Am I a candidate for chin liposuction?

Question

I have had a BSSO, LeForte and Genioplasty. I had those procedures because I had a cant, but even after the hard tissue was corrected, I still had soft tissue assymetry. Last year, in an attempt to address the soft tissue assymetry, I underwent fat grafting and platysmaplasty. Now I am noticing lumpiness Can I get liposuction to correct the lumps and contour my jawline, or am I needing a facelift?

Michael P. Morrissette, DDS, FACS · Answer

There appears to be quite a bit of unevenness of the skin beneath your chin following the platysmaplasty. In addition, there appears to be excess skin. These uneven contours of skin can be difficult to correct. A lower face and necklift will help remove some excess skin and re-drape the skin in the submental area. Resurfacing of the submental incision by microneedling or laser may help as well.

Daniel Barrett, MD · Answer

Dear cvalentine823,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you 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

No, chin liposuction will only make matters worse you're going to need a lower face and neck lift procedure to remove the fat grafts, contour of the neck, removal of fat deposits above and below the platysma muscle, a platysma-plasty and a myotomy of the platysma muscle itself along with tightening loose facial and neck skin.

Mats Hagstrom, MD (license on probation) · Answer

Your neck has an uneven fat distribution and with previous surgery you need to show us before and after pictures so we know which part of this comes from your previous procedure and what it look like before you had the fat grafting and platysmaplasty. Your neck looks like inside Liposuction but that may not be the case. There’s definitely scar tissue and contraction of the scar tissue is probably the main culprit for the contour irregularity.
Liposuction is most likely going to make things worse.
Perhaps a proper neck lift with re-draping of the skin is a better solution.
With having multiple previous operations things become more complex, difficult and unpredictable.
This also means the need for finding the most talented and experienced surgeons becomes even greater.
Best,
Mats Hagstrom MD

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