Do I need a revision chin lipo? My jawline contour is not as tight and defined as I was hoping for.

Question

Is this as best as it's going to get? Or can another lipo procedure address the leftover fullness? Is there anything else you can recommend? (two pics are one looking straight ahead and the other is looking down)

Kenneth Hughes, MD · Answer

Hello, thank you for your question. You may benefit from FaceTite (NeckTite), any areas on the face and neck with saggy skin can be treated with FaceTite. This includes the double chin, the neck, the jowls, the jawline and mandible, and marionette lines as well as other areas with deep lines and loose skin. I recommend you to schedule a consultation with a board certified plastic surgeon.

Tanveer Janjua, MD · Answer

Thermitight will tighten the skin under the chin and achieve a better profile. It can be combined with revision liposuction if you feel not enough fat was removed during the last procedure. It is a quick procedure with fast recovery. RegardsDr. Janjua

Jeffrey H. Spiegel, MD · Answer

You have likely removed most of the offending fat.  Now, tightening the skin will help. You are young enough that a necklift is not the right way to go.  I'd do something like "Facetite" which uses radiofrequency energy to tighten the skin. It's a quick, in office, procedure that truly works.

Sam Naficy, MD, FACS · Answer

It's not likely that more liposuction will help you.  It's importantly to correctly diagnose the cause of the fullness under your chin which is not always due to excess fat under the skin.

Daniel Barrett, MD · Answer

Dear Rose.m,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from a chin liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Portuese, MD · Answer

More information is needed, such as a full set of facial photographs from all angles to determine what is causing the fullness. It's very important to understand that there are two compartments of fat in the neck, and they are located above AND below the platysma muscle itself. Liposuction can only accomplish removal of the fatty deposits above the platysma muscle. A surgical neck lift is required to remove deposits below the platysma muscle which also includes a platysma plasty to give a significant improvement in the jawline the front of the neck. When patients have a recessive chin profile, it's important to consider performing a chin implant to augment the chin forward. When augmenting the chin forward, this gives better structural support for the soft tissues in the neck, improves the jawline significantly and is complementary to  the neck surgery.

Mats Hagstrom, MD (license on probation) · Answer

To me those are good results. Most young people have a double chin and are not overweight have a mandible that lacks projection which seems to be the case with you. This typically goes hand-in-hand with a dental overbite and an overlap the project further than the lower lip.  because the primary problem is skeletal Liposuction doesn’t treat the primary underlying problem. that said, Liposuction is very effective in this area and it appears it gave you a nice result. further Liposuction is most likely not going to give much improvement though there is potential he some room for improvement with a second procedure. Overall my vote is to not have more Liposuction.I’m not a big believer in nonsurgical skin tightening procedures. I own one of the latest devices and I found it fairly underwhelming.The different components that need to be assessed in addressing someone’s neck include facial skeleton, platysma muscle, subcutaneous fat, skin and sub-platysmal fat. In your case one of these four components was treated.The enemy of the good is perfect. I suggest leaving good enough alone.Best, Mats Hagstrom MD

Do I need a revision chin lipo? My jawline contour is not as tight and defined as I was hoping for.

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Answers (7)

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