Excess fatty deposits in the chin and neck may give the appearance of being overweight. This unwanted fat may be gently removed by vacuum suction through very small incisions placed in hidden locations. This procedure is most successful in individuals that have good skin tone to the neck, allowing the skin to pull up nicely after fat removal. The most remarkable aspect of this procedure is the amount of improvement that sometimes can be achieved with such limited incisions.
How does liposuction work?
Liposuction of the chin and neck region works in two ways: volume reduction and tissue tightening. Using a very small tube inserted under the skin, suction is used to gently remove the excess fatty tissues of the neck. After the fat has been removed, a few days of compression (pressure) dressings allows the skin to 'shrink' and redrape to the new contour of the neck. The healing process that occurs under the skin following neck liposuction assists in tightening of the skin and underlying tissues.
The ideal candidate for neck liposuction is someone who has excess fat in the neck or chin but has relatively good skin tone. With good skin tone, when the fat is removed, there is a better likelihood that the skin will contract and redrape to the new contour of the neck.
Neck liposuction by Sam Naficy, MD
With advancing age, when there is significant skin laxity, the skin and muscle of the neck may not redrape as tightly following liposuction alone. In these instances a tightening procedure, such as a face and neck lift, may be required to give the optimal result.
Neck liposuction with face and neck lift by Sam Naficy, MD
Why choose a facial plastic surgeon to do my neck liposuction?
Although most plastic surgeons and some dermatologists perform neck liposuction, very few actually limit their practice to specialize in the head and neck. In fact, most plastic surgeons spend the bulk of their time performing body liposuction, breast procedures, and tummy tucks. With his practice being 100% limited to the head and neck, you can be assured that Dr. Naficy will offer you the best specialized plastic surgery available today. This is why Seattle doctors voted Dr. Naficy one of the top plastic surgeons for the face. Dr. Naficy draws his patient base not only from the Seattle area, but also from Alaska, Oregon, Idaho, Montana, Utah, California, and as far away as New York City.
Neck Liposuction Photo Gallery
You may wish to browse through the gallery of representative before and after neck liposuction pictures. Click on any of the thumbnails to enter the slide show. All procedures were performed by Dr. Sam Naficy and some patients may have had more than one surgical procedure performed. The text accompanying the photos describes the details of the procedures performed.
What procedures may be combined with neck liposuction?
Neck liposuction may be combined with any other facial or neck procedure. This includes face and neck lift, brow lift, blepharoplasty, rhinoplasty, and laser resurfacing. One of the most pleasing combinations is that of neck liposuction with chin augmentation which can produce a dramatic improvement of the profile. Fatty tissue removed from the neck can also be used for lip augmentation.
Neck liposuction, chin augmentation, upper lip lift and lip augmentation by Sam Naficy, MD
What is a 'Weekend Neck Lift'?
This is a combination of neck liposuction and tightening of neck muscles using a small incision under the chin. This procedure is ideal for individuals with excess fatty deposits in the neck and reduced skin tone. Although the tightening of the neck is not as dramatic as with a face and neck lift, because no skin is removed, there is no need for incisions around the ears. The recovery time is generally quick, and many of our patients can return to work or social activities in 2-3 days.
Weekend neck lift by Sam Naficy, MD
What type of anesthesia is used?
We use IV sedation anesthesia, which is a very safe and effective method of anesthesia for facial plastic surgery and rhinoplasty. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, (v) and there is much less nausea. All these elements translate into greater comfort and safety. Dr. Naficy has used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.
During IV sedation anesthesia a small flexible IV (intravenous) needle is placed into one of the veins of the back of the hand. Through this IV line, relaxing medication is given to make you fall sleep. The amount of medication given is adjusted to the specific needs of each person. After you are sleeping, some numbing medicine (tumescent anesthetic) is also placed in the fatty tissues of the neck to numb the area that is being operated on. The beauty of IV sedation anesthesia is that during the procedure you are unaware of anything going on and cannot hear anything, yet you are still breathing on your own.
When the procedure is finished, the relaxing medication is discontinued and you begin to wake up. Because the medications used in IV sedation anesthesia clear the system rather quickly, most of our patients are able to go home in less than 30 minutes after the procedure is completed.
In certain instances, neck liposuction may be performed under local anesthesia. The main advantage of local anesthesia is that patients may also be able to drive themselves home after the procedure.
Anesthesia guidelines [21kb PDF]
What is the recovery like?
A pressure dressing is worn around the neck for 1 day. After that dressing is removed, a lighter elastic dressing is worn for a few more days. There is usually little discomfort, and most of our patients are able to return to work in 2-3 days. Swelling is quite minimal and the bruising can be very minimal. Although such a short recovery period is not typical, the pictures below show a patient before and only one day after neck liposuction!
Post-operative care instructions [12kb PDF]
One day after neck liposuction by Sam Naficy, MD
I am interested! What do I do next?
If you are considering this procedure we encourage you to schedule a consultation with Dr. Naficy in our office. During this visit he will listen to your concerns and discuss your options. He will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure. There is great variety in features of the aging chin and neck so that each procedure must be custom tailored for the best possible result. You will also have a chance to view before and after photo albums of his patients who have undergone procedures similar to what you are considering.
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