Neck Liposuction

Liposuction procedures remove excess fat deposits in the neck underneath the jaw, otherwise referred to as submental adiposity. Fat can disproportionately accumulate in the neck either congenitally or with age over time.  The appearance of a “heavy chin,” a “double chin,” or a “turkey gobbler chin” may result. Attributes of the beautiful face include a well-defined transition as the jaw line transitions into the neck line (referred to as the cervico-mental angle). When submental adiposity obscures this relationship, submental liposuction can prove beneficial.
In the setting of moderate to advanced facial aging, when one continues to “look older than I feel,” when one seeks to “look as young as I feel,” and when more substantial and permanent degrees of improvement are desired, facelift (rhytidectomy) and necklift surgery emerge as the treatments of choice. However, when only the accumulation of excess fat underneath the chin is of concern, liposuction can produce a flattering change. Through a neck liposuction procedure, the jaw line – neck line transition can be improved while eliminating the heaviness imparted by the appearance of the “double chin.” The decision to proceed with neck liposuction can be difficult. We recognize this and strive to guide you through the decision-making process. Several examples prove illustrative of the many nuances that may bear consideration:

  • While one may be principally bothered by fat accumulation in the neck, coexisting laxity in the facial and neck soft tissues must oftentimes also be addressed to achieve an optimal, natural result in the neck.
  • Isolated neck liposuction can be performed, but only in select circumstances:
    • Accumulation of excess fat underneath the chin
    • Preservation of neck skin tone / elasticity without excess neck skin laxity
    • Loss of a well-defined jaw line - neck line transition without significant jowling along the jaw line
    • Absence of prominent vertical neck cords / platysmal bands
  • Neck liposuction can otherwise be performed in conjunction with facelift and necklift surgery.  Our techniques vary with individual patient goals and anatomical findings. The point remains that we use techniques that have proven reliable over time.
  • People are busy. People lead complex lives within an increasingly complex society. In this context, a minimally invasive isolated neck liposuction procedure is obviously appealing. Our experience finds that this technique is valuable when selected after careful review of a given patient’s anatomy, desired esthetic changes and surgical goals.

Pre-Surgical Consultation

During the pre-surgical consultation, the rejuvenation goals and desires of each patient are discussed in detail. A detailed examination and analysis of the face and neck is performed. Digital photographs of the face and neck are reviewed on our advanced computerized imaging software to facilitate communication of the changes desired and to illustrate the expected post-surgical outcomes. A comprehensive surgical plan customized to address each patient's concerns is ultimately developed and carefully explained.

Intra-Operative Course

Neck liposuction surgery is performed on an out-patient basis under general anesthesia.

Neck liposuction typically employs two small incisions placed in the shadow line underneath the chin. Great care is taken to maximally camouflage these incisions by hiding them underneath the chin. The liposuction device permits strategic removal of excess fat underneath the chin. In so doing, the jaw line – neck line is carefully sculpted to create a more distinct transition and eliminate the heaviness associated with the “double chin.” Natural elasticity in the neck skin permits the remaining soft tissues to properly redrape onto the underlying bone structure, thereby achieving a more youthful appearance.

Post-Surgical Course

Patients are discharged home on the day of surgery, with close follow-up in the office thereafter.  Post-surgical dressings are changed in the office on post-operative day #1.  Incisions are gently cleansed, and care instructions are reviewed.  Sutures are removed at 1 week post-operative.  Post-operative bruising is markedly improved after the second week. Post-operative swelling gradually subsides throughout the recovery period. Follow-up office visits are then typically scheduled at the 1 month, 3 month, 6 month, and 1 year post-operative time intervals.

Neck liposuction surgery should ultimately produce a durable result that helps patients look as young as they feel. Discernible, significant improvements in neck skin contour and jaw line – neck line definition transpire naturally, without appearing excessively “pulled” or “stretched.”  After an appropriate amount of time elapses for recovery, patients are expected to look rejuvenated without appearing “operated.” 

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