After chin lipo + j plasma is this scar tissue and loose skin? Do I need a facelift? (Photos)

Hello and thank you for your question. It is difficult to fully ascertain your concerns from these photographs. You may benefit from a lower facelift to address any sagging skin appearance as well as a submental microliposuction. To better serve your needs, an in person consultation with a board certified facial plastic surgeon may be of benefit to you.

Thank you for your question and for sharing your photographs.

The remaining volume you are demonstrating appears to be predominantly situated deep to the platysma muscle, with some contribution from superficial fatty tissue. Unfortunately, after a previous liposuction procedure, the superficial fat can become more challenging to remove using further liposuction alone. However, volume reduction can still be achieved through direct access, such as with an anterior neck lift.

At 36, it is unlikely that you have significant skin excess, and a more substantial reduction in deeper fat volume is likely to result in an improved contour without the need for additional skin-tightening procedures.

Hard to diagnose frm photos alone but it looks to me like you probably have some extra skin and some neck muscle laxity and possibly some deep neck fat that would not be addressed by standard lipo.

I understand your concerns about the results following your recent chin liposuction and J-Plasma procedure. At 36 years old, having undergone a similar procedure in 2016, it’s natural to seek clarity on the current outcome and potential next steps.
Understanding Your Current Condition
After liposuction, especially a secondary procedure, the skin’s ability to retract can be compromised due to factors like reduced elasticity and the presence of scar tissue from previous surgeries. J-Plasma (Renuvion) is designed to enhance skin tightening by delivering controlled thermal energy beneath the skin, promoting collagen production and contraction. However, its effectiveness can vary based on individual factors, including skin quality and the extent of previous procedures. 
The description provided by your surgeon suggests that the remaining irregularities are due to residual skin laxity and scar tissue formation. Scar tissue can create firmness or unevenness, while loose skin may not conform to the newly contoured underlying structures.
Considering a Facelift
A facelift, or rhytidectomy, is a surgical procedure aimed at addressing significant skin laxity and repositioning underlying tissues to achieve a more youthful contour. In cases where non-surgical methods like J-Plasma have not provided the desired skin tightening, a facelift may be recommended to remove excess skin and improve overall facial harmony. 
Next Steps
It’s essential to have an open and detailed discussion with your surgeon about your concerns and aesthetic goals. Consider seeking a second opinion from another surgeon as well. They can assess your specific situation, evaluate the extent of scar tissue and skin laxity, and recommend the most appropriate course of action to achieve your desired outcome. You can also evaluate combining endoscopic mid-face lift and neck lift.
Your satisfaction and confidence in your appearance are paramount. Exploring all available options with qualified professionals will help ensure you make an informed decision that aligns with your expectations.

Thank you for posting your question here !My answer will be based on the limited information and pictures provided, for a more detailed and personalized plan please consult with your plastic surgeon in person .
you are only a few months out from your surgery, I would give it a little more time ( around 6 months) before jumping into another surgery. J plasma and other energy based skin tightening devices are pretty effective for mild to moderate skin laxity , and liposuction only addresses the fat above the platysma and the more liposuction you do the higher the chances are for having skin redundancy/laxity as some of the skin might not contract and you are taking away some of the support underneath it (the fat) and at that point a surgical neck lift would probably be the answer , this can also address sub-platysmal fat, platysmal banding and better contour the neck.I hope this helps, best of luck!

Sometimes, we don't remove enough fat during neck liposuction, and touch up liposuction procedures need to be performed. This may be determined with an in-office examination. In my opinion, 36 years of age is way too young to consider a facelift. Consider getting a second opinion from another reputable facial plastic surgeon. I hope this helps! Sincerely, Dr Joseph

Thank you for reaching out with your concerns. Based on the information you've provided and the feedback from your surgeon, it seems that the outcome you're experiencing may be related to residual skin laxity and scar tissue from your previous procedures.

Chin liposuction and J-Plasma treatments can effectively contour the neck and jawline, but they might not completely address excess skin or significant scar tissue, especially if you've had a previous procedure. The scar tissue mentioned by your surgeon likely refers to the fibrous tissue that can form after liposuction, which may affect the smoothness and tightness of the skin.

Considering your surgeon's suggestion of a facelift, this could potentially address the loose skin and provide a more defined contour by removing excess skin and tightening the underlying tissues. However, it's important to weigh the benefits against the invasiveness of such a procedure.

I recommend scheduling a consultation with your surgeon to discuss your concerns in detail and explore all available options. Additionally, seeking a second opinion from another board-certified plastic surgeon could provide further insights into your situation and help you make an informed decision.

At 36 years of age, your skin tone is acceptable and no facelift is needed. The photographs demonstrate sub-platysma fat it was cannot be addressed with simple liposuction. You're going to need a neck lift procedure, which accomplishes removal of any residual fat above the platysma muscle with liposuction, and surgical extraction of the fat deposits below the platysma muscle, which also includes a platysma-plasty to significantly improve your jawline. If you have a recessive chin, consider placement of a chin implant. No skin removal is required at 36 years of age, and this neck lift only procedure can be performed with three small access incisions underneath the chin and behind your ears.

Based on your series of nicely, post of photos, your candidate for a full open neck lift with plication of the neck, muscles and possible Endo lift laser treatment fee $10,000-$20,000. Best of virtual consult with.

It’s difficult to make a good assessment based on the information you’ve given us.
If you want us to assess the outcome of a procedure, then we need to see proper before and after pictures.
If you don’t have a complete set of proper before, and after pictures, then ask the surgeon who did your procedure to forward the pictures they took.
I would also recommend an in person follow up with your surgeon.
if you’ve had more than one procedure then you should include before and after pictures for each of your previous operations.
If your surgeon didn’t think you’re a good candidate for liposuction because you’ve had previous liposuction, then they should’ve told you this.
They should’ve told you you may need a facelift after the procedure.
We can’t really tell because your pictures are not standard before and after pictures.
Getting a facelift at age 36 doesn’t seem right and a facelift really isn’t usually the solution for bad Liposuction results if that’s what you have.
I suggest you rely on in person consultations exclusively.
Delivering consistent quality Liposuction results is more difficult than most people realize.
Personally, I’m not a big fan of Renuvion a.k.a. J plasma
Best,
Mats Hagstrom MD