision surgery or other procedures.
Realistic Expectations: Discuss with your surgeon what results are achievable to ensure your expectations align with possible outcomes.
Choosing a Provider:

Experience and Expertise: Select a provider with proven experience in facial contouring and revisions to ensure the best results.
Review Before and After Photos: Look at the surgeon's previous work to gauge potential results.
Ultimately, a thorough evaluation by a qualified professional is essential to determine the most suitable approach for correcting dents and unevenness after chin liposuction.