Facial, Cheek and Neck Liposuction


Some people have large amounts of fat deposits in the neck and its surrounding areas. This Storages cause drooping skin of the areas. Diet and exercise can help many areas of the body, but nothing seems to affect those fatty deposits on the cheeks, chin, jawline, or neck. These areas don’t usually respond to diet and exercise. Sometimes, a sensible diet and dedicated exercise routine does not decrease this stubborn fat. Many women and men turn to facial liposuction as a solution.
The procedure is best suited for patients that have excess fat in their neck, without sagging, stretched, or loose neck skin. If loose skin exists, a Neck Lift is likely more appropriate. If a patient has muscle banding of the neck in addition to excess neck fat, they should consider a Mini Neck Lift.
Best candidates:

  • Generally younger patient (30-50’s)

  • Good skin tone in the neck

  • Excess fat in the neck

Neck liposuction

Most patients’ concerns with the appearance of the neck can be simplified by categorizing them into:

  • Excess fat (e.g. ‘double chin’)

  • Muscle banding due to lax muscles (vertical cords commonly seen in the necks of older patients)

  • Excess skin or stretched skin (e.g. ‘turkey neck’)

A patient with excess fat can be treated with neck Liposuction. Neck and chin Liposuction is the most straightforward, neck rejuvenation procedure, with the shortest recovery period and least cost.

Pre-surgical considerations

Although there is no age or sex limits for Liposuction but be careful that operating results will not be identical in younger and older adults. In middle-aged and elderly people due to loss of skin elasticity and freshness Liposuction not usually as effective for young people. Another issue that must be addressed is the physical and mental health of people who want to be treated. First, you must have realistic expectations of the results of liposuction and second people with tighter (but elastic) skins usually respond better.
The procedure is not appropriate for people who suffer from diabetes, hypertension, heart disease, anemia or respiratory disease, except in certain instances where the doctor has made exceptions. People who have had surgery in the neck must also refrain from liposuction.

Preperation for the procdure

You should first consult a doctor about the procedure, and she/he will give you some instructions to be physically and mentally ready and these should be followed carefully. These guidelines include restrictions on eating, drinking, smoking or other issues that may be problematic during surgery. Also taking certain drugs such as capsules, vitamins and iron reinforcements may be banned.
In some cases, the doctor may suggest to take some blood from you so that it could be used during the surgery.

The procedure

Before a liposuction surgery, the patient may receive an intravenous, local or regional anesthesia. Type of anesthetic used depends on the amount of fat that should be removed from the site. If not a large amount of fat is to be removed, one of the first two methods would be used. But if the volume is high (like chin, cheek and neck) then regional anesthesia will be used.
The steps are shown in the following figure:

  • Figure 1 indicates different layers of skin and fat, both external surface (epidermis), internal surface (dermis), lipid cells, connective tissues and blood vessels.

  • As displayed in Figure 2, the surgeon first makes a small incision in the area of the face that requires liposuction.

  • Thereafter and before removal of lipids, a large volume of a medical solution is injected to the area (the volume of the solution might be three times of the lipid that should be removed). This solution consists of a mixture of serum, epinephrine (to reduce bleeding and reduce swelling and bruising after surgery) and lidocaine.

  • Then, as shown in Figure 4, a cannula (thin tube) is inserted into the subcutaneous tissue to suck the intravenous serum with the fat. There serum causes the fat to be removed more easily. In another method the amount of oinjected IV is the same as the injected which is a faster method, but usually more anesthesia or general anesthesia is required. Newer methods may use ultrasound in adition to the serum to break up and remove fatty tissue and make their removal easier (Figure 3).

  • After removing fat, the surgeon cuts extra skin, and the stitches the region. Figure 5 shows the skin after repair. The sign that remains on the skin after the healing is a small scar of a size of 2-3 mm, which is well hidden under the chin.


What does Chin and Neck Liposuction accomplish?

Chin and Neck Liposuction makes the neck slimmer and more youthful looking. The procedure is designed for patients who have excess fat in the neck and good skin quality.
Specifically, the procedure does the following:

  • Removes of fatty tissue from the neck and ‘double chin’ area

  • Helps to refine a sharper transition at the angle under the chin

  • Helps to provide better definition between the jaw line and neck

Recovery after Chin and Neck Liposuction

Our registered nursing staff will monitor you in the post-anesthesia recovery area following your surgery. You will be allowed to go home after the effects of anesthesia have worn off, accompanied by a friend or family member.
At home, you may do non-strenuous activities such as watching television, or listening to music. Otherwise, you should try to rest and relax as much as possible. Use multiple pillows to keep your head elevated when you sleep. This helps decrease swelling, and improves recovery time. Pain is typically mild. Your doctor will prescribe narcotic pain medication, which is typically used for less than 3 days. There will be some bruising typically lasting a few days to a week. We provide a removable compression dressing and encourage you to wear it as much as possible during the first week.
At one week, you will have an appointment to see your doctor and have your stitches removed. The majority of patients return to non-strenuous work at 3-5 days. You will be allowed to start light exercise (e.g. exercise waking) at 1 week after surgery. Avoid strenuous activity until 3 weeks after surgery. In addition to the initial visit, you will see your doctor at 6 weeks, and 6 months after surgery. We will take post-operative photos at these visits to document your progress.
As with any surgery, there are risks involved with having Neck and Chin Liposuction. Although the procedure has a very low risk profile, your doctor will make sure to go over the potential problems associated with Neck Liposuction during your consultations.