Too Much Fat Removed After Chin Lipo

Liposuction of the neck is often a subtle thing and too much fat can surely be removed in the central area of the neck which can lead to contour deformities or irregularities.   It is difficult to see this area you describe in the picture because of the angle of the photograph, but from your description is sounds like you may have a contour depression in the central neck.  My recommendation is to go to a board certified plastic surgeon with experience with corrective secondary liposuction (revision liposuction).  I routinely perform corrective or secondary liposuction procedures but not everyone does, so ask your surgeon for their honest recommendation.

Basically you would likely need a revision liposuction of the neck with small cannulas, also using a special cannula to "free up" the skin and any scar tissue and possibly using some fat injections to "fill" in any contour defect. You are also very right in your description that when too much fat is removed, the "glands" (submandibular glands) become more visible. I see this kind of problem more commonly when patients have had "laser" liposuction in the neck, but the treatment is the same.  Sometimes fat injections have to be done more than once, but usually a nice correction can be achieved in the right hands.  I hope this helps!

Sincerely,
 

James F. Boynton, M.D., F.A.C.S.

Contour irregularities can
occasionally occur following liposuction of the neck.  The vast majority of these cases respond to compression and
massage, but in some cases these changes are permanent.  When this happens, these deformities
can be treated in most cases with fat grafting.

When this situation arises, it’s
important to consult your original plastic surgeon.  Under these circumstances, many surgeons will discount
revisional surgery.  Significant
improvement can occur with fat grafting and the procedure is associated with
high satisfaction rates. 

On the neck from “just right” to “too much” is a very thin line.  First, we recommend seeing a Board Certified Plastic Surgeon for this.  Over 95% of the complications we see are from non Board Certified Plastic Surgeon offices.  A fat transfer may work, but an evaluation is needed.

I disagree with many of the answers already given regarding your problem. Over-aggressive liposuction in this area usually also causes significant scar tissue, which makes fat grafting later as a correction difficult to resolve the problem. Most of the time, submental muscle repair to smooth and flatten the depressed area is required.

It's hard to evaluate the area of concern in the picture. Many times a combination of delicate miniliposuction combined with fat grafting can correct those localized abnormalities. I would definitely talk to your original surgeon first.

If more fat was taken away in one area than others, the indentation after liposuction may be improved by a fat transfer / fat injection.  There may be considerable bruising for more than a week or two because of further manipulation in an area that had undergone surgery previously.