Case #4001
Submental Liposuction
This 22-year-old female was concerned about persistent, stubborn submental fullness (commonly known as “double chin”). Dr. Azadgoli performed chin liposuction to carefully sculpt and reduce the excess fat beneath her chin. Here she is 6 months postoperatively.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
- Set up an elevated sleeping arrangement — extra pillows or a wedge — to keep the head above the heart for the first week. Stock soft, low-sodium foods.
- Confirm a driver for surgery day and a companion who can stay through the first night.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Cold compresses, head elevated, low-talking the first 72 hours. Most bruising peaks at day 3 and starts to soften by day 5.
- Week 2
Stitches removed, residual bruising fading, social comfort returns. No lifting, no straining, no exercise yet.
- Week 4
Residual swelling continues to refine. Most patients return to normal social and work life; light cardio begins.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
The "before/after" shape most people associate with the procedure shows itself in this window.
Continued care
Recommended aftercare, skincare, and MedSpa services for Submental Liposuction.
- Chin compression strap most of the day for the first 1–2 weeks
- Head elevated for sleeping for the first week
- Cold compresses for the first 72 hours
- No strenuous activity or heavy lifting for 2–3 weeks
- Medical-grade silicone sheeting on the submental incision
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on the neck for 12 months
- LED light therapy weekly for the first 8 weeks
- Lymphatic drainage starting week 2
- Indiba radiofrequency for skin tightening at 3 months
- Skincare
Skincare ramp-up: vitamin C and barrier repair at week 3, retinoids reintroduced at week 6.
Active skincare resumes on a healing-friendly ramp after facial surgery.
