Would I benefit from chin liposuction revision or a non-surgical option? (photos)

Question

I got chin lipo about 6 months ago. My right side profile appears to have a better result than the left, which has still had a little bulge. Would I benefit from a revision or would coolmini and/or kybella yield similar results without having to undergo surgery again?

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jules Feledy, Jr., MD · Answer

Hello. Thank you for your question. From your photos it appears that there is a small residual bulge on the left side, as you indicated. I would recommend a a further physical examination and discussion with your board-certified plastic surgeon. There are several options that you and he/she might discuss. That includes a mini-revision under local anesthesia, regardless of type, or Kybella. Please note that Kybella sometimes does not work at predictably as a mini-revision. I believe that the communication between you and your surgeon will be very helpful here. And you will be much happier knowing that he/she is committed to helping you achieve your goals. Respectfully, Jules A Feledy, Jr, MD American Board of Plastic Surgery, American Society of Plastic Surgery

Daniel Barrett, MD · Answer

Dear ren25,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from 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

Mats Hagstrom, MD (license on probation) · Answer

The primary reason for you having a double chin, lack of jawline definition and formation of early Jowl formation is related to the size of your mandible being small in relationship to your maxilla.

Since Liposuction doesn’t address the primary problem it is likely to leave and in perfect outcome.

The area of fullness is exactly where the submandibular salivary gland sits. There may also be some sagging in the skin or platysma muscle contributing.

Oh Raul it looks like your provider did a nice job though we can’t really assess the outcome of a procedure without seeing proper before and after pictures. If you don’t have before and after pictures ask your surgeon to forward the ones they took.

Nonsurgical options are far less effective than surgical treatments are fat removal.

My best guess is that Liposuction revision will not give you much of an improvement but the degree of improvement in the end is in the eye of the beholder.

Put the skin under tension and press straight in gently with one finger.

Do this in all the different areas that were treated to carefully assess the thickness of the subtitaneous fat layer.

My best guess is you’ll find it to be thin and even throughout the areas treated. Gently pressing against the skin while the skin is under gentle tension is the most accurate way to assess the thickness of subtitaneous fat. Pinching the skin is an inaccurate way of doing it since it recruits skin and doubles the layer of both fat and skin.

I would not recommend any non-surgical options.

If you want to explore more definitive treatment than consider consulting with oral surgeons or plastic surgeons with craniofacial Fellowship training.

Best,

Mats Hagstrom MD

Would I benefit from chin liposuction revision or a non-surgical option? (photos)

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