Two years post chin liposuction - How do I make my chin look better? (Photos)

Question

A little over two years ago I had chin liposuction done to get rid of my double chin. I would hope this would have looked better by now, but I am still very unhappy. The surgeon didn't really have much to say when I went to several follow ups and expressed my concern. I am just looking for some professional opinions on the best way to approach this. I am 40 years old and dont have any loose or sagging skin. My skin laxity is good still.

Jeffrey H. Spiegel, MD · Answer

The fat has been removed. But now we are seeing other signs of aging. You'll need a facelift / necklift to address this and it should be improvable. If you pull your neck skin sideways from under your ear does it get better?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and your experience — I can hear the disappointment in your words, and that’s completely valid. When someone goes through a procedure hoping for a clear improvement and still feels unhappy years later, it’s frustrating and discouraging.

From your photo, I can see vertical banding and contour irregularity under the chin when the neck is extended. This pattern two years after chin liposuction is usually not from leftover fat alone — more often it relates to a combination of platysmal banding (neck muscle prominence), mild contour irregularity, and submental skin redraping patterns after fat removal.

Here’s how I think about cases like yours:

✅ What may be contributing to the appearance

1. Platysmal bands (neck muscle cords)
These vertical lines are caused by the platysma muscle becoming more visible or active after fat removal. Liposuction removes volume, but it does not treat muscle banding — and sometimes it makes it more noticeable.

2. Contour irregularity or uneven fat removal
Small areas of residual fat or uneven suctioning can create shadowing or textural differences that show when you extend your neck.

3. Subtle skin redraping changes
Even when overall skin laxity is good (and yours does look reasonably firm), the way skin settles after liposuction can create lines or tethering in certain positions.

✅ Nonsurgical options that may help

Botox for platysmal bands
If the vertical banding is muscular, carefully placed neuromodulator injections can soften the bands and smooth the neck contour. This is often the first and simplest step when banding is the dominant issue.

Energy-based skin tightening (radiofrequency or ultrasound devices)
These treatments can improve texture and mild contour irregularities by stimulating collagen and tightening the submental area.

Small-volume filler in select areas
In some patients, very conservative filler placement can improve contour transitions if there are small depressions or unevenness.

✅ Surgical revision options (when needed)

If there is significant contour irregularity or muscle separation, a minor surgical revision or submental neck tightening procedure can address structures that liposuction alone cannot fix — particularly muscle banding or tethering.

✅ Realistic expectations

At two years post-procedure, what you’re seeing now is essentially your stable result — so further improvement would require targeted treatment rather than more time. The good news is that the concerns visible in your photo are commonly treatable, and often with more precise, structure-based approaches than fat removal alone.

Most importantly, this doesn’t look like a failure of healing — it looks like an incomplete match between the original procedure and the underlying anatomy. And that distinction matters, because it guides what actually works next.

Two years post chin liposuction - How do I make my chin look better? (Photos)

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