What is submental or chin liposuction?

Submental liposuction, or lipectomy, is a procedure to reduce the fat under the chin directly and mechanically using a small incision under the chin. It is sometimes combined with a facelift.

Am I a good candidate for submental liposuction?

To find out if you are a good candidate for submental liposuction, consider the following factors:

1- Do you have real excess fat under the chin, or is it excess muscle or skin? A consultation can help you find out.

2- Is your chin in the appropriate position? A weak chin can give the impression of excess submental fat and is corrected using chin augmentation.

3- Have you tried (and failed at) weight loss and diet change to reduce submental fat?

4- Is your skin elastic enough to redrape over your new chin after liposuction? A consultation can help you find out.

What are the risks of submental liposuction?

Like any surgery, submental liposuction presents the universal (but minimal) risks of scarring, bleeding (and bruising), infection (superficial or deep), and pain (temporary or permanent).

However, the main risk of any cosmetic surgery is to not be satisfied with the result. After a proper consultation that includes a complete examination and photo evaluation, Dr. Moubayed can generally produce the results desired by the patient. However, we do not control the healing of tissues, and some patients heal in an unpredictable way producing asymmetries or irregularities that can sometimes require touch-ups.

Submental liposuction involves the risk of producing paralysis of a facial nerve branch, temporary (and sometimes permanent) numbness of the face or ear (via the great auricular nerve), hair loss, and changes in skin pigmentation.

Dr. Moubayed is a surgeon that is exclusively trained in facial surgery. He has a conservative and individualized approach with each patient. All patients are followed closely after surgery with very precise and very clear instructions. All of this is done in order to minimize the risks listed above.

Submental liposuction

Submental liposuction
Source: Moubayed et al., Facial Plastic and Reconstructive Surgery: Concepts, Questions, Answers, 1st ed.

What happens during a submental liposuction consultation?

A consultation starts with a complete questionnaire and physical examination. We specifically examine skin elasticity and excess facial fat. Photos are taken and analyzed with your surgeon. This is an essential communication tool as some patients want changes that are not always possible in surgery.

Then, we talk about surgery and recovery, and Dr. Moubayed answers any and all questions you may have.

Multiple consultations are sometimes necessary before deciding to proceed with surgery. Cosmetic facial surgery is an important decision to make and it is important that you are well informed before proceeding with it.

How do I prepare myself for a submental liposuction consultation?

It is a good idea to prepare yourself for your consultation and this is easily done.

First, prepare to list in order of importance the elements you would like to improve in your face: jowling, submental fat, neck platysmal bands, among others. Do you find you have weak cheekbones or a weak chin ? Are there any other regions that bother you in your face such as your eyebrows, eyes, nose, or lips?

Finally, if you have had cosmetic soft tissue fillers to the face, try to find out which products were injected and when. If you have already had facial surgery, try to bring with you the operative report of your prior procedures if this is possible.

How long does it take to perform submental liposuction?

Submental liposuction is a quick and painless procedure when performed appropriately. By using modern techniques that enable maximum control, it generally takes around 30 minutes.

Submental liposuction illustrated
Source: Moubayed et al., Facial Plastic and Reconstructive Surgery: Concepts, Questions, Answers, 1st ed.

What type of anesthesia is used for submental liposuction?

Submental liposuction can be performed under local anesthesia with sedation. When combined with a more extensive surgery such as a facelift, it can be performed under general anesthesia.

For general anesthesia, the type of anesthesia used is total intravenous anesthesia (without using anesthetic gases). This type of anesthesia is safe and helps reduce nausea and coughing after surgery. Our patients often report how positive their anesthesia experience was.

How long is recovery after submental liposuction?

Patients leave the surgical center the same day and recover at home with a large dressing and very precise instructions.

Your first post-operative appointment will take place 5 to 7 days later, where your dressing and stitches will be removed, and your wound will be examined. At that point you can return to your regular activities and any bruising can be hidden with concealer.

Light physical activity can be resumed after a week, but for more vigorous activities like weightlifting, it is recommended to wait three weeks to minimize bleeding risk.

How long does swelling last after submental liposuction?

After a week, you will very presentable in society. The majority of swelling decreases over the first three months, but minimal (barely visible) swelling can persist for up to a year.

How do I find the best surgeon for submental liposuction in Montreal?

It is important to look at multiple factors during your submental liposuction surgeon choice:

1- Does your surgeon have specific expertise in facial surgery and anatomy to be able to minimize complications?

2- Can your surgeon perform all types of procedures on the chin and neck to be able to choose which one is most adapted to your needs?

3- Did you have a positive experience and feel comfortable during your consultation?

Are there non-surgical or minimally invasive alternatives to submental liposuction?

Carefully selected patients can benefit from deoxycholic acid injections. However, given that these injections require multiple settings and are generally expensive, Dr. Moubayed’s patient most often opt for submental liposuction.

Nothing replaces a consultation with a doctor that can offer all procedures (non-invasive and invasive) to determine which one is most appropriate for your facial needs.

How do I contact Dr. Moubayed for a consultation?

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