Should I consider a second round of chin liposuction? 31 y/o female, unhappy with results (photos)

Question

I’m a 31 year old female, I had chin and neck liposuction on July 11th 2024. I recently had my follow up and am very disappointed with the result as I expected the sub mental fat to be gone and have a more defined side profile. I also have lost a total of 25 pounds since the procedure. I am wondering if this a normal result, or if I will need a second round? At my follow up I was told I had a great result and that I should be happy with this. Would I benefit from a different procedure?

Bianca Knoll, MD · Answer

thank you for posting your question. I think there are several options to consider, depending on the desired outcome you whish for. First, to repeat the chin liposuction. There are different devices and techniques out there. In case you are looking for a more  refined result, a different approach might be considered after  having consulted and discussed with your surgeon. Some patients benefit from a combination of platysmaplasty, contouring of the deep and superficial fat compartments, chin ptosis correction and contouring of the chin soft tissue pad.  Although this sounds a lot, a little of everything goes a long way and can be comfortably performed under local anesthesia. Only a  small incision is needed. I hope this helps

Lucian Ion, FRCS · Answer

Thank you for your inquiry and for sharing your photographs. To some extent, the outcome depends on whether the layer of fatty tissue under the skin is still significant and whether liposuction is feasible while retaining enough fat to ensure a smooth and natural contour. Excessive or aggressive liposuction under the chin can result in contour irregularities and vertical banding, which are unsightly and can detract from the overall quality of the result.

An anterior neck lift, in contrast, addresses the deeper layers of fatty tissue and can reduce volume in the submental area, including contributions from the digastric muscles and the lower portion of the submandibular glands.

In the first instance, I recommend discussing your concerns with your surgeon. If they determine that liposuction has already achieved its maximum potential impact but you still desire further improvement, then a deep plane approach to the neck may be the most appropriate next step.

Lexie Wang, MD · Answer

With the surgery still only having been a few months ago, you definitely probably still have some swelling that needs to work its way out. I would eval with your surgeon and see if they can tell that because usually it's pretty obvious on the exam if there's leftover fat vs. normal lymphedema post surgery.

Michael P. Morrissette, DDS, FACS · Answer

The weight loss will cause extra skin but I think that you need a different procedure. You have a very profound submental crease, and I prefer to perform a platysmaplasty with fat transposition of the sub-platysma fat to fill in the crease. This will give you a sharper jawline and improved cervical mental angle. At the same time the platysma  muscle is tightened in the front.

Eric M. Joseph, MD · Answer

What's nice about neck liposuction is that some people get amazing results that can mimic a facelift, neck lift. Sometimes, results can be less than what is expected. This can be due to your neck fat being located in a deep plane, or possibly that there was too much fat left behind in the subcutaneous space. If the latter is true, depending on your examination, repeating neck liposuction may be worth considering. I hope this is helpful, and thank you for your question. Sincerely, Dr Joseph

Should I consider a second round of chin liposuction? 31 y/o female, unhappy with results (photos)

Answers (8)

Answer: Chin liposuction or something else?

Answer: Chin liposuction or something else?

Answer: Neck liposuction may be unpredictable at times.

Answer: Neck liposuction may be unpredictable at times.

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Everything you need to know about Chin Liposuction

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Should I consider a second round of chin liposuction? 31 y/o female, unhappy with results (photos)

Answers (8)

Answer: Chin liposuction or something else?

Answer: Chin liposuction or something else?

Answer: Neck liposuction may be unpredictable at times.

Answer: Neck liposuction may be unpredictable at times.

Browse related questions

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.