2 years post-op, should I get chin lipo again? I feel like I'm back where I started (Photos)

Question

I got chin lipo 2 years ago when I was 21 years old (before photo attached). I was happy with the initial results, but I feel like I’m right back where I started just 2 years later. I have not had any substantial weight gain/loss. Should I look at getting chin lipo again? Or a different procedure like skin tightening?

Randal Haworth, MD, FACS · Answer

Thank you for sharing your concern. Based on your before and after photo, you had a significant improvement in the contour of your chin and jawline after your initial chin lipo. However, it's not uncommon for some fat to re-accumulate over time, especially if there have been no significant changes in your weight.

Regarding your question, there are several options to consider to address the fat in your chin area. Chin lipo may be an option, but it's important to keep in mind that it's a surgical procedure that involves a certain degree of risks and recovery time. If you decide to go for chin lipo again, it's essential to consult with a board-certified plastic surgeon who has experience in this type of procedure. They can evaluate your situation and recommend the best approach for your case.

Another option you may want to consider is non-surgical fat reduction treatments, such as CoolSculpting or Kybella. These procedures use different technologies to reduce fat in specific areas, including the chin. Both procedures are non-invasive, and the recovery time is usually shorter compared to surgery.

Skin tightening procedures, such as Ultherapy or Thermage, may also be an option to consider. These procedures use ultrasound or radiofrequency energy to stimulate collagen production and tighten the skin. While they may not directly address the fat in the chin area, they can improve the overall appearance of the chin and jawline by reducing the sagging skin.

It's essential to consult with a qualified provider who can evaluate your situation and recommend the best approach for your case. They can discuss the pros and cons of each procedure and help you make an informed decision based on your goals and expectations.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Matthew Schulman, MD · Answer

It appears that your issue may be more skin, than fat. You may want to investigate procedures that tighten the skin. Removing more fat may make the issue worse for you.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality, Liposuction results is not as easy as most people think. There are major variations in outcomes among different providers. That said, it is generally true, that if Liposuction does not give a good results, the first time is unlikely to give good results by doing the same thing again. Removing too much fat can put you in a situation that is regrettable and irreversible. 
Making an assessment for a double chin is no easy task. There are many tissue variables that contribute to the contour of this part of the face. The most important is always bone structure. Individuals can be fooled into believing they have as large mandible because they have a projecting chin. The chin or mentalis it’s only one part of the mandible and the rest of the bone structure has a big part in determining how the underlying platysma muscle drapes the neck.
Regardless of what procedure you choose, it is imperative that you place yourself in the hands of someone with sufficient skill and experience.
Look for senior plastic surgeons or facial plastic surgeons who exclusively focus on facial aesthetics.
Have them make an assessment and explain in their words why the contour of the lower 1/3 of your face looks the way it does, and see if that makes sense. Next ask him to demonstrate enough before, and after pictures of previous patient who had the proposed procedure to get a clear understanding of what typical results look in the hands of that provider.
A Sufficiently experienced provider should have no difficulty showing you that before and after pictures of at least 50 previous patients.
Randomly picking a plastic surgeon, and having more liposuction, is unlikely to leave you with a satisfying outcome.
Being board-certified and plastic surgery with years of experience, and having a good overall reputation is insufficient to confirm that any one plastic surgeon has mastered any single one procedure.
Your situation is a little complex to assess based on your pictures. I suggest getting a complete set of proper before and after pictures from your provider if you don’t have those already.
Best,
Mats Hagstrom, MD

2 years post-op, should I get chin lipo again? I feel like I'm back where I started (Photos)

Answers (5)

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