Neck and Jowl Lipo Surgery post-op.

I have a consultation for a Breast Augmentation this Tuesday. During my visit, I was planning on asking them about chin lipo and possibly lipo of the stomach, flanks, bra fat and maybe thighs. I am not 100% sure about the lipo but I want the breast aug.

My concern is that the fat under my chin will only get worse as you can't really "work out" that area too much. I mean there are exercises for the chin I have tried but I don't think this is an area that exercising works out well with. My grandma and mom both have a double chin and jowls! I started to notice my jowls more, too, especially in photos! I'd like to take care of this now at the same time as the BA if possible (if it's not too much more money).

I heard that you can do Ulthera to help with the chin fat but it's expensive and may not work. Also, I read it's painful. If I'm going to pay that much money I might as well do something that definately works. Anyone get Ulthera already and can share their thoughts?

Can anyone who has had this done give me some advice or share their story? Is it worth it? How long was your downtime?

Not sure about expected cost yet as I haven't had consult with PS yet.

I had my consultation with Dr. Gruenwald today. He's close to my work and house so I'm lucky I didn't have to travel far. After discussing my breast augmentation, I asked him about lipo of the stomach and neck. He said I could do some lipo of the stomach if desired but did not recommend lipo for my chin. He said that it was a bad idea as it would leave me with hanging skin on my neck. I was surprised as I thought my neck skin would bounce back because I'm young, and I thought I didn't have much fat there. He recommended a neck lift called a lipectomy. A nurse came in to get me to take before photos in another room. Afterwards I went back to my exam room and got dressed. After that, I went into another office to discuss prices and scheduling. I got four quotes including the neck lift. The neck lift or Submental Lipectomy Platysmaplasty would cost $7,615!!! I was totally shocked!! That was more money than lipo of my stomach and breast aug together!!! I decided not to move forward with this procedure at this time and to do more research!

Take a look at my photo, do you think lipo would help or do you think what Dr. G recommended is best? I'm a little disappointed to hear I may need a neck lift!!!

I wanted to get a second opinion on my neck so I went to Dr. Perenack in Baton Rouge. Actually, I went to see his partner, Dr. Weiler for a breast augmentation consult, and also was able to see Dr. Perenack. He didn't have me on the books for a consult but took time out of his schedule to see me while I was there. I really appreciated this. He was very knowledgable and informative. I felt very comfortable with him because he took his time in expaining things to me. He also personally showed me photos and described what he did during each procedure. Dr. Perenack recommended chin lipo and a little filler called Radiesse instead of a neck lift. He quoted. $4,100 total. The lipo of the chin is cheaper than a neck lift obviously. Dr. Perenack said that my skin is tight enough to get the lipo and that I don't need a neck lift. However, he did say that to help define by jaw line more, I could use the filler Radiesse which is $800 for procedure. That's already included in the $4,100. To be honest, it's more than I thought it would be. Not sure why but I thought it would be closer to $2,000.

Right now my main focus is on my breast. However, I may want the lipo of chin or lipo of body in the future. I really liked Dr. Perenack for the face so I most likely would go with him if I decide to move forward with that.

The prices above include the surgeon's fees/procedure fees (includes operating room fees), anesthsia and garmets. The most expensive part of each quote was the surgeon's fee. This quote is only good for 90 days.

Thanks for seeing me, Dr. P without an appointment!