What Are the Best Chin Liposuction Techniques?

What techniques for chin liposuction have a lesser chance of adverse effects?

Doctor Answers 9

Best Liposuction for the Chin

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You may be tempted to try one of the laser, ultrasound, or radiofrequency-assisted liposuction platforms based on the promise of improved skin tightening. However, there is no evidence that thermal liposuction creates better results. In fact, in my experience, the heat from these devices can actually cause problems like scarring, dermal adhesions, and burns. I do not recommend thermal liposuction for the chin or anywhere else on the body.

Traditional liposuction has proven quite effective on the neck and chin area, although the surgeon must be very careful not to treat the area maximally for fear of creating a contour deformity, otherwise known as a divot, wavy area, or rippled skin. A different option is SAFELipo, which is great for delicate areas like the chin. It uses a 3-step process that is extremely precise, allowing for maximal fat removal while causing minimal bruising, bleeding and swelling. In the first step, the special cannula or probe gently breaks apart fat and separates it from the surrounding tissues without disrupting the blood vessels. This creates mechanically emulsified fat that is now ready to be removed easily. The second step is the aspiration or suctioning of the ‘liquefied’ fat. Since the fat has already been separated and emulsified, the surgeon can use a much smaller, gentler cannula to remove it. The third and final step is the fat equalization step, which smooths out the remaining thin layer of fat by creating ‘local’ fat grafts that prevent the skin from scarring down unevenly. This creates a very smooth, firm result with excellent skin retraction. I've performed thousands of SAFELipo procedures, and I've found that patients experience fewer adverse effects, a shorter, more comfortable recovery, and superior results.

Consult with a board-certified surgeon and make sure that you're very comfortable with his or her credentials, their actual before and afters, and their recommendations. Good luck!

Shreveport Plastic Surgeon
4.2 out of 5 stars 14 reviews

Best chin liposuction technique

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Personally I use a tumescent technique where some saline is injected into the chin and neck area and then the fat is removed by using a micro canula or syringe technique. The procedure is highly effective and is rewarding to both the surgeon and the patient. I use a digital imaging computer during the consulting phase which allows me to show the patient their proposed results prior to surgery. I was one of the original surgeons doing liposuction and have trained hundreds of surgeons in the technique. I co-authored the first liposuction textbook for surgeons. Through the years there have been many changes with lasers and ultrasounds and I have used all of these techniques and I think the good old tumescent technique is the best way to go! Minimal swelling, minimal downtime, extremely low risk of complications, and extremely happy patients. I hope this information is helpful to you

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

Standard tumescent technique for excessive fat, suction-less for minimal fat, or Vaser®

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The type of technique chosen should be individualized to your specific goals and needs. 

If you have a great deal of fullness and excessive fatty tissue in the neck and under the chin, a standard tumescent technique would often give the best results. 

If there is minimal excess fatty tissue and excessive loose skin is the primary problem, a technique that produces less suction and more inflammation, such as suction-less liposuction, or “subcision” may be appropriate. 

Vaser® liposuction or laser liposuction may help with improved skin contraction following the procedure. 

If, in fact, there is a great deal of loose skin, perhaps another procedure alltogether, such as a neck lift or submentoplasty, might even be more appropriate.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Chin Liposuction

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When there is fat under the chin, traditional liposuction using a syringe or a machine can be used to extract the fat.  However, using a laser with a tiny fiber optic beam of light (the size of a strand of spaghetti) is my preferred technique becuase it causes much less bruising and less downtime. 

In my opinion, there is an advantage to using the 1440 nm Smartlipo (laser) because the wavelength of this laser is very attracted to water in our skin.  This helps not only melt the fat, but also tighten the skin.

Deborah Sarnoff, MD
New York Dermatologic Surgeon

What are the Best Chin Liposuction techniques?

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Liposuction in the chin/neck area can be done with a variety of techniques.  These include injecting saline into the area (wet or tumescent technique) or adding a power source such as ultrasound (Vaser lipo) or  laser (Smartlipo).   Adding a power source may aid, to some extent, in reducing bleeding/swelling and/or toning skin.  However, if the neck skin is already loose or sagging, then a patient needs to consider a neck lift.    

It should be remembered, that the skill and experience of your plastic surgeon is much more important, in determining a good result, than the type of eqiupment he or she uses.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

Liposuction very safe in chin area

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Tumescent liposuction in the neck and chin area under local anesthesia is very safe, predictable and yields consistently good results. There is no evidence that "laser lipo" offers any better outcome and may rarely add a side effect if too much heating of the skin occurs.

What Are the Best Chin Liposuction Techniques?

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Thank you for your question.  I have tried mulitle technologies over the years for the chin - traditional lipo, PAL, Vaser and laser assisted.  I think the person doing the lipo and evaluation you to see if you are a good candidate is more important.

Currently I use the SmartLipo Triplex.  I use in for all my neck liposuctions and facelifts.  I hope this helps.

Rigo Mendoza, MD
Tampa Plastic Surgeon
4.4 out of 5 stars 40 reviews

What Are the Best Chin Liposuction Techniques?

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I use Smart Lipo on 12 to 18 watts followed by 2 or 3 mm liposuction to remove residual fats. Best to obtain in person evaluations. 

Best Chin Liposuction Techniques

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Unfortunately, there are no studies that demonstrate one technique (traditional liposuction vs ultrasound liposuction vs Vaser liposuction vs power assisted liposuction vs SmartLipo etc...). In most cases, traditional liposuction works very well. Don't be confused by the advertising hype of some expensive liposuction devises. It is best to see a Board Certified plastic surgeon or facial plastic surgeon and discuss your particular case.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.