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liposuction neck

That double chin. You take selfie shots from above to make it less apparent. You’ve found new, creative ways of accessorizing your outfits with scarves. When you look at yourself in the mirror, your jawline seems a little slack. If there’s a little more fat and scoop to your neck and chin line than there used to be, chin and facial liposuction could be the answer to your concerns.

You don’t have to be overweight to get a double chin. Even in slender people some droopy skin can be a problem. Unfortunately, the chin and neck don’t respond all too well to exercise, creams or other interventions.

Then there’s neck aging. Over time, the skin quality in the neck and facial region decreases and becomes more wrinkled due to sun and environmental exposure. The skin becomes lax, and there is often more fat accumulation under the chin, which leads to a change in the definition of the chin and face. All of these factors can draw your face down and make you look older than you actually are.

The following facts will help you decide whether or not chin and facial liposuction are right for you.

1. People don’t usually seek out chin or facial liposuction directly.

“Usually a patient comes to me with complaints about the overall appearance of the lower one third of the face and neck, and we have a discussion as to what factors are contributing to their overall dissatisfaction,” says Palm Beach facial plastic and reconstructive surgeon Dr. Jean-Paul Azzi, who regularly performs chin and facial liposuction. “Many times, it’s something as simple as someone saying that their face used to be heart shaped and now it seems more round or square.”

chin liposuction
Patient underwent submental (neck / behind chin) liposuction. Pictures taken before and 5 days post op. The procedure was performed in the office while she was awake, using only local anesthesia. Credits: Dr. Jean-Paul Azzi.

One of the advantages of the procedure is that it produces a sharper angle to the neck and jawline, without removing any of the skin. Subsequently, the skin retracts to create a more defined profile.

2. Liposuction is the most popular cosmetic surgical procedure.

Although not broken down into specific body segments, the American Society of Aesthetic Plastic Surgery reports that liposuction was the most popular surgical procedure in 2015, with 396,048 procedures performed in the United States alone.

3. Chin and facial liposuction are commonly combined with other procedures.

People generally have a goal of improving their overall profile, therefore, “most commonly, chin and facial liposuction is performed in conjunction with another procedure, like a lower face and neck lift,” says Dr. Azzi.

4. There are only a few places liposuction is used in the facial region.

Only a few places are suitable for liposuction in the facial region. These include the neck, chin, outside area of the cheeks, jowls and jawline.

5. Typical patients for chin liposuction are between 40 to 70 years old.

Dr. Azzi informs that the most typical patient for chin liposuction is a person between the ages of 40 and 70 complaining that the lower part of their face is aging more quickly than the upper portion.

“If the patient is younger, it’s usually a stubborn fat deposit under their chin versus a chin that is too far back, creating the illusion that their nose is larger than it actually is,” he says.

5. Patients who do get chin liposuction as a solo procedure are younger.

“When I do chin liposuction in isolation, it is typically performed on a much younger patient with a very isolated problem. Usually these people are in their 20s or 30s,” says Dr Azzi. “This is mainly due to the fact that in the 20s and 30s people won’t need a face or neck lift as their skin is young and has the ability to retract naturally. Whereas, when patients are any older than that, they usually need a procedure geared toward polishing the look and keeping everything very natural looking,” adds Dr. Azzi.

7. Chin liposuction produces effective long term results.

Though the newly FDA-approved Kybella treatment seems to be the new rage for removing chin fat, many plastic surgeons still prefer liposuction.

“There are a lot of new technologies and injections that people use to improve the chin and neck, but I have found them to be less effective and less controlled in terms of long term outcomes,” says Dr. Azzi.

8. You only need one liposuction procedure to achieve your goals.

Kybella requires 2-3 treatments over a 3-4 month period, and the procedure will leave you with substantial swelling in the area for 3 weeks. The benefit of liposuction over treatments such as Kybella is that the procedure is minimally invasive, only requires one treatment, and produces little, if any side effects.

9. You don’t need to go under to get chin or facial liposuction.

“My techniques are done without sedation,” says Dr. Azzi. “They are all performed in my office and they’re painless, so people typically prefer this option over other very expensive, limited and often painful alternatives such as an entire facelift.”

10. Neck and chin liposuction is a minimally invasive procedure.

Liposuction typically uses tumescent local anesthesia (TLA). On the day of your procedure, a TLA solution is prepared by surgical staff, which usually contains a 1-2% Lidocaine concentration, combined with saline as a vehicle. A very small 1-3 mm cannula (blunt tipped tube) is inserted into the area via a very small incision. This cannula is then used to suck the fat out.

This method of anesthesia makes fat removal safe, results in very little blood loss, and reduces pain after the procedure.

11. There are minimal side effects from chin and facial liposuction.

Dr. Azzi informs that done right, liposuction has virtually no side effects and will have you back in action within a week. Liposuction is considered the safest and most popular cosmetic surgical procedure. While minor issues include bruising and swelling, complications of liposuction to the chin and facial areas are very rare.

12. The fat removed during chin or facial liposuction can be redistributed.

“I love addressing the Triad of Aging – gravity, volume loss, and texture – using the fat removed to add volume in strategic places on the face,” says Dr. Azzi. “Often times, I can get the equivalent of several syringes of filler from liposuction, and the beauty is that much of it lasts forever after being injected.”

RELATED: The Pros and Cons of Laser-Assisted Liposuction

13. In some cases, you can go straight back to work after chin liposuction.

When this procedure is performed by an expert facial plastic surgeon, you should have no signs that anything was done after just a few days. Some patients may experience a small amount of bruising, but typically this can easily be covered with makeup.

“I have done this in my office many times and had patients go back to work afterwards,” says Dr. Azzi. “I have also done it in combination with an in-office face and neck lift where the patient remains awake, and have had people back in circulation within 5 days without anyone noticing a single incision,” he adds.

14. The results of liposuction are permanent.

Because fat cells have been removed, technically, liposuction is permanent. However, several things can influence results in time – weight gain, aging, pregnancy, and lifestyle factors.

Chin and neck liposuction before and after pictures. Credits: ASAPS.

15. Chin and facial liposuction can be termed under other names.

This procedure can be termed chin or facial liposuction. Or, depending on the surgeon you work with, they may also refer to it as submental liposuction, neck liposuction or lipectomy.

16. Liposuction is great for small or large amounts of fat deposits.

Whether you have a small fat deposit under the chin or a receding chin with excessively loose skin, liposuction is a great choice for treatment.

17. Scars are minimal from chin and facial liposuction.

The incisions of liposuction are so small that they are barely visible. On top of this, your surgeon will place the incisions in hidden areas, for instance, right under the chin.

People with darker skin may see small marks but because they are placed under the chin or in hidden places, people rarely notice them and these usually fade with time as well.

18. Liposuction is not a substitute for weight loss.

Although chin and facial liposuction does remove fat deposits, liposuction is not intended to be a substitute for weight loss. Ideally, you should achieve your ideal weight before undergoing this procedure.

19. There are some cases where liposuction is not recommended.

Women who are pregnant and people with cardiovascular disease or coagulation disorders should not have liposuction. Nor should people with diabetes or poor wound healing.

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About The Author

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Jedha Dening is a contributing health and beauty writer for Zwivel. She specializes in crafting compelling words for B2B & B2C health companies and publications worldwide.