I'd like a second opinion on my neck liposuction: Has not enough been taken out? (Photos)

Question

32YO Male, underwent vaser neck liposuction approximately 4-5 weeks ago. To me, the results are extremely underwhelming (see pictures attached). My question is: looking at it, I think that only a bit has been taken out under the chin only, and very little if at all around the jawline and below, around the base of the neck. I wanted a more defined look, especially around the jawline. Keen to hear thoughts on this and how I should approach this moving forward?

Daniel Barrett, MD · Answer

Dear MikeHunt2021,
I understand your concern and it is quite normal to be concerned about the outcome following a liposuction surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

Mike,
You have significant results at just 5 weeks!
Chin/neck lipo takes a much longer time for the swelling to resolve and the skin to tighten.  Give it 6 months to really evaluate your results.
Best wishes,
Dr. T

Mark Eberbach, MD · Answer

Your photos help. I see a nice improvement. It is far too soon to evaluate your final result. Swelling takes up to 6 months to resolve. Your underlying anatomy will also affect the outcome. Give this some time and reevaluate the final result.

Mats Hagstrom, MD (license on probation) · Answer

In order to make an assessment we really need to see full face pictures in proper angles.

From the pictures you did post I would say your neck it’s definitely would be challenging to get a good result from just liposuction.

You’re not me me it’s a little on the extreme side with your neck literally beginning at the tip of your chin.

There is more involved here than just a fat distribution issue.

Most likely to get impressive results you would need to have the facial skeletal imbalance dealt with Augmentin your mandible and dealing with laxity of the underlying platysma muscle and skin.

There’s a good chance you have sub platysmal fat that cannot be removed with Liposuction as well.

I agree with you the results are not impressive but in your case it’s possible liposuction simply is going to be limited in what it can deliver.

I don’t think it’s fair for anyone to say your procedure was done correctly or done poorly or there is more room for improvement with further Liposuction.

What I can tell you is that it’s very important to have an accurate assessment which means having a very clear understanding of what the underlying problem is. In a sense and aesthetic diagnosis.

If the problem is inherently based on a skeletal imbalance then treating fat isn’t treating the problem.

For this reason I would encourage you to have in person consultations. When you do bring proper before and after pictures and the operative report from your previous procedure.

I would also encourage you to follow up with your provider to see what he or she has to say about the yard, and what their suggestions are.  Like I said it could’ve been well done liposuction on someone who simply wasn’t a good candidate. I wonder if some of this discussion came up during the consultation?

Best,

Mats Hagstrom MD

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