Submental microliposuction commonly referred to as chin liposuction, is a procedure to remove submental fat and is a substitution for procedures such as Kybella. This minor cosmetic procedure is designed to improve the look of the chin and jawline, much like Kybella, by removing excess fat under the chin, an issue often referred to as a “double chin”. It is a minimally invasive procedure with little to no downtime that is performed through a small entry site with a small needle but no incision, to create natural slimming and anti-aging results. In many cases, submental microliposuction is paired with neck rejuvenation surgery or a chin augmentation for comprehensive aesthetic results. Dr. Edward D. Buckingham of Buckingham Center for Facial Plastic Surgery in Austin, Texas specializes in submental microliposuction to help patients’ look and feel their best.
What is Kybella?
Approved by the U.S. Food and Drug Administration in 2015, Kybella is a prescription medicine used to help adults improve the appearance and profile of moderate to severe fat below the chin. It is an injectable treatment that is designed to eliminate the need for surgery and remove excess fat under the chin. Kybella rapidly destructs the absorption of fat cells in addition to preventing the future accumulation of fat.
When it is injected, Kybella only targets fat cells and does not touch other fat and tissue cells. In order to experience results from this treatment, patients need to undergo 4-6 different injections and space them about a month apart. Each injection session can have up to one week of swelling associated recovery.
- What is Kybella?
- Why Do Patients Choose Microliposuction?
- Candidates for Submental Microliposuction
- How is Submental Microliposuction Performed?
- Submental Microliposuction Aftercare
- Why is Kybella Not Available at Buckingham Center for Facial Plastic Surgery
- Common Submental Microliposuction Questions and Answers
- Schedule a Submental Microliposuction with Dr. Buckingham or Dr. Smith
Why Do Patients Choose Microliposuction?
Most people want to have a narrow, slim chin and wider cheeks. Unfortunately, factors such as aging, genetics, and weight gain often lead to unfavorable fat deposits and cause a face that was once youthful and slim to look older and take on a square shape.
Patients may notice that as they develop a double chin, their jawline becomes less distinctive, making jowling more apparent. A double chin often causes patients to feel self-conscious and less confident in their appearance. It can make it difficult for them to meet new people, feel comfortable taking photos, or enjoy social situations.
The submental microliposuction procedure can help improve patients’ self-esteem by resolving stubborn fat under the chin and creating a tighter, slimmer, more youthful chin profile. The procedure can also help patients augment a weak chin, especially when paired with a chin implant. Much like Kybella, Microliposuction is beneficial for anyone who has noticed that the area underneath their chin has not responded to diet and exercise in the way the other parts of their body have but with little to no downtime.
Candidates for Submental Microliposuction
The submental microliposuction procedure is appropriate for healthy adults who are hoping to get rid of the excess fat under their chin, along their jawline and/or cheeks. Ideal candidates are those who have tried to resolve the issue using diet and exercise in the past, and are at a stable weight.
It is important to understand that some patients may need a neck lift in addition to submental microliposuction in order to achieve the results they are hoping for. Patients with underlying health problems are not good candidates for this procedure. Dr. Buckingham goes over each patient’s health history during the initial consultation to ensure candidacy and to make sure that the procedure will be safe as well as effective.
How is Submental Microliposuction Performed?
Patients who are undergoing another procedure in addition to submental liposuction can expect their procedures to be performed simultaneously. Those who only opt for submental liposuction can be performed in the office with injectable, local anesthesia.
To begin, Dr. Buckingham will locate the treatment area. He will then make a puncture at the level of the crease under the patient’s chin. The purpose of this is to hide the small entry site on the underside of the chin so that it is not visible. Once the puncture is made, fat will be gently removed using liposuction techniques.
Submental Microliposuction Aftercare
Patients will be able to return home the day of their procedure. Immediately after surgery, they will wake up wearing a head dressing that wraps around their chin and neck. The dressing is intended to reduce swelling and will be removed in our office the day after surgery. Once the doctor removes it, patients are free to shower and bathe.
Bruising and swelling will occur after the procedure. Patients may be surprised to find that their bruising occurs farther down their neck, rather than the underside of their chin. Patients should wait at least a week before working out as exercising too soon after the procedure may lead to increased swelling. The average patient who only undergoes microliposuction only, will likely be able to return to work in a matter of days. However, patients who have submental microliposuction with other treatments may require additional recovery time.
Why is Kybella Not Available at Buckingham Center for Facial Plastic Surgery
Dr. Buckingham does not offer Kybella to patients for a number of reasons. First, patients are not guaranteed results with Kybella. This injectable is unpredictable and requires them to take a risk and commit to several treatments that are both expensive and uncomfortable.
Next, Kybella often leads to unslighty ballooning because of the way a patient’s immune system responds to the drug. When the inside of a fat cell is on the outside all of a sudden, a patient’s body acts as though it is injured and begins a healing process that leads to inflammation.
Finally, Kybella may leave patients with a burning sensation as well as tightness, numbness, and swallowing challenges as a result of swelling. At our office, we prefer submental microliposuction over Kybella because it is a safer, faster, and more predictable way for patients to achieve their desired results with less expense, usually only one procedure and shorter recovery.
Why to Choose Buckingham Center
About Dr. Buckingham
- B.B.A. in Accounting from Southern Methodist University in Dallas.
- Completed his pre-medical coursework achieving a perfect 4.0 grade point average at the University of Texas in Austin.
- Received his medical degree from the University of Texas Medical Branch in Galveston.
- He was elected to the Alpha Omega Alpha medical honor society as a junior medical student and served as the organization’s vice-president and later president.
- Graduating medical school in the top 2% of the class with highest honors, Dr. Buckingham received the Donald Duncan Memorial Scholarship in Anatomy, the Edward Randall Medal for Academic Excellence, and the Merck Manual Award.
- He then performed a general surgery internship and Otolaryngology residency at UTMB and was a nominee for the UTMB overall-outstanding resident.
- Additionally, he served as president of the UTMB House Officer Association and served two years on the Graduate Medical Education Advisory Committee and Executive Committee.
About Dr. Smith
- Dr. Smith completed her undergraduate education at the University of Mississippi with a double major in Biochemistry and Psychology.
- She completed a Masters in Science in Neuroscience from Tulane University in New Orleans, LA.
- Received her Medical Degree from the University of Mississippi School of Medicine, where she graduated in the top 5%.
- She then went on to complete a rigorous 5-year Head & Neck Surgery residency program at the University of Mississippi Medical Center where she served as Chair of the Chief Resident Council.
- Also, she was appointed as the resident member of the Facial Plastic and Reconstruction Education Committee for the American Academy of Otolaryngology and Head and Neck Surgery Society.
- She treated patients from all over the world and gained expertise in facial paralysis surgery, primary and revision rhinoplasty, face and neck lift, lip lift, eyelid and eyebrow surgery, and skin cancer reconstruction.
- Dr. Smith has authored numerous peer-reviewed journal publications and book chapters and has presented her work at medical meetings across the country.
Dear Dr. Buckingham,
A special thank you to your and your professional staff. Believe it or not, I will never look the same, only BETTER! Will be dropping by with some Rum Cake.
Common Submental Microliposuction Questions and Answers
Once you arrive at our office for a submental microliposuction consultation, you will meet one on one with Dr. Buckingham. He will conduct a complete facial analysis to determine the ideal procedure for your desired result. During this time, he will also answer any questions or address any concerns you may have.
Submental microliposuction can be combined with any facial or neck procedure. Many patients at our office choose to pair this procedure with a facelift, necklift, browlift, rhinoplasty, blepharoplasty, or other procedures. While this can occur, usually submental microliposuction is intended to be a stand alone procedure for the isolated purpose of reducing submental fat with less expense and recovery than Kybella.
Submental microliposuction has a high safety and success rate. However, just like other surgical procedures, it does come with side effects. Some of the most common side effects include bruising, swelling, numbness, and tenderness. Fortunately, you can reduce the risk of these side effects by closely following Dr. Buckingham’s detailed instructions and recommendations before and after your procedure.
Patients are often concerned that the fat cells treated by this procedure will come back. It is important to understand that the fat cells will not be replaced by other fat cells. However, if you gain excessive weight, your body’s fat cells will respond as they normally would, expanding and causing weight gain.
Dr. Buckingham uses small cannulas (hollow tubes) that are specifically engineered to use in the neck. The small cannulas coupled with his techniques will prevent the skin of your neck from becoming injured.
In some cases, it may be too late to perform submental microliposuction. After evaluating your face, Dr. Buckingham will inform you of whether you are a good candidate for this procedure. To determine this, he will look at the type of fat you have, its location, your skin elasticity, your overall health, and your expectations. If submental microliposuction is not appropriate for you, Dr. Buckingham will suggest alternate treatment options.
Fortunately, submental microliposuction is usually a painless procedure, since local anesthesia is used during treatment. If you undergo this procedure, you may, however, experience a tight sensation in the neck afterward that can be eased by a simple over-the-counter pain medication such as Tylenol.
Dr. Buckingham will hide the puncture site well under your chin. After the procedure, people may think you lost weight but will not be able to tell you have had liposuction.
To ensure you are well prepared to care for yourself after the procedure, Dr. Buckingham and his medical team will provide you with detailed directions. They will also provide you with Buckingham Center’s contact information so you can speak to them during your recovery if necessary.
You can enjoy the final results of submental microliposuction approximately three months following the procedure, once you have healed and the swelling subsides.
Schedule a Submental Microliposuction with Dr. Buckingham or Dr. Smith
Edward D. Buckingham, M.D. has earned the reputation of one of the country’s top facial plastic surgeons. He is double board certified by The American Board of Facial Plastic and Reconstructive Surgery and The American Board of Otolaryngology-Head and Neck Surgery. Dr. Buckingham and Dr. Smith treat patients from all around the world at his Austin practice and are committed to helping them improve their appearance and boost their self-esteem.
Prospective patients who would like to undergo a consultation for submental microliposuction are encouraged to contact Buckingham Center in Austin, TX as soon as they are available by calling (512) 401-2500. Dr. Buckingham and Dr. Smith also offers a Patient Contact Form for patients who prefer to communicate via email.