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Chin Lipo Journey (Swelling or FAT?!)

UPDATED FROM Wolverines24
10 months post

9 months post op

Wolverines24
$3,500
So Ive been meaning to update this review. I've been hoping to do so when I feel that my results finally settled. And there were moments where I felt that things were progressing very well. In fact, February was a great month. My jawline and double chin were very close to how I looked when taking off the garment. Then it reverted...

After more than nine months, I think I can call this procedure a failure. An improvement? For sure, but not enough for a relatively mild case of stubborn chin fat. I've gained about 15 pounds February though, and my surgeon noted the fat pad at our last appointment in March. I've lost 9 of the 15 pounds, but my chin is still not flat and defined.

INTERESTING: A the 5 month mark (back in mid November) I got a facial fat graft from the same doctor. I'll be going in for a second round in the coming weeks since I've retained about 50 percent from the first transfer (22-24 ccs fat from abdomen), and I felt a little about 20% underfilled in general. That's a different story. However, I took a steroid days after the fat graft, and what do you know, the skin under my chin was defined and taut. Of course, when the steroid wore off, my double chin began to return.

I personally feel that my lymphatics were disrupted, possibly permanently. I have no idea. I don't know the science behind it. Maybe it takes a couple years for damaged lymphatics to improve. But I've conceded to the fact that I will not get the results I was hoping for. If I do get what I'm hoping for, I'll be surprised, but no longer view it as cathartic.

I dont know why my chin still fluctuates. I've had days where I'm defined, and then it goes back. It's incredibly frustrating. Plastic surgery has done a number on me psychologically, and I do admittedly envy the people who get instant results, especially with chin lipo. I don't why this has happened to me, but it's obviously depressing to feel that youve faced your fears (going through with surgery) after years of telling yourself you cant do it only to be left with a wonderful result - after I wear the garment - taunting you in the face.

If anyone can provide some insight into lymphatic injury, and whether or not it eventually heals, as well as the general timeframe for that, please let me know. The last time I wore my garment was early March, when I was 15 pounds overweight. Even with the weight gain, after taking off the garment, I look great. Maybe a little bit less defined, but still great. It's like the aesthetic gods are just taunting me. If this was just fat, I'd go in for another round of lipo (which should never happen with a mild to moderate case like me). But I do feel that this is something else...

So I still hold out hope in the very back of my mind.

Replies (5)

April 30, 2021
I’ve had chin lipo too and I definitely have days where my it’s more and less defined. I find when I’m dehydrated or have been out drinking that it’s less defined for a day or two afterward. I have however found that working on my gut health has helped overall with holding fluid. Have you tried cutting sugar, gluten, meat and dairy ? Also supplement with fermented foods to get good bacteria back into your gut, I drink a fermented greens product but things like good quality probiotics, organic kefir, sauerkraut and etc help to. You can also look into lymphatic massage and if you’re highly stressed or have unresolved trauma this also causes issues with gut and lymphatic system. It might sound kooky to you but sorting my gut out has helped me in so many ways !
May 4, 2021
I do notice that when I get stressed, the fluid retention increases. Sometimes very quickly...

Do you think it will eventually settle permanently or will the fluid issues last my whole life?
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April 18, 2022
Oh my! this is my exact concern. I just had surgery 5 days ago and I bled more than typical and it looks as though nothing was done :'( I have so much swelling. they said 100cc of fat were removed. I saw it but i also had so much blood and fluid. I am worried not all fat was removed from the area. the middle area was the worst before and it still looks like a bulge :'( I do not like where it is rightn now and I hope that I can improve a ton. My surgeon told me not to do lymphatic massage but I keep seeing elswhere that is recommended for the excess swelling. I do think that your results are not horrible and you seem to still have an attractive profile even when swelled a little. It sucks though when you pay so much for a procedure like this to have barely noticeable outcome. :'(
May 2, 2022
Please, who performed this chin liposuction on you ?
December 9, 2024
Thanks for sharing. Very helpful.
UPDATED FROM Wolverines24
4 months post

3 Month Update

Wolverines24
3 months and still I have a lot of swelling. In fact, my chin looks worse than it did a month ago! Three weeks ago, my chin was shaping up really nicely. When I went to my post-op appointment, the pictures showed really great results on the side of my jawline. Under the chin still had a good amount of puffiness though.

This is so frustrating and the longer this goes on without improvement (and even a reversion of progress), I have less hope that my final result will be worth it. I don't know why this progress is taking so slow, or if these are just my results. I don't know why I show improvement, but then later, it all dissipates.

Please take a look at my photos from today, which also showcase the immediate aftermath of when I remove my garment (which I wear once every 2 weeks now). Now, even though I look much better when I take off the garment, there still appears to be loose skin and a little layer of fat underneath.

If you think this is still swelling or leftover fat, or something else entirely, please let me know. Do you think a revision would be necessary?

Replies (5)

October 15, 2020
Omg, I feel the same 2.5 months post chin lipo! I thought I’m alone as I see many people with awesome results and I’m here frustrated, looking worse than few weeks ago :( I think we just need to be patient.
October 15, 2020
Thanks for commenting Nina. It makes you feel not so alone when you hear of others going through the same thing. I'm 3.5 months post op now. For two weeks, things were improving. But I tested myself and ate a lot of salt the last two days. I'm swollen big again! Not nearly as big as before but still swollen. We'll see if it goes down quickly or not...

Do you have any pictures? Best of luck with the recovery.
November 18, 2020
Hey man what's up? I've been thinking of getting lipo surgery and was wondering if you had any updates to this. Has there been any improvement?
January 6, 2021
So I've been meaning to post, but I get superstitious.

Things are STILL improving, just very slowly. I feel like, at 6 months, there is still a thin layer of swelling. It is infuriating.

I took a steroid a month and a half ago, and the swelling went down a lot. It looked almost as if I was wearing the garment, but maybe not quite as good.

So I think a lot of this is swelling, but perhaps not all of it.

I'll make a final decision by the 8-9 month mark if I want a revision.
January 16, 2021
I hope you are still improving somehow and all your problems are just because you have more swelling than others. Maybe your body just heals much slower.
I've had my chin lipo 8 Days ago and I've researched on RealSelf for nearly a year before doing it. In that time I always kept coming back to your post here to check on your progress. I think I might even saw you commenting under a lot of youtube videos about chin lipo that i watched. I can totally understand how it feels like to have a double chin even when you're thin. And it must be super frustrating to only see results directly after taking of the compression garment, just for the chin to be back a few hours later. I fear that mine also only looks good directly after taking off the garment, but I'm too scared to leave it off for longer because it might hinder the skin from reattaching. (My skin is super lose and soft right now)
I pray that it's still just swelling and that you'll see your desired results in the end! My PS said that it can take up to a year for the final result to show.
January 17, 2021
Thank you so much Chubbs! I will be updating again tomorrow. I spoke to my surgeon a few days ago, and still feels confident that there is still swelling that needs to be resolved. He believes the process can take a year or even two for full biological resolution.
March 10, 2021
I had chin liposuction a little over three months ago and my neck feels tight. It feels better right after I massage it but the tightness eventually returns. Do you feel any tightness?
March 10, 2021
I have the opposite issue; I wish my neck was tighter! However, I wouldn't worry about that at all - lipo continues to heal for a good year or so. My swelling has come down mostly within the last month... I think there's still some to go. It should take a full year or a little more.
March 10, 2021
I wish I had a bit of fat left under my chin. My PS was so aggressive that he took out all of the fat and now my platsymal bands are showing. I’d do anything to be in your shoes! He also took fat out of my jawline, leaving indentations that I need to get a fat transfer to fill. I wish I had never gotten this chin lipo.
UPDATED FROM Wolverines24
3 months post

2 months post op

Wolverines24
At the beginning of August, I noticed a big reduction in swelling for a week or so.

Since August 17th, the improvement has slowed down considerably. I'm still hopeful that my results will look like when I take off my garment. Notice how defined it is compared to without it. While results `haven't improved much in the last few weeks, I have noticed that my (hopefully) swelling takes much longer to come back after wearing the garment. Before, the swelling would fill up within 15 minutes; now the results stay for over an hour.

This is such a long process, but I'll continue to update every month. I'm a very slow healer generally, so I really hope my results continue to improve.

Replies (3)

September 10, 2020
Looking great! I just had mine done 2 weeks ago along with buccal fat removal and lower eyelid surgery. Been a little discouraged also but seems like I just need to be patient.
September 10, 2020
Thanks for your comment! It's been such a roller coaster of emotion.

Who was your doctor? Best of luck in recovery!
September 10, 2020
Thank you. I went to Dr. Shapiro in Scottsdale, AZ. Has been a good experience so far. Not much bruising at all just waiting for the swelling to go down.
October 2, 2021
Thanks so much for documenting this I am at one month postop with no notice whatsoever in a reduction. To start I really didn’t have much fat because I am thin person it was just kind of genetic like yours but I’m definitely becoming discouraged after not seeing a result esp after paying top dollar in Beverly hills and hearing about so many people with such positive effects