Unfortunately, I can not determine from your question the exact problem you have. If you had liposuction of the anterior chin area because it was too protruberant (which is an uncommon procedure) then the sagging skin to which you refer is hanging downward. This is commonly known as a witch’s chin. The correction of that problem depends on how much the skin hangs inferiorly and the amount of bony chin projection which you have. There is a procedure in which the hanging skin can be excised and rolled beneath the chin while pulling the neck skin in a forward direction. Generally speaking, putting the fat “back in” will not fill out the chin area enough to correct the sag and the excess skin needs to be excised.

Sometimes, when patients say they had liposuction of the chin, they are referring to what is commonly called a “double chin.” This area is actually the upper neck and liposuction of this area is quite common. I always tell my patients that liposuction of that area as a lone procedure may leave excess skin which will require skin excision or possibly skin re-draping at a later date. The appropriate procedure to correct the hanging skin depends on your age, height, weight and skin elasticity – again unknown facts from your email question and only known with a direct examination. If this is the case, the treatment for excessive skin is to cut it out and tighten the remaining skin. This may be done locally under the chin or it may requite a neck lift. I do not feel that injecting the fat back into that area is the answer to your problem, both because it may have an irregular take and be “lumpy” and because it may recreate the problem with which you were originally unhappy.

I write all of the above merely to say that I cannot determine the true problem from you email question and that there are many factors to be considered in arriving at a solution to your particular dissatisfaction. If you are unhappy with your original surgeon or he hasn’t explained the problem adequately, I suggest you consult, in person, with a board certified plastic surgeon who would examine you and assess your individual problem and circumstances in a short period of time. He could also suggest remedies to give you the best long term result.

Liposuction