Had chin liposuction twice and still don’t have the counter I want. Is it loose skin ? What procedure will be best? (photos)

Chin liposuction only addresses pre-platysmal fat (the fat between the skin and underyling muscle). It could be you have subplatysmal fat which is causing the contour problems. You need an inperson exam to determine the location of this fat. If the fat is underneath the muscle, this would require a small incision (2-3 cm) under your chin.

you needed a neck lift, and that can still be done which may include lifting the skin and/or removing some of the muscles in the neck. internal heating like facetite or renuvion should also be used.

most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus or pixel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift.  an early face lift /neck lift with or without buccal fat pad reduction can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done.


For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined
5. early face/neck lift with platysmaplasty or maxillofacial surgery (bone shaving or implants) 

6. botox/dysport/xeomin on the neck for platysmala bands and neck tightening 


Always use at home EMERAGSKIN dermarolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten , cosmelan or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma.


See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

Dear Citygirl17,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery