Should I wait to lose weight for chin/neck liposuction? (Photo)

​I find that VASER liposuction in combination with Renuvion or ThermiRF are best for contouring the chin in those who are candidates, but Kybella can be used as an alternative and gets better results when combined with Thermage/Ultherapy/Exilis, TruSculpt iD, or Coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer​

Thank you for your question and sharing your photograph.

In general, maintaining the weight within the ideal BMI range carries both health advantages and potentially some aesthetic benefits so if you have a plan to lose weight, it would be preferable to do so before having surgery.

In some instances, there is still significant amount of fullness under the chin following weight loss which may or may not be associated with some skin laxity. This can help to determine what is the ideal treatment to follow if you wish to improve the definition of the neck and jawline.

Hereditary characteristics play a part in the appearance of the neck and do not respond very well to weight loss. Anterior neck lift surgery can help in these situations by reducing the volume deep to the platysma muscles. If there is no skin laxity, the volume can be reduced without having to tighten the skin. There is however a scar measuring approximately 3 cm under the chin.

Once you have reached your target weight, it is possible to use computer imaging and simulation in 3D to evaluate the surface area differences between the original and simulated volume reduction. If the computer simulation does not show a surface area difference, there is no need for skin tightening in surgery.

This is very good insight. You know the fact that at any weight you still have a "double chin" or lack of jawline really helps us determine likely there is some structure deficiency that leads to your "problem". I would say some sort of chin augmentation along with what I call jawline sculpting lipo including posterior to the SCM is what would give the best results.

Find a surgeon you trust and be clear with your goals,
Best,
DrC