Neck Liposuction

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.

Before chin and neck liposuctionAfter chin and neck liposuction

Before                                                        After
 Neck liposuction by Sam Naficy, MD.  * Individual results may vary.


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.

Before neck liposuction, face and neck liftAfter neck liposuction, face and neck lift

Before                                                        After 
Neck liposuction with face and neck lift by Sam Naficy, MD.  * Individual results may vary.


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.


* Individual results may vary.


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 liftbrow liftblepharoplastyrhinoplasty, 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.

Before neck liposuction, chin augmentation, upper lip lift, upper lip augmentationAfter neck liposuction, chin augmentation, upper lip lift, upper lip augmentation

Before                                                         After
Neck liposuction, chin augmentation, upper lip lift and lip augmentation by Sam Naficy, MD.  * Individual results may vary.


What type of anesthesia is used?

A number of anesthesia options are available and your anesthesia provider will discuss with you which one is most appropriate for your health status and procedure. Some procedures require general anesthesia, while others may be done with IV sedation. With either, your heart rate, blood pressure, breathing and oxygen levels are monitored continuously by your anesthesia provider.

General anesthesia means that you are completely asleep for surgery and the placement of an intravenous line and a breathing tube is required. Frequently, numbing medication is also placed during surgery by your surgeon. 

IV sedation is also called “monitored anesthesia care” or MAC. This involves receiving sedation and pain medication through an intravenous line (IV). At the beginning of the procedure, when you will be the sleepiest, your surgeon will be placing numbing medication in the area of the surgery. Once the area is numb you will require less sedation and pain medication but you will continue to receive enough medication to keep you sedated and comfortable during the entire procedure. During your surgery you may be receiving oxygen. Airway devices may be placed during IV sedation to keep you breathing normally. 

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 tyoucally able to return to work in a few 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]

Before neck liposuctionOne day after neck liposuction

Before                                                         After
One day after neck liposuction by Sam Naficy, MD.  * Individual results may vary.

I am interested! What do I do next?

If you are considering this procedure we encourage you to complete this Surgical Consultation Intake Form. Dr. Naficy 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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