I had Chin Lipo in January 2022, so why do I still have a Double Chin? (Photo)

Hi there,

Thank you for sharing your experience. I completely understand how frustrating it can be to undergo a procedure like chin liposuction, and I still feel like your concerns haven't been fully addressed.

Here are a few key things to consider:
1. Some fullness may not be fat-related:
Even after chin liposuction, residual fullness can persist due to:

Skin laxity — especially if the skin didn’t retract well post-lipo.

Subplatysmal fat — deeper fat under the muscle, which liposuction typically can’t address.

Anatomical factors like a naturally recessed chin or a short/hypoplastic jawline can make the area look fuller even if there's minimal fat.

2. The surgeon's comment about avoiding dents or irregularities is valid:
There is a limit to how much fat can be safely removed. Over-aggressive liposuction can result in contour deformities or a “wavy” appearance, so many surgeons will stop before reaching that point.

3. Next steps to improve your results might include:

Kybella (deoxycholic acid) injections: to further dissolve any small pockets of submental fat non-surgically.

Skin tightening treatments like radiofrequency microneedling, Ultherapy, or Morpheus8 if laxity is part of the issue.

Chin/jawline filler: If you have a weak chin or jawline, filler can improve the angle and contour, giving the illusion of a slimmer profile.

Surgical options: In some cases, a chin implant, deep neck lift, or platysmaplasty might be considered for long-term refinement.

It is impossible to draw conclusions on your results without the benefit of an exam. An exam will allow the surgeon to palpate and determine how much fate there may be. Good luck, Doc PG

Thank you for your inquiry and for sharing your photographs. Conservative management of superficial fatty tissue is a crucial aspect of liposuction under the chin and along the jawline. As your surgeon has advised, aggressive reduction can lead to burns and contour irregularities.

If you wish to evaluate the remaining amount of superficial fatty tissue, this can be assessed through a soft tissue ultrasound examination. It is important to remember that a certain amount of fatty tissue under the skin needs to be preserved to ensure a smooth and natural contour.

The amount of fatty tissue required for a balanced submental contour decreases when the skin is placed under greater tension, which is a component of the neck lift intervention. For the deeper volume situated under the chin, a deep plane approach can effectively address it. This technique accesses the fatty tissue beneath the platysma muscles, as well as the digastric muscles and the lower portion of the submandibular glands. These structures all contribute to the contour issues you are aiming to resolve.