Chin Liposuction
Extended chin, jawline, and neck contouring under local anesthesia in NYC, New Jersey, and Miami.
A double chin or soft jawline can make the lower face look heavier than the rest of the body, even in patients who are fit, healthy, and at a stable weight. Chin liposuction removes selected superficial fat beneath the chin to improve the transition between the chin, jawline, and neck.
Dr. John Mesa performs chin liposuction with an anatomy-driven approach. For patients whose fullness extends beyond the central area under the chin, he may recommend Extended Chin Liposuction™, his signature variation designed to evaluate and contour the chin, jawline, jaw angles, neck transition, and selected lower face as one connected aesthetic unit.
The goal is not aggressive fat removal. The goal is a cleaner, more natural-looking lower-face contour that fits your facial anatomy.
Dr. Mesa typically performs chin liposuction under local anesthesia while the patient remains awake. Healthy, non-sedated patients approved by Dr. Mesa may generally travel home independently after the procedure.
What is Chin Liposuction?
Chin liposuction, also called submental liposuction or double chin liposuction, is a surgical facial-contouring procedure that removes selected fat beneath the chin and along the upper neck through small surgical incisions. In appropriate candidates, it can improve jawline definition, side profile, and the chin-to-neck transition. Dr. Mesa performs the procedure primarily under local anesthesia.

Why a Double Chin or Soft Jawline May Not Improve With Weight Loss
Many patients considering chin liposuction are not overweight. They may exercise regularly, eat well, and still notice persistent fullness beneath the chin.
That is because under-chin fullness is often not just a weight issue.
What May Be Causing the Fullness?
Under-chin fullness may come from one or more factors:
Superficial Fat
The most common reason patients seek chin liposuction. This is the fat pocket beneath the chin that can persist despite diet and exercise.
Loose or Inelastic Skin
Skin must contract after fat removal. If skin elasticity is reduced, liposuction alone may not create the desired contour.
Deeper Neck Anatomy
Some fullness may involve deeper fat, muscle laxity, glands, or deeper structures that standard liposuction does not address.
Chin Projection and Facial Structure
A smaller or less projected chin can make the neck look fuller. In selected patients, chin filler or chin implant may enhance the result.
Combination Anatomy
Many patients have a mix of fat, skin, and structure. That is why two patients with the same “double chin” concern may need completely different plans.

Why Diet and Exercise May Not Solve It?
Genetics can influence where the body stores fat. Some patients keep localized fullness beneath the chin even at a stable, healthy weight. Weight loss can reduce overall fat volume, but it cannot selectively target one area.
Dr. Mesa’s consultation focuses on identifying what is actually creating the fullness: fat, skin, deeper anatomy, chin projection, or a combination.

What Chin Liposuction Can Improve
When superficial fat is the primary issue, chin liposuction can improve the visual transition between the lower face and neck.
Chin liposuction may improve:
- Fullness beneath the chin
- The appearance of a double chin
- Side profile definition
- Jawline visibility
- Chin-to-neck transition
- Neck angle
- Lower-face balance
For many patients, the most visible change is the side profile. When under-chin fullness is reduced, the chin and neck can appear more separate, and the jawline may look cleaner.
Can Chin Liposuction Improve My Side Profile?
Yes, in the right candidate. Chin liposuction can improve the side profile when the main limitation is removable fat beneath the chin or along the jawline.
If the concern is loose skin, weak chin projection, muscle laxity, or deeper anatomy, Dr. Mesa may recommend skin tightening, chin augmentation, neck lift, or another plan instead.
When Chin Liposuction Alone May Not Be Enough
Chin liposuction primarily removes fat. It does not reliably correct established loose skin, deeper neck anatomy, muscle laxity, or weak chin projection by itself.
Chin Projection
A smaller or less projected chin can make the area under the chin look heavier. In those cases, chin implant or chin filler may complement chin liposuction.
- A chin implant can be performed at the same time as chin liposuction.
- Chin filler should be performed after chin liposuction, no earlier than six weeks after the procedure.
Deeper Neck Anatomy
Some fullness is not located in the superficial fat layer.
If the problem involves deeper fat, platysma muscle laxity, or other deeper structures, standard liposuction may not be the right solution.
Loose Skin
Skin must redrape after fat removal. Some patients have enough elasticity for the skin to contract smoothly.
Others may need skin tightening or, in more significant laxity, a neck lift.
When Dr. Mesa May Advise Against Chin Liposuction
Dr. Mesa may recommend against chin liposuction when:
- the concern is not primarily removable superficial fat
- skin laxity is too significant for liposuction or skin tightening to help meaningfully
- platysma muscle laxity requires a neck lift
- the requested result is not anatomically realistic
- medical factors make elective surgery inappropriate
- another procedure would better match the patient’s goals
What Can Chin Liposuction Not Fix?
Chin liposuction cannot reliably correct significant loose skin, platysma muscle laxity, deeper neck anatomy, or weak chin projection by itself. It removes selected superficial fat. If another anatomical issue is responsible for the fullness, Dr. Mesa will explain whether skin tightening, chin augmentation, neck lift, or another plan is more appropriate.
Standard Chin Liposuction vs.
Dr. Mesa’s Extended Chin Liposuction™
Standard chin liposuction often focuses on the central pocket of fat beneath the chin. The area is usually accessed through a small incision placed underneath the chin, and the procedure is often designed mainly around the central submental area.
Dr. Mesa’s Extended Chin Liposuction™ is his practice-specific approach for patients whose anatomy requires broader contouring. Instead of looking only at the central pocket beneath the chin, he evaluates the chin, jawline, jaw angles, neck transition, and selected lower face as one connected aesthetic unit.
Standard Chin Liposuction
Standard chin liposuction may be appropriate when fullness is mostly limited to the central area under the chin.
Extended Chin Liposuction™
Extended Chin Liposuction™ may be appropriate when fullness extends beyond the central submental pocket and affects:
- Jawline definition
- Jaw-angle transition
- Upper neck contour
- Selected lower-face areas
Surgical Incisions and Access Points
When Dr. Mesa performs Extended Chin Liposuction™, he uses:
- one small surgical incision beneath the chin
- one small surgical incision behind each earlobe
When discussing final healing, these become small surgical scars. They are placed in discreet locations, but scar visibility and scar maturation vary by patient.
Selected Lower-Face Boundary
When Dr. Mesa treats selected lower-face areas as part of Extended Chin Liposuction™, he generally defines this region as the area above the jawline and below a line connecting the corner of the mouth to the earlobe on the same side.
Comparison Between Standard Chin Liposuction and Extended Chin Liposuction™
| Feature | Standard Chin Liposuction | Dr. Mesa’s Extended Chin Liposuction™ |
|---|---|---|
| Primary focus | Usually central fat beneath the chin | Under-chin area, jawline, jaw angles, neck transition, and selected lower face when appropriate |
| Treatment philosophy | Fat reduction | Anatomy-driven contouring |
| Surgical incisions | One beneath the chin | One beneath the chin and one behind each earlobe |
| Jawline / jaw-angle contouring | Not performed | Specifically evaluated and addressed |
| Best for | Isolated central fullness | Broader lower-face and jawline fullness |
| Goal | Reduce a double chin | Correct the double chin, define the jawline and jaw angle, and define the lower face when appropriate |
Is Extended Chin Liposuction™ Always Better?
Extended Chin Liposuction™ is a more comprehensive approach than standard chin liposuction because it can treat not only the central fat beneath the chin, but also the jawline and the area extending toward the jaw angles.
This broader approach can create greater definition beneath the chin, sharpen the jawline, and improve the transition between the face and neck when the patient’s anatomy calls for it.
Chin liposuction nyc is not a one-size-fits-all procedure. The final plan depends on the patient’s fat distribution, skin quality, jawline anatomy, facial hair considerations, and overall facial balance.

Chin Liposuction Awake Under Local Anesthesia

Dr. Mesa primarily performs chin liposuction under local anesthesia while the patient remains awake.
The treatment area is thoroughly numbed. Patients generally report pressure or movement rather than surgical pain, although individual experiences vary.
What Patients Typically Feel
Most patients notice the numbing portion first. After the area is numb, the procedure is usually described as pressure, movement, or vibration rather than sharp pain.
Anxiety During the Procedure
Patients who are nervous often feel more comfortable when they know what is happening. Dr. Mesa explains each step as he works, and his team remains present throughout the procedure.
Does Chin Liposuction Hurt?
Dr. Mesa performs chin liposuction under local anesthesia. The area is thoroughly numbed, and patients generally describe pressure or movement rather than surgical pain, although individual experiences vary. During the initial numbing step, patients may briefly feel a small pinch similar to a mosquito bite.
Can I Drive Myself Home?
Some healthy patients who undergo chin liposuction without anxiolytics may be approved by Dr. Mesa to drive themselves home or use a rideshare or public transportation. This is determined on an individual basis. Independent travel is permitted only when Dr. Mesa confirms that there are no medical, visual, mobility, functional, or safety concerns.
Independent Travel After Chin Liposuction
For Dr. Mesa’s own patients, healthy patients who receive local anesthesia alone and are approved by Dr. Mesa may generally travel home independently by driving, rideshare, or public transportation.
This does not apply universally to all patients or to other surgeons’ patients.
- the patient receives oral anxiolytic or sedating medication
- the patient has visual impairment
- the patient has mobility impairment
- the patient has a recent injury such as a leg fracture
- the patient has a medical or functional limitation
- Dr. Mesa determines independent travel is not appropriate
The final transportation plan is individualized.

Am I a Good Candidate for Chin Liposuction?
A good candidate for chin liposuction for men has the right anatomy, realistic goals, and a treatment plan that matches the actual cause of the fullness.
Strong Candidates for Chin Liposuction Have
- Localized fullness beneath the chin
- Fullness along the jawline or upper neck
- Stable weight
- Reasonable skin elasticity
- Good general health
- Realistic expectations
- Interest in contour improvement without general anesthesia.
Patients Who May Need Modified Plan
A patient may still be a candidate, but may need additional planning, if they have:
- Mild or moderate skin laxity
- History of major weight loss
- Dense beard growth
- Dark or Black skin where Morpheus8 pigmentation risk must be considered
- Smaller or less projected chin
- Desire for more jawline definition
- Prior chin or neck procedure
Patients Who May be Better Served by Other Procedure
Dr. Mesa may recommend another treatment if:
- Akin laxity is excessive
- Platysma muscle laxity is significant
- Skin tightening would not produce meaningful benefit
- Chin projection is the main issue
- Deeper anatomy is responsible for the fullness
- The patient’s requested result would require unsafe over-removal

Dark or Black Skin and Morpheus8
Dr. Mesa evaluates pigmentation risk carefully in patients with dark or Black skin. In some cases, he may omit Morpheus8 because of the risk of post-procedure pigmentation change.

Dense or Very Dark Beard
When FaceTite is used in areas where beard hair follicles are located, there may be a risk of temporary or permanent facial-hair loss, which could create patchy beard areas.
This may not matter to men who typically prefer a clean-shaven appearance or a scruff look, but it may matter to men who want to preserve a dense beard. Dr. Mesa discusses beard preferences during consultation before deciding whether FaceTite is appropriate.

When Skin Tightening Is Added to Chin Liposuction
For some patients, fat removal alone is enough. For others, skin quality is a major part of the plan. Dr. Mesa evaluates whether the skin is likely to redrape after fat removal and whether additional tightening may help.
NeckTite
NeckTite is used below the jawline and in the neck region.
FaceTite™
FaceTite is used above the jawline and in selected lower-face areas when appropriate.
Morpheus8™
Morpheus8 is radiofrequency microneedling used on selected skin areas where FaceTite and NeckTite are performed. It may be omitted in patients with dark or Black skin because of pigmentation risk.
Neck Lift Instead of Skin Tightening
A neck lift is usually considered when:
- There is too much excess skin for skin tightening to provide meaningful improvement
- The platysma muscle beneath the chin and neck is too lax
- Skin or muscle correction requires surgical lifting rather than liposuction or radiofrequency tightening
Tailored Combination
Dr. Mesa may use NeckTite, FaceTite, Morpheus8, or a tailored combination. If all three are included, the skin-tightening portion takes approximately 45 minutes total.
Evidence Boundary
Published medical literature supports radiofrequency-based tightening as an option for selected patients. Response varies, and these treatments do not replace a facelift or neck lift when excisional surgery is indicated.

How Dr. Mesa Performs Extended Chin Liposuction™
Upright Markings
Dr. Mesa performs markings while the patient is upright because lying down or reclining changes the position of the soft tissues of the chin and neck. The goal is to make the patient look their best while sitting or standing upright.
Surgical Incisions
For Extended Chin Liposuction™, Dr. Mesa uses one surgical incision beneath the chin, placed in the natural submental crease. And one surgical incision behind each earlobe
When FaceTite or NeckTite is used, these use the same three access points in relevant cases.
Controlled Contouring
Dr. Mesa removes and blends selected fat to improve contour without over-removing. The goal is controlled sculpting and smooth transition, not maximum volume removal.
Skin Tightening
When appropriate, NeckTite, FaceTite, Morpheus8, or a tailored combination may be added.
Garment Placement Before Discharge
Dr. Mesa or one of his assistants fits the stage one compression garment in the operating room before discharge.

Chin Liposuction Recovery and Aftercare
Dr. Mesa provides a structured recovery protocol. Individual instructions may vary, and the written instructions from Dr. Mesa’s team should always control.
At-a-Glance Recovery Timeline
- Remote work: some patients may work from home the next day, with camera off if needed to keep the garment on
- Workplace return: generally recommended after five days
- Early visible improvement: about 10 days
- Final results: usually between three and four months
- Revision consideration: no earlier than four months after the procedure
- Exercise: no exercise for two weeks; light treadmill walking only from weeks two to four; unrestricted exercise after four weeks
Compression Garment Protocol
Days 1-5
Wear the stage one post-surgical garment 24 hours per day for five days. Remove only to shower.
Optional Extended 24-hour Wear
If possible, continuing 24-hour garment wear for an additional five days, for a total of ten days, may be recommended by Dr. Mesa.
After Returning to Work or School
After five days, patients who return to work or school may go without the garment during work or school hours.
After work or school, wear the stage two compression garment as much as possible during the daytime.
For sleep, continue wearing the stage one garment.
The stage two garment may be removed for social activities such as going to the supermarket, dinner, or social events.
The combination of stage one and stage two garment use continues for an additional five weeks.

Post-Surgical Lymphatic Drainage Massage
Dr. Mesa recommends post-surgical massages at least once per week for five weeks total. For fastest recovery, the ideal first massage is the day after the procedure, within 24 hours. These massages should be performed only by professionals specialized in post-surgical lymphatic drainage massage.
Dr. Mesa does not recommend self-massage because improper massage can worsen swelling and recovery. The addition of RF treatments does not change the massage schedule.

Exercise Restrictions
- No exercise for the first two weeks.
- Between weeks two and four, patients may do light treadmill walking only.
- After four weeks, patients may resume gym exercise without restriction.

Beach, Pool, and Sun Exposure
Avoid the beach, swimming pools, and direct sun exposure to the surgical area for the first four weeks after the procedure.

Return to Work
If working from home, patients can technically start working the next day. Because the stage one garment should be worn 24 hours per day for the first five days, patients should keep cameras off for video calls when possible.
If attending a workplace, Dr. Mesa generally recommends returning after five days.
When Will I See Results of Chin Liposuction?
Patients typically see early visible improvement around 10 days. Final results are usually seen between three and four months. Revision decisions should not be considered until at least four months after the procedure.
Risks, Limitations, and Avoiding an Overdone Result
Chin liposuction is surgery. It can produce meaningful contour improvement in the right candidate, but it also has risks and limitations.
Potential Risks and Limitations
of Chin Liposuction:
- Swelling
- Bruising
- Tightness
- Bleeding
- Infection
- Fluid collection
- Numbness or altered sensation
- Asymmetry
- Contour irregularity
- Under-correction
- Over-correction
- Visible skin laxity
- Small surgical scars
- Pigment change
- Nerve irritation
- Need for additional treatment or revision
Device-Specific Risks of Radio-Frequency Skin Tightening
- Prolonged firmness
- Contour irregularity
- Nerve irritation
- Thermal injury
- Pigmentation change
Avoiding Over-Treatment
A refined result depends on removing the right amount of fat from the right areas. Excessive removal can create hollowness, irregularity, loose-looking skin, or an aged appearance.
Dr. Mesa’s approach is intentionally conservative. He may recommend less treatment, a different treatment, or no surgery if that is the best way to protect a natural result.
Long-Term Changes
Removed fat cells are permanently removed, but remaining fat cells can enlarge with weight gain. Aging and skin-quality changes can also affect the lower face and neck over time. Results are generally long-lasting at a stable weight, but they are not immune to future change.

Chin Liposuction vs. Kybella, CoolSculpting, Skin Tightening, and Neck Lift
Different treatments address different problems.
Kybella
Kybella is an injectable treatment that targets only the fat directly beneath the chin. It cannot contour the jawline or jaw angles in the same way as Extended Chin Liposuction™.
Kybella usually requires multiple treatment sessions, and each session may cause several days to several weeks of significant swelling and bruising. This reaction can be quite dramatic compared with the recovery typically associated with chin liposuction.
Results also develop gradually, and the treatment does not provide the same level of hands-on surgical contouring.
CoolSculpting
CoolSculpting is a non-surgical fat-reduction treatment. It may be considered for selected patients with mild fullness who prefer non-surgical treatment. Results develop gradually and may be more limited than surgical contouring.
Skin Tightening
liposuction to help achieve an optimal contouring result. Several technologies are available, including J-Plasma, Ultherapy, FaceTite, NeckTite, Morpheus8, and other radiofrequency-based devices.
Dr. Mesa prefers FaceTite, NeckTite, and Morpheus8 because these technologies allow the energy and temperature delivered to the tissues to be carefully monitored and controlled, helping reduce the risk of overheating and burns. However, skin-tightening treatments are not a replacement for a neck lift when significant skin or muscle laxity is present.
Chin Filler or Chin Implant
When a smaller or less projected chin contributes to the appearance of fullness, chin projection may improve the profile.
A chin implant may be performed at the same time as chin liposuction.
Chin filler should be performed after chin liposuction, no earlier than six weeks after the procedure.
Neck Lift
A neck lift may be the better option when there is excessive loose skin or significant platysma muscle laxity. In those cases, liposuction or skin tightening may not provide meaningful enough improvement.
Comparison Table: Chin Liposuction Vs. Other Procedures
| Concern | Possible Treatment | Key Consideration |
|---|---|---|
| Central fat under chin | Chin liposuction | Direct surgical fat removal and contouring |
| Mild submental fullness, non-surgical preference | Kybella or CoolSculpting | Gradual, selected-patient options |
| Skin laxity with fat | Chin liposuction + skin tightening | Selected based on skin quality |
| Significant loose skin or platysma laxity | Neck lift | More appropriate when skin/muscle correction is needed |
| Small or less projected chin | Chin implant or filler | Projection may complement contouring |

Chin Liposuction Before and After Results
Chin liposuction before-and-after photos help patients understand what chin liposuction can realistically improve.
When reviewing photos, look for:
- side profile improvement
- chin-to-neck angle
- jawline definition
- smoothness of contour
- front-view balance
- natural appearance
- matched lighting and angles
- postoperative time point
- whether skin tightening was performed
- whether the case was standard or extended chin liposuction
Men’s Curated Before-and-After Chin Liposuction
Men may have different contour goals and beard-related treatment considerations. These are evaluated individually.

Real Patient Experiences With Dr. Mesa’s Chin Liposuction
Procedure-specific patient reviews and testimonials are important because they show what patients noticed about the experience, not just the result.
Recurring themes in Dr. Mesa’s chin liposuction review evidence include:
Local Anesthesia Comfort
Patients often describe being surprised by how manageable the awake, local-anesthesia experience was.
Step-by-Step Explanation
Patients repeatedly mention that Dr. Mesa explained the process and answered questions.
Clear Recommendations
Patient reviews include appreciation for Dr. Mesa’s willingness to advise against doing too much.
Natural-Looking Jawline and Profile Changes
Patients frequently describe a more defined jawline, improved side profile, and results that look natural.
Smooth Recovery and Staff Support
Patients mention recovery support, responsiveness, massage, and follow-up.
Spanish-Language Trust and Credibility
Spanish-speaking patients specifically mention trust, comfort, and recovery in Spanish-language reviews.
VERIFIED Reviews
That search led me to Dr. Mesa, and from my very first conversation with Cristina, I felt like I had found the right place. We talked about my goals and what I was hoping to achieve, and she assured me that Dr. Mesa was a great fit. I was nervous and had A LOT of questions leading up to my appointment, and Cristina was always there, always quick to respond, and never once made me feel like I was a bother. She really put me at ease.
The office is beautiful and feels much more like an elegant Upper East Side pied-à-terre than a medical office, which somehow makes the whole experience even more inviting.
Jose greeted me by name when I arrived and made the intake process completely seamless. Then there was Alex, who was exactly what I needed. Warm, funny, open, and completely genuine. He made me feel immediately comfortable, shared his own experience and results, and kept me laughing while making sure I knew I was in very good hands. His results were so natural that I remember thinking, okay, I am definitely in the right place.
And then there was Dr. Mesa. He is the consummate professional: incredibly knowledgeable, patient, thorough, and very much a teacher. He explained the process, the product, and what was realistic, while also pushing me just a little when he knew the result would be worth it. His competence and confidence were the perfect antidote to my nerves. Quite literally, exactly what the doctor ordered.
The procedures were fast and painless, and the entire team was incredibly supportive. In the course of about an hour, they managed to lift not only my jowls, but my spirits and my confidence, too. They told me to give it about two weeks before judging the final result.
They were not wrong.
I am absolutely over the moon. Dr. Mesa took years off my appearance in a way that is subtle, natural, and completely undetectable. I look like me, just fresher and better rested. I couldn't be happier and have already booked my follow-up appointments.
My only complaint is that I have to wait three months to see them again.
If you're looking for a provider and feeling even a little nervous, I genuinely can't say enough good things about this team. I felt cared for, listened to, reassured, and completely confident from the first phone call through the moment I walked out the door.
Run, don't walk. You will not be disappointed.
The office manager and receptionist were pleasant and that’s where I give the one star.
Summary: the client is not important here. It appears to be for online image.
Not for a mature sophisticated client. Go elsewhere.
The entire Miami staff was amazing , from start to finish. We couldn’t have asked for a better experience. HIghly Recommend.
Before my appointment, photos were taken, and I was then escorted to a private room where Dr. Mesa personally went through my medical history with me. He was incredibly attentive, listened to everything I had to say, and took the time to explain everything thoroughly. What really impressed me was how detailed his assessment was. He carefully examined my face and had me make different facial expressions so he could see exactly how and where my wrinkles were appearing. He then used a diagram to walk me through each treatment area and explained exactly how many units of Botox he planned to use. I really appreciated knowing what he was doing and why.
The entire experience was also incredibly relaxing. His assistant brought in some aromatherapy, which was such a thoughtful touch, along with the Botox and ice packs. Dr. Mesa came back shortly afterward to begin the treatment, and I was honestly amazed at how gentle his hand was. Ice packs were used around my crow’s feet and glabella areas, which made the process even more comfortable.
Afterward, Dr. Mesa explained that I should see my full results in about five days and told me that if I felt I needed a touch-up, I could simply call and they would get me back in. That level of care and follow-through really stood out to me.
I also received an amazing introductory price, but I was pleasantly surprised to learn that their regular pricing is very reasonable for the area as well.
I couldn’t be happier with my experience and would highly recommend Dr. Mesa to anyone considering Botox. He is knowledgeable, thorough, gentle, and genuinely takes the time to make you feel comfortable and confident in your treatment. The entire team was fantastic, and I’m so glad I found Dr. Mesa!


What Affects the Cost of Chin Liposuction?
Pricing is based on the individual treatment plan.
Cost may depend on:
- anatomy
- standard versus Extended Chin Liposuction™
- whether skin tightening is added
- whether FaceTite, NeckTite, or Morpheus8 is included
- whether chin implant or another procedure is combined
- procedure complexity
- revision or prior-surgery considerations
A personalized quote is provided after consultation.
How Much Does Chin Liposuction Cost?
The cost of chin liposuction depends on the patient’s anatomy and treatment plan. Factors include whether the procedure is standard or extended, whether skin tightening is added, whether other procedures are combined, and the overall complexity of the procedure. Dr. Mesa provides a personalized quote after consultation.


Why Choose Dr. Mesa for Chin Liposuction?
Dr. John Mesa is a board-certified plastic surgeon by the American Board of Plastic Surgery, trained at Harvard-affiliated institutions, including Massachusetts General Hospital and Brigham and Women’s Hospital, and Penn State University, with triple fellowship training in craniofacial surgery, aesthetic surgery, and plastic surgery research.
Dr. Mesa’s practice is devoted exclusively to plastic surgery of the face. He does not perform body procedures. This focused specialization, combined with 16 years of clinical practice experience, has shaped his approach to chin and jawline contouring.
He was born and raised in Colombia and speaks fluent Spanish. Most of his office staff is bilingual in Spanish and English.
Patients choose Dr. Mesa for chin liposuction because of:
- Anatomy-driven facial contouring
- Extended Chin Liposuction™
- Local anesthesia
- Detailed consultation
- Conservative surgical judgment
- Skin-tightening expertise
- Procedure-specific RealSelf reviews
- Curated before-and-after proof
- Patient video testimonials
- English and Spanish communication
Consultation Pathway
Patients interested in chin liposuction first have a brief introductory call with a patient concierge, who answers common questions and helps schedule consultation.
Consultations may be performed:
- in person at one of Dr. Mesa’s office locations
- virtually, preferably through Google Meet, or through Zoom in select cases
Dr. Mesa’s virtual chin liposuction consultation is designed to provide the same quality of evaluation and explanation as an in-person consultation.
Dr. Mesa’s consultation typically lasts 30 to 45 minutes and includes evaluation, education, and surgical planning.
After consultation, the patient discusses the surgical plan and quote with the patient coordinator and may schedule surgery.
Follow-up Schedule
Standard follow-up after chin liposuction:
- one week
- three weeks
- three months
Follow-up may be virtual or in person.

Chin Liposuction in NYC, New Jersey, and Miami
Dr. Mesa sees chin liposuction patients in New York City, New Jersey, and Miami, with New York City serving as the flagship location.
Patients may begin with an introductory call, followed by a virtual or in-person consultation. Dr. Mesa performs a detailed consultation and creates the treatment plan. After surgery, follow-up is typically performed at one week, three weeks, and three months, either virtually or in person.
VERIFIED Reviews
- I spent quite a bit of time looking for the right doctor because I knew exactly what I wanted, and what I definitely did not want. I wanted to look refreshed and a little younger, but still completely like myself. Natural, subtle, and, most importantly, undetectable. I wanted people to think, “You look great,” not “You had work done.”
That search led me to Dr. Mesa, and from my very first conversation with Cristina, I felt like I had found the right place. We talked about my goals and what I was hoping to achieve, and she assured me that Dr. Mesa was a great fit. I was nervous and had A LOT of questions leading up to my appointment, and Cristina was always there, always quick to respond, and never once made me feel like I was a bother. She really put me at ease.
The office is beautiful and feels much more like an elegant Upper East Side pied-à-terre than a medical office, which somehow makes the whole experience even more inviting.
Jose greeted me by name when I arrived and made the intake process completely seamless. Then there was Alex, who was exactly what I needed. Warm, funny, open, and completely genuine. He made me feel immediately comfortable, shared his own experience and results, and kept me laughing while making sure I knew I was in very good hands. His results were so natural that I remember thinking, okay, I am definitely in the right place.
And then there was Dr. Mesa. He is the consummate professional: incredibly knowledgeable, patient, thorough, and very much a teacher. He explained the process, the product, and what was realistic, while also pushing me just a little when he knew the result would be worth it. His competence and confidence were the perfect antidote to my nerves. Quite literally, exactly what the doctor ordered.
The procedures were fast and painless, and the entire team was incredibly supportive. In the course of about an hour, they managed to lift not only my jowls, but my spirits and my confidence, too. They told me to give it about two weeks before judging the final result.
They were not wrong.
I am absolutely over the moon. Dr. Mesa took years off my appearance in a way that is subtle, natural, and completely undetectable. I look like me, just fresher and better rested. I couldn't be happier and have already booked my follow-up appointments.
My only complaint is that I have to wait three months to see them again.
If you're looking for a provider and feeling even a little nervous, I genuinely can't say enough good things about this team. I felt cared for, listened to, reassured, and completely confident from the first phone call through the moment I walked out the door.
Run, don't walk. You will not be disappointed.Read MoreRead LessBryan Luterman10/01/2026 
Chin Liposuction FAQs
Procedure Basics
Chin liposuction is a procedure that removes selected fat beneath the chin through small surgical incisions. It can improve the chin-to-neck transition and side profile in appropriate candidates.
Extended Chin Liposuction™ is Dr. Mesa’s signature variation of chin liposuction. It evaluates and, when appropriate, contours the chin, jawline, jaw angles, neck transition, and selected lower face as one connected aesthetic unit.
Standard chin liposuction often focuses on the central fat pocket beneath the chin. Extended Chin Liposuction™ may also address the jawline, jaw angles, neck transition, and selected lower face when anatomy calls for broader contouring.
Standard chin liposuction typically takes 45 minutes or under one hour.
Candidacy
You may be a candidate if your fullness is primarily removable superficial fat, your weight is stable, your skin quality is appropriate, and your expectations are realistic. Dr. Mesa evaluates anatomy, skin quality, chin projection, and health history before recommending a plan.
Yes, when fat is blurring the jawline. Dr. Mesa evaluates whether the jawline, jaw angles, and selected lower-face areas should be included in an Extended Chin Liposuction™ plan.
Yes, if submental fat is the main reason the profile looks full or undefined. If weak chin projection or loose skin is the main issue, another treatment may be recommended.
Chin liposuction primarily removes fat. Skin contraction varies. When skin laxity is present, Dr. Mesa may recommend skin tightening or, in more significant cases, neck lift.
Yes. Dr. Mesa evaluates male patients with attention to jawline sharpness, jaw-angle definition, beard-pattern considerations, and the patient’s desired masculine contour.
Local Anesthesia
Dr. Mesa primarily performs chin liposuction under local anesthesia while the patient remains awake.
The area is thoroughly numbed. Patients generally report pressure or movement rather than surgical pain, although individual experiences vary.
Only if Dr. Mesa approves it for that specific patient. Some healthy patients who have not received anxiolytic medication may be approved to drive themselves home, use a rideshare, or take public transportation. This is determined on an individual basis.
Skin Tightening
These may be considered when skin elasticity is part of the concern. NeckTite treats below the jawline/neck, FaceTite treats above the jawline/lower face, and Morpheus8 treats those areas treated with NeckTite and FaceTite.
No. Some patients need liposuction alone. Others benefit from a tailored skin-tightening combination. Some patients with significant laxity need a neck lift instead.
When NeckTite, FaceTite, and Morpheus8 are all included, the skin-tightening portion takes approximately 45 minutes total.
Dr. Mesa evaluates pigmentation risk carefully. In some patients with dark or Black skin, Morpheus8 may be omitted because of pigmentation risk.
In patients with dense or very dark beard hair, FaceTite in beard-bearing areas may cause temporary or permanent hair loss that can create patchy beard areas. Dr. Mesa discusses facial-hair preferences during consultation.
Recovery
Chin liposuction recovery includes compression garment use, post-surgical lymphatic drainage massage, exercise restrictions, and sun/pool/beach restrictions. Dr. Mesa provides written instructions.
Some patients can work from home the next day, but they should keep their cameras off during video calls so they can wear the compression garment continuously.
Dr. Mesa generally recommends returning to the workplace after five days.
Dr. Mesa recommends post-surgical lymphatic drainage massage at least once per week for five weeks total. These should be performed by professionals specialized in post-surgical lymphatic drainage massage.
No. Dr. Mesa does not recommend self-massage because improper massage can worsen swelling and recovery.
No exercise for the first two weeks. Weeks two to four: light treadmill walking only. After four weeks: unrestricted gym/exercise.
Avoid beach, swimming pool, and direct sun exposure to the surgical area for the first four weeks.
Early visible improvement is typically seen around 10 days. Final results are usually seen between three and four months.
Revision should not be considered until at least four months after the procedure.
Risks and Limitations
It can if too much fat is removed or if loose skin is not addressed correctly. Dr. Mesa’s approach is conservative and anatomy-based to help avoid an overdone or aged appearance.
Risks include swelling, bruising, bleeding, infection, fluid collection, numbness, asymmetry, contour irregularity, under-correction, over-correction, visible laxity, small surgical scars, pigment change, nerve irritation, and possible need for additional treatment.
Extended Chin Liposuction™ uses small surgical incisions under the chin and behind the earlobes. During healing, these become small surgical scars. They are placed in discreet locations and usually become inconspicuous over time, although scar visibility varies by patient.
Alternatives
Kybella is an injectable treatment that reduces selected submental fat over time. Chin liposuction surgically removes selected fat and allows direct contouring.
CoolSculpting may be an option for selected patients with mild fullness who prefer non-surgical treatment. It is not the same as surgical contouring.
A neck lift is usually better when there is excessive loose skin or significant platysma muscle laxity that skin tightening would not meaningfully improve.
Yes, if a smaller or less projected chin limits the profile. A chin implant can be done at the same time as chin liposuction. Chin filler should be done after chin liposuction, no earlier than six weeks after the procedure.
Cost
The cost depends on anatomy, treatment extent, skin tightening, combined procedures, and complexity. Dr. Mesa provides a personalized quote after consultation and does not publish price ranges on this page.












