Coolsculpting and FaceTite on chin failed. What to do to fix it? Will AirSculpt work?

Question

I did 2 sessions of coolsculpting on my chin area. It resulted in my chin increasing in size. I went to a certified surgeon who told me that I was suffering from paradoxical adipose hyperplasia. He performed lipo and FaceTite. My chin decreased and then increased in size several months later. Part of the area hardened. After a year, the area is soft. Its ruining my social life. Do you think AirSculp will work for me? If not, what procedure, excluding a facelift, will provide me great results?

Michael I. Echavez, MD · Answer

In my opinion, liposuction would be the best treatment to reduce the fullness under your chin.  This could be done without general anesthesia.

Jean M. Casello, MD · Answer

If you have documented paradoxical hyperplasia you should notify the company (CoolSculpting). There is a protocol in place to treat this. Usually liposuction resolves the problem..

Drew Varano, MD · Answer

If you have been diagnosed with Paradoxical adipose hyperplasia then your submental fat has increased in size. FaceTite  procedure tightens skin and should be combined with liposuction to remove fat, also PAH may continue to increase in size over a year later after the initial Coolsculpting , so if a corrective procedure is performed too early , the hypertrophy will continue , which may have been your situation .  To correct PAH. Liposuction will be the only feasible choice to correct PAH (don’t get confused with the subtypes of liposuction ... air sculpt , laser, PAL etc), find the right surgeon and that will correct the issue

Mats Hagstrom, MD (license on probation) · Answer

Secondary Liposuction is most likely not going to do very much for you.

It’s better to look at the underlying cause of why your neck and chin look the way they do.

My best guess is the primary underlying reason is that your mandible is small and under developed.

The second issue is a history of weight fluctuations and obesity with skin laxity.

I suggest having multiple in person consultations with senior experienced board-certified plastic surgeons or a facial plastic surgeons who have a proven track record.

Look for providers who specifically bring up facial skeletal structures, the size of your mandible and all the variables involved.

A chin augmentation with the proper neck lift is probably your best option.

To get a more accurate assessment I suggest multiple in person consultations.

Cool sculpting is a fairly low yield treatment and I’ve never met a patient who was pleased with chin and neck cool sculpting results.

Simply removing fat over and over without seeing results should be telling you that there’s more than fat that’s the problem here.

Airsculpt is a trademarked term owned by elite body sculpture.

Best,

Mats Hagstrom MD

Coolsculpting and FaceTite on chin failed. What to do to fix it? Will AirSculpt work?

Answers (4)