A doctor recommended me not do chin lipo. What procedure should I do to target fullness under my chin? (Photo)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Liposuction of the chin can remove the excess fat and can give a more defined and sculpted jawline. While you don’t have a lot of fat there, it only takes a small amount of fat to give the appearance of a double chin. Liposuction will permanently remove that fat so it is far better than any non-invasive procedure. In most cases, it is done under local anesthesia and there is a rapid return to regular activity.

Check out the link for some more information, as well as a video about how liposuction of the chin works.

If your doctor advised against chin liposuction, there are still several other procedures to consider for addressing fullness under the chin:
1. Kybella: This is an FDA-approved injectable treatment that destroys fat cells under the chin (submental fat). Multiple treatments are usually needed for optimal results.
2. CoolSculpting: This is a non-invasive procedure that freezes and destroys fat cells. A specially designed applicator is used to target the fat under the chin.
3. WarmSculpting with SculpSure: This non-invasive procedure uses laser technology to heat and destroy fat cells under the chin.
4. Neck Lift: For individuals with excess skin or muscle banding in addition to fat, a surgical neck lift may be an option. This procedure tightens the skin and muscles in the neck, reducing the appearance of a "double chin."
5. Ultherapy or Thermage: These non-invasive treatments use ultrasound or radiofrequency energy to tighten the skin under the chin and stimulate collagen production.
6. Thread Lift: This is a minimally invasive procedure where temporary sutures are used to produce a subtle but visible lift in the skin.
Each of these procedures has its own set of pros and cons, and the best one for you will depend on your specific needs, goals, and overall health. It's important to consult with a board-certified plastic surgeon or dermatologist to discuss your options.

From your side profile photograph, especially when looking downward, you have fat deposits located in the two compartments in your neck, located both above and below the platysma muscle. You also have a recessive chin profile which compounds the issue. You would need a chin implant to augment your chin forward for better structural support for the soft tissues in the neck along with improving your jawline. You would also require a neck lift procedure, which accomplishes fat deposits removed in both compartments, along with a platysma plasty to significantly improve the jawline. Liposuction alone will only remove the fat compartment above the muscle, which will be in an effective treatment by itself.

Was the doctor a plastic surgeon whom did not recommend chin Lipo? Bet not!
Based on the 2 posted photos you are a great chin Lipo candidate. Fee $4,000 Best to virtually consult with…

Your double chin is not due to an abnormal fat distribution.
It is a direct cause due to having a small mandible in relationships to the maxilla. maxilla.
Enlarging your mandible is difficult and complex so most people approach the problem, attempting soft tissue manipulation, even if soft tissues are not the underlying problem.
Almost 100% of people seeking chin and neck liposuction have this facial a skeletal relationship.
If you look carefully at before, and after pictures, you have noticed that almost all people seeking this procedure will have a Mandible that is slightly lacking in size compared to the Maxilla. These individuals almost always have an overbite dental occlusion. And profile pictures the upper lip will have significant more forward projection than the lower lip. This is because of their dental occlusal relationship. This skeletal structure also causes a lack of a jawline definition and premature jowl formation.
There’s nothing wrong with having liposuction, and in the hands of the right provider, Liposuction can give a good results.
Delivering consistent quality, liposuction, results is more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure are in a small minority. The truth is most plastic surgeons are often not that great at Liposuction.
The variation in skill for this procedure is quite dramatic.
It is important to recognize that not all plastic surgeons have the skills to deliver a consistent quality Liposuction results.
In the hands of a skilled provider, you should be able to have a nice Liposuction outcome.
Even if the procedure doesn’t treat the underlying primary problem, Liposuction can give good results, especially on individuals who have enough fat to remove.
Finding the right provider may be a bit of a challenge, and we usually takes a substantial amount of work.
Defined the best provider question just patients start the process by first finding providers who have impressive before and after pictures on their website. Plan on making multiple in person consultations with providers who seem to do a lot of Liposuction Work in your community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patient who had similar facial or neck characteristics to your own. . An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Highly experienced surgeons should in fact have hundreds or even thousands of before and after pictures to choose from.
Being shown a handful of pre-selected images, representing the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually done. Done Liposuction can leave people permanently disfigured. It’s very difficult to correct poorly done Liposuction. Patients should consider Liposuction results Permanent and irreversible.
Sufficiently experience provider should have what looks like an endless collection of quality before and after pictures. They should have no difficulty showing you lots of previous patients who look just like you.
If you have any doubts, I suggest simply slowing down and scheduling more consultations. I do not recommend anything other than Liposuction, which is the gold standard for removing undesirable subcutaneous fat in this area. Non-surgical treatments or less effective and highly unpredictable.
When in doubt, slow down and schedule more consultations. The biggest mistake patients make is having only one consultation and then scheduling surgery.
Being bored, certified in plastic surgery on years of experience in an overall good reputation does not mean somebody has mastered any one single procedure especially not Liposuction.
Best,
Mats Hagstrom, MD