The neckline is one
of the most defining characteristics of a youthful
appearance. Neck liposuction contributes definition to the
jaw line resulting in a younger look. By defining the
neckline, a clearly outlined profile can often be restored.
An added benefit of neck liposuction is the redistribution
of fat through fat injections to other facial areas such as
lips and smile lines. A less invasive procedure, neck
liposuction can be a most rewarding facial plastic surgery.
"Do I need a facelift or neck liposuction?" "Is neck
liposuction painful?" In our Neck Liposuction FAQs you will
find answers to many of the most commonly asked questions.
When discussing rejuvenating procedures the best place to
start is by looking at before and after photos to see just
what can be accomplished. As you will see in our
photographs, many patients combine neck liposuction with the
contouring of a chin implant or with a facial rejuvenation
procedure such as a facelift to eliminate a "saggy neck" or
"turkey wattle" to tightening of the jowl area. Others come
to discuss fat injections, which can easily be performed
with submental (under the chin) liposuction. Fat injections
can be used in many areas of the face including the smile
lines and for lip augmentation.
Sometimes men ask for a more clearly defined neckline. Once
thought a beauty procedure sought by only wealthy women, men
in today's competitive corporate workplace are increasingly
seeking plastic surgery to restore a younger look that more
typifies their energy level. Men also frequently ask about
brow lifts for correction of frown lines between the eyes
and blepharoplasty for improvements in a tired look or
"bags" under the eyes. Patients also learn about neck
liposuction when they seek information about improving
superficial skin wrinkles in the neck area with a chemical
peel, laser surgery or similar skin resurfacing procedure.
An experienced surgeon, knows that his responsibility is to
evaluate not only the areas of concern but also the
motivation behind the requests. It goes without saying, a
cosmetic surgery won't save a failing marriage. Similarly
some patients not ready for cosmetic surgery are better
served with conservative measures, such as Botox for fine
lines and wrinkles or Collagen for crows feet. Patients who
educate themselves about facial rejuvenation know when and
if the time is right to proceed.
An important first step toward any cosmetic surgery is to
have a facial plastic surgeon assess the entire picture
before making specific recommendations. At an initial
consultation, we will evaluate the bony and soft tissue
architecture of the face, including the proportion and
balance of the face, nose and chin. We evaluate the amount
of fat in the neck area, the elasticity of the skin and the
textural qualities of the skin. Skin type, ethnic background
and age are important factors influencing the outcome of
surgery. Together we may discuss many alternatives before
determining if a neck liposuction is right for you.
Neck liposuction is a safe, effective procedure performed to
restore balance, proportion and a younger appearance. As
with all facial plastic surgery, a thorough health
assessment and realistic expectations are prerequisites.
Your understanding of instructions and routines is essential
to a successful final result.
At your preoperative appointment our nurse will provide all
the instructions for you to follow before and after surgery.
On the business day prior to the operation we ask you to
call to confirm your arrival time for surgery. Upon arrival
for your surgery, you will talk with a nurse (who will start
an IV), discuss anesthesia (with local anesthesia and IV
sedation you are asleep and comfortable) and meet with your
doctor before going to the operating room. Neck liposuction
takes about one hour depending on the anatomy and structure
present prior to surgery. If you are having a combination of
procedures your surgery will take longer. Recovery time from
the anesthetic takes about an hour and you will be
discharged about four hours from the time of arrival for
your cosmetic surgery.
Please avoid any aspirin, aspirin-containing products, or
ibuprofen for one week prior to your surgery. Please see our
medication list (separate page of instructions) which
outlines in detail products to avoid prior to surgery. If
you are on any medications that affect bleeding (such as
coumadin or warfarin) please notify the office immediately.
Please refrain from tobacco products and alcohol for one
week prior and two weeks following surgery. Along with
delayed wound healing, persistent skin redness and other
complications may persist when tobacco and alcohol are not
Please notify us of all routine medications and significant
health history. We ask that you remain on your daily
medications unless instructed otherwise. At the preoperative
appointment, our nurse will tell you which daily medications
to take with just a sip of water on the morning of surgery.
At your preoperative appointment you will be given
prescriptions for use following surgery including an oral
antibiotic, swelling medications and pain medications.
Please obtain these prescription medications before your
surgery so you will have them ready for use when you return
home after surgery.
The day before your surgery, we will ask you to begin
Vitamin C 1000 mg (ascorbic acid), which helps promote
healing, three times a day with food for one week before and
two weeks following surgery.
You may not eat or drink after midnight the evening before
the procedure unless instructed otherwise. You may brush
your teeth. Your procedure will be cancelled if you do not
follow these instructions.
Someone must be available at all times while you are here at
the clinic for surgery. Someone will need to drive you home
after your surgery and stay with you that evening.
Transportation to the office for suture removal three days
following surgery is also recommended.
After Neck Liposuction
When you wake up from surgery you will notice a chinstrap
dressing that may feel a bit tight because of the swelling.
This dressing helps minimize swelling and promotes the skin
to adhere securely to the underlying architecture. Following
your neck liposuction, the nurses will ask assist you to
meet the discharge criteria: to drink liquids, walk with a
steady gait, void, manage your discomfort, and have a
responsible adult at home following the procedure. The
nurses will review all instructions you will need for care
following neck liposuction.
The chin dressing must be kept dry and in place for 24 hours
following surgery. You will be asked to come to our office
(not the Surgery Center) the next day after surgery for
dressing change. The next appointment is postoperative day
four or five for suture removal. The morning of the suture
removal, we ask you to shower and wash your hair (it's OK to
get the sutures wet), prior to your suture removal
Although most patients describe suture removal as discomfort
rather than pain, you are encouraged to take your pain
medication about an hour prior to suture removal. When
sutures are removed, small steristrips will be placed to
reinforce the incision. These steristrips must remain dry
and in place for four days.
Keep dressing dry and intact the evening after surgery until
your appointment the next morning. Notify your doctor if the
dressings become loose or fall off.
Most patients complain of discomfort more than pain. Use
pain medication as directed/as needed. Taking pain
medication with food helps minimize nausea sometimes
associated with pain medications.
Start your antibiotic (Keflex/cephalexin) when you get home
and one at bedtime. It is not uncommon to have a low-grade
fever for 24 to 48 hours following surgery.
Start swelling medication when you arrive home. Take with
Vitamin C (ascorbic acid) 3000 mg. daily for two weeks helps
Advance diet from liquids to soft food to your regular diet
as tolerated. There are no dietary restrictions for neck
liposuction patients postoperatively.
Rest for entire day after surgery. Sleep with head of the
bed elevated or use two to three pillows for one week after
surgery. Absolutely no bending, lifting or straining. If you
have little children, bend at the knees or sit on the floor
and let them climb on to your lap. No driving for one week
following surgery. One week off work is recommended; two
weeks off is ideal.
Always protect your face from the sun. At this point, a hat
and sunglasses are a good idea. Following surgery, our staff
will tell you when it is ok to apply sunscreen, cosmetics or
facial creams. Avoid unprotected prolonged sun exposure for
three months following neck liposuction to prevent
pigmentation of incision lines.
Swelling, bruising and disrupted sleep are very normal
postoperative symptoms and will decrease as the healing
process occurs. Assistance with daily activities the first
two to three days after surgery is recommended.
Following neck liposuction, it takes time for the swelling
to subside and for the skin to heal. Most patients return to
work one week following surgery, however patients
occasionally will remain out of work two weeks, depending on
the degree of privacy one is trying to maintain. At two
weeks postoperatively, swelling and bruising may be apparent
to you but not to many of your coworkers and closest
Final results following neck liposuction are not apparent
for one full year following surgery. After three months, the
changes are ever so subtle, although still important. Being
perfectionists about our work, you may tell us you are
pleased long before the one-year anniversary. However, we
request that you follow-up with us at that time for
postoperative photographs and so that we can enjoy your