She paid £5.4k for chin lipo. Her jawline stayed soft.
The operation may have removed fat. It did not deliver the definition this patient thought she was buying. Her surgeon then offered a free lipo revision, warned it would make little difference, and proposed a £5,000 chin implant.
AI-assisted editorial analysis based on the linked patient discussion and named sources.Educational only—not medical advice. How we write
The search moment
If more liposuction will barely help, what was left out of the first plan?
Photos available
Four original views
Free offer
Revision liposuction
Surgeon’s caveat
Likely little change
Photos from the original post
Labels follow the poster's own description.
Compare real results
Compare the starting anatomy first
A useful gallery match shares the same chin projection, neck fullness, skin quality, and camera view.
See chin results6 mo
Follow-up
£5.4K
First surgery
£5K
New quote
The poster described chin and anterior-neck liposuction plus under-eye fat transfer. We use her words and images as one patient’s account, then check the surgical claims against patient guidance from ASPS.
Here is what the original post actually said.
At six months
"I’m honestly disappointed with the chin/neck definition."
The revision offer
"My surgeon has offered a free lipo revision, but said it likely won’t make a big difference."
What hurt most
"I feel pretty deflated this wasn’t clearer before my first surgery."
The photos show a subtle change and an unresolved contour.
The before and six-month pictures are not standardized. Distance, head angle, light, and camera height vary, so they cannot measure an operation. They do explain the disappointment: the chin-to-neck line still reads as soft in both current profiles.
A fair follow-up needs matched photographs and an examination. The surgeon should identify any remaining superficial fat, test skin recoil, assess the platysma and deeper neck, and look at chin and jaw projection. Each finding leads to a different operation. The examination may also show that another operation is unlikely to earn its risk and cost.
Liposuction had one job. The consultation gave it several.
Liposuction can reduce accessible fat. ASPS patient guidance says it does not treat loose, sagging skin. It also cannot move a small chin forward or reorganize neck muscle. A soft profile can contain all four variables: fat, skin, muscle, and bone.
The first plan should have stated which variable was dominant and what would remain. “Improvement” is too vague for a profile operation. The preoperative discussion should name the expected change in the chin-neck angle, the front-view jawline, and the skin envelope.
The sentence to bring into the room
“Point to the part of my contour that your proposed procedure changes, then point to the parts it leaves alone.”
A free revision is still a second operation.
The surgeon’s warning deserves full weight: if another round of liposuction is expected to make little difference, a zero surgical fee does not create a strong indication. An independent facial-plastic or plastic-surgery opinion can test whether meaningful removable fat remains.
A chin implant changes projection. A neck lift can address skin and, in selected cases, deeper neck structures. Neither is a generic upgrade from liposuction. Bite or jaw concerns may also call for orthodontic or maxillofacial assessment before a cosmetic implant is chosen.
The next consult needs an explanation, not a menu.
Bring the original operative report and matched photos. Ask each surgeon to draw the proposed change on the profile, estimate whether it will be obvious or modest, and describe the scar, recovery, and chance of still feeling under-corrected.
The patient in this thread is a university student facing a second £5,000 decision. That context matters. A small possible gain can be medically feasible and personally wrong at the same time.
Six questions for the revision consult
A usable answer identifies the structure, the planned maneuver, and the visible change it should produce.
How much superficial fat is left, and where is it?
What did the first operation change on matched photographs?
How are you assessing skin recoil and platysma anatomy?
What would revision lipo leave unchanged?
What would chin augmentation change in the front and profile views?
What outcome would make you advise me to stop rather than revise?
Reddit: the original question and four photos
The patient’s procedure, six-month concern, revision offer, implant quote, photos, and follow-up comments.
ASPS: liposuction patient handbook
Patient guidance on candidacy, skin elasticity, and the inability of liposuction to correct loose skin.
ASPS: neck-lift indications
A plain-language description of excess fat, loose skin, and muscle banding as separate neck concerns.
The questions that usually come next
Can chin lipo remove fat and still feel unsuccessful?
Yes. A technically real reduction can fall short of the promised contour when skin, muscle, deeper anatomy, or chin projection remains important.
Does this patient’s photo prove she needs a neck lift?
No. A photograph cannot show skin quality, muscle position, remaining fat depth, or bite. Those require an examination.
Is a chin implant the usual fix after chin lipo?
There is no automatic next procedure. An implant changes projection; it does not directly remove loose skin or tighten neck muscle.
Should she accept the free lipo revision?
The thread cannot answer that. The surgeon’s own expectation of little improvement is a reason to pause and obtain an independent assessment.
Compare the starting anatomy first
A useful gallery match shares the same chin projection, neck fullness, skin quality, and camera view.
See chin results