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

Question

I want to get chin and neck liposuction since I have no defined jawline and just hate this double chin. I am overweight though and do need to lose at least 25 pounds. Even at my thinest, I always had a week chin and jawline and had the gobbler! Should I wait or would I be a good candidate now?

Gurkan Kayabasoglu, MD · Answer

Hello. Double chin contains the most difficult and last fats from the body. Even thin people can have double chin. Now I can say that you are suitable for this surgery. But you cannot get full benefit with Chin Liposuction. You are the right candidate for direct fat removal, ie submentoplasty. We can directly remove all visible fat under your chin. Then we can support your chin with a chin implant. So you can have a sharper jawline and a strong chin. An experienced and specialised surgeon can easily solve your problem. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

Randal Haworth, MD, FACS · Answer

Hello !

It is always best to be within 20lbs of your goal weight prior the surgery for the best results.

I hope this helps,

Best of luck!

Randal Haworth

Benjamin Caughlin, MD, FACS · Answer

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

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

Jason Emer, MD · Answer

​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​

Lucian Ion, FRCS · Answer

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.

Michael I. Echavez, MD · Answer

I would recommend losing the 25 lbs. before having the liposuction under your chin.  This amount of weight loss will affect the fat under your chin.  It would be better to do the liposuction after this weight loss.

Justin K. Williams, MD · Answer

If you are planning to lose weight i would absolutely focus on this first. Do it in a healthy way that is sustainable, then schedule an appointment. Some patients are good candidates for liposuction in the chin and neck. Some are not, but may be better candidates for other procedures. This would depend on the consultation

William Portuese, MD · Answer

You should always be at your ideal body weight before undergoing any type of neck surgery. From that one limited photograph, you have fat deposits located both above and below the platysma muscle in your neck. Liposuction can only accomplish removal of the fat deposits above the muscle. A surgical neck lift is required to remove the fat below the muscle which also includes a platysma-plasty to significantly improve the jawline. We also place Chin implants for patient to have a recessive chin profile when needed.

Darryl J. Blinski, MD · Answer

Only 1 posted photos does demonstrate your need for sub chin liposuction. But if you are truly going to lose 25 pounds??? then I would wait until you do. But you must be honest. Most say thy will lose weight and do not??? Expect fees in the $4,000 + ranges. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

If you are overweight then losing some weight is probably a good step in the right direction.
There are a lot of variables that contribute to the shape and contour of the lower 1/3 of the face and neck. By far the most important is bone structure. The majority of individuals seeking liposuction for this area do not have an abnormal subcutaneous fat distribution. 95% at least of the individuals seeking chin and neck. Liposuction have a facial skeletal imbalance. In particular they tend to have a mandible that is small in relationship to the max set alarm or at least a mandible who’s body (the body of the mandible) lacks forward projection.
Recognize that if you are treating subcutaneous but the problem stems from a skeletal structure issue then at best you will have a partial improvement.
Understanding facial aesthetics, especially on the lower one, third of the face is fairly complex, and a significant number of providers in the industry often misdiagnosed this area frequently in regards to having a clear understanding of what the underlying correct ideology is, including having a clear understanding of treatment options, and which treatment option will be most effective. Electing to have fat removal it’s often chosen because it seems like the easiest procedure, but it rarely is addressing the main problem so results will be partial at best. That is not to say there are not individuals who are excellent candidates for chin and neck liposuction. These tend to be overweight individuals with tight skin will have enough fat to remove that have a significant impact, and also have reasonably good projection of their mandible.
Other tissues that can contribute include skin, laxity, or a loss of skin, elasticities, the underlying platysma muscle, which often is a direct reflection of the shape and size of the mandible, submandibular, salivary, glands, etc.
If you wait until you’ve reduced your subcutaneous, fat layer by weight loss, you’ll have less fat to remove through liposuction. You will innocence have accomplished part of the procedure on your own. It sounds like you feel that weight loss is overall in your favor so I would encourage you to continue with your weight loss journey. The less subcutaneous fat someone has the less impact Liposuction is going to have. 
Your single picture is insufficient to make a good assessment. I suggest having multiple in person consultations with local plastic surgeons and you may want to consider consulting with oral surgeons as well.
Bone structure is generally the primary underlying cause for people having a premature double chin. When the mandible does not have sufficient forward projection, it causes the underlying platysma muscle to drape the neck in an oblique fashion creating a double chin, lack of jawline definition and predisposes individuals for premature jowls. Individuals who have this fascial, skeletal imbalance will typically have an upper lip that has more forward projection than the lower lip on profile pictures. This also usually implies individuals will have a dental overbite occlusion.
Recognize that when choosing treatments that in not changing the primary underlying reason or caused, the outcomes are going to be partial at best.
There’s also significant variation among plastic surgeons in regards to Liposuction, skill and experience.
I would venture to say that Liposuction has the greatest variation in the outcome, depending on who does the procedure in comparison to any other plastic surgery operation.
Liposuction results are permanent and should be considered irreversible. If done poorly patients can be left disfigured or at least left with outcomes that are less than desirable. For all of these reasons, I suggest patients have multiple in person consultations, but local, board-certified, plastic surgeons and oral surgeons. Plastic surgeons tend to see things more from a soft tissue perspective and generally Recommend treatments that are soft tissue oriented. Oral surgeons tendency things more from a facial, skeletal perspective and generally apply treatments based on that.
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 very similar facial characteristic to your own.
Ask providers to show you a variety of outcomes, including outcomes that were excellent, average, and outcomes that did not turn out as well as they had hoped.
Being shown a handful of preselected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
Candidacy also plays a major part in determining who and who does not have the potential for having a great outcome.
Making accurate assessment with the ability to deliver consistent outcomes, consistent with previously shown before, and after pictures, is a skill not all plastic surgeons have.
Being poured, try to find a plastic surgery with years of experience, and an overall good reputation does not mean somebody has mastered Liposuction.
On top of this subcutaneous, fat is not the primary problem so a partial improvement is the most this procedure can deliver for you.
Whether or not that justifies having the procedure is something you need to discuss during in person consultations. Personally, I recommend people have at least five in person consultations before committing to having permanent and irreversible face changing procedures.
Take an active role during each consultation and take careful notes regarding both the quantity and quality of before and after pictures. I recommend patients bring printed copies of pictures of their own face taken the same way plastic surgeons take before and after pictures and use those for reference when reviewing providers results. 
There’s no point on seeing results and individuals who had a different candidacy for the procedure. 
For reference and experience surgeon should have no difficulty showing you at least 50 set a before, and after pictures of commonly performed procedures, like chin and neck liposuction.
When, in doubt, slow down and schedule more consultations.
It may be that there are better procedures for you than Liposuction.
Best,
Mats Hagstrom, MD

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

Answers (10)

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