Double chin liposuction without wearing garment?

Question

Is it possible to have under chin lipo without wearing that ridiculous garment. Everyone knows you had it done, and you have to wear it for 1 week. I have some slight double chin that always wanted to get lipoed, but never did because I want to keep a secret from EVERYONE, including family, and the garment ruins this for me. Beard can help cover any swelling and bruises. I want to have it done without a garment, but I don't know if surgeons wil allow it, and if the result will be as good without

Larry S. Nichter, MD, MS, FACS · Answer

To my knowledge, no one knows for sure if a compression garment will alter the final results though it might take a bit longer to get there. Not wearing one immediately may result in more initial swelling and bruising however. The other option to consider is not doing the lipo and having Kybella injections - no garments needed and less likely to bruise. Kybella is a new injectable approved by the FDA for the treatment of moderate to severe fat under the chin; double chin. Up until now the only option for fat removal under the chin was liposuction or surgically removing the fat by cutting it out. Kybella is the first ever non-surgical option for dissolving double chin fat. Dr. Derek Jones, an associate clinical professor of dermatology at UCLA stated “upwards of 80% of people [with double chins] are concerned about the condition.” Dr. Jones was the lead investigator in a study sponsored by the drug’s maker, Kythera Biopharmaceuticals. The problem of a double chin can affect men and women of all ages. At the BioSpa by Pacific Center for Plastic Surgery, both Drs Horowitz and Nichter frequently meet with patients in their 20′s-30′s frustrated and embarrassed with their double chin fat. Until now, liposuction was the preferred treatment for most of their younger patients with good skin laxity.#KybellaVsChinLipo#ChinLipoGarment

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your photos.  There are several options for contouring the neck.Non surgical options include: 1) Kybella to dissolve the fatty tissue in the submental area 2) Cool-mini treatment from Coolsculpting to target the same area  3)
 Adding a skin tightening device such as Ulthera or Profound to the neck
 tissue in conjunction with the one of the above to further tighten the 
skin.  The big advantage of the non-surgical options is that a garment is not necessary.Surgical options include:  1) Straight liposuction which would reduce the pinchable fat under the chin2) 
 Anterior neck lift with liposuction which would also allow for 
tightening of the platysmal muscles in the midline to allow for tighter 
neck contour3)  Traditional neck lift which does the same as 2) but also removes some excess skin in the neck.The big advantage of the surgical options is that it allow for a more customized approach and greater definition of the neck / jawline, but I do recommend the use of a garment so it may not be ideal if you are trying to keep family/friends/colleagues from knowing.I
 would recommend that you visit with a board certified plastic surgeon 
who offers the various options above to discuss the pros/cons of each 
option and help you decide which is the best for you.

Michael I. Echavez, MD · Answer

I believe that using the compression garment after liposuction under the chin does help to obtain a better result.  You could decide not to wear it, but this could result in a less than optimal final effect.  In addition to Kybella, you could also consider CoolSculpting to obtain non-surgical fat reduction under the chin.

John L. Burns Jr., MD · Answer

Instead of liposuction you might also consider Kybella.  There is no need to wear compression garments with this simple and conservative approach which might be a better option for you.

Joshua A. Halpern, MD, PA · Answer

Thank you for your question. I don't put a garment on my patients. I do put a compression bandage on my patients for the first three days. I hope this is useful. Good luck with your upcoming surgery.

Gustavo A. Diaz, MD · Answer

The garment in my opinion gives a better result from the liposuction procedure. I have patients in my practice that decide not to use the garment the day after surgery and they still have a good result. Consult with your board certified Facial Plastic Surgeon.Hope this helps,Dr. Gus Diaz

William Portuese, MD · Answer

In our practice when we perform a neck lift /liposuction, this usually involves removal of the fatty deposits above and below the platysma muscle in the neck. A platysma-plasty is also performed at the same time. We do not use any bandages or garments after the procedure. We do place to Jackson-Pratt drains underneath the skin which are left in place for 2 days after the procedure to drain blood out from underneath the skin. Anticipate 2 weeks of visible  swelling and bruising after the procedure. For more information and many examples, please see the video and the link below

Double chin liposuction without wearing garment?

Answers (7)

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