If I had chin (submental) lipolysis, can I do chin liposuction easily in future? Does fibrosis occur in all chin lipolysis case?

That’s a great and very thoughtful question. When you undergo chin lipolysis, whether through injections (like deoxycholic acid) or energy-based treatments, the goal is to break down fat and encourage tissue tightening. A natural part of this process is fibrosis, which is essentially scar tissue formation that helps create firmness in the treated area.

Fibrosis doesn’t occur in exactly the same way for everyone, but some degree of it is expected in all cases. For many patients, this is actually beneficial because it can give a more contoured, defined appearance under the chin. However, it does mean that the tissue may not be exactly the same as untreated fat, and this can sometimes make future surgical liposuction a little more technically challenging for the surgeon.

That said, having had chin lipolysis does not rule out liposuction in the future. Experienced surgeons are accustomed to working with tissue that has some fibrosis. The key difference is that the procedure may take more care and planning, and results can depend on how much fibrosis has developed and your individual healing response.

In short:
Yes, fibrosis happens to some degree in all cases.
Future liposuction is still possible, but your surgeon will need to take the prior treatment into account.
Outcomes remain good, especially if enough fat remains to be removed or reshaped.

While some mild fibrosis does occur, it is most certainly possible to have chin liposuction following a cryolipolysis procedure. Liposuction or other open techniques would be the preferred steps if the results you desire were not achieved by noninvasive methods.

Tissue destruction with the use of chemicals, typically causes a fairly substantial inflammatory response with the development of scar tissue.
This can be equal to or more extensive than scar tissue formed from previous liposuction.
There no absolute yes or no answers to your question.
Everything is relative.
If most of your subcutaneous fat was removed with your previous procedure then you should expect to have a substantial amount of scar tissue.
If your previous procedure had virtually no impact then Your subcutaneous fat layer is probably fairly normal and intact without a significant amount of scar tissue.
Your candidacy for future Liposuction should be assessed by an in person consultation.
Best,
Mats Hagstrom MD