Question: I am 29 years old, male, and have an extremely prominent chin that I hate. I would like it reduced. Can this be done in conjunction with neck liposuction? I have a fatty neck, although I do not have fat elsewhere.

Answer: First of all, I would have to make sure that your teeth come together and fit together appropriately because if you have what would be considered an underbite where your lower teeth stick out further than your upper teeth then you may need orthognathic surgery on the jawbone as opposed to a chin reduction. If your teeth, otherwise, fit together normally then your chin is simply prominent then we can definitely do a chin reduction by removing some of the excess bone of the chin and setting the chin back in a more aesthetically pleasing location. This can certainly be performed in conjunction with liposuction of the upper neck and chin area.

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Question: I am thinking about having facial liposuction around my chin and jaw to create a more defined profile. How long would the results of this kind of procedure last? 

Answer: If you are a good candidate for liposuction in this area then you will greatly appreciate the enhancement that it can afford and the ease of which the recovery is. Ultimately, the results are permanent due to the fact that this fat is literally removed and fat cannot divide and replicate and therefore you will always have less volume in that area than you had prior to the liposuction procedure. Downtime is typically minimal and I only recommend that patients keep a pressure dressing on for a full 24 hours and then they can wear it as much as possible over the first week, but I have had patients literally go to work the day after a liposuction procedure in this location. 

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Question: I would like liposuction of my neck and then a necklift. Where do you perform this type of surgery? How long does the surgery last and will I have to stay overnight?

Answer: Depending on your particular anatomy and degree of aging, this type of procedure may be able to be performed in an office setting, using strictly local anesthetic and in fact I perform these commonly in this environment. The liposuction is performed first, followed by the mini-lift, which is performed through small incisions in and around the ear and the deeper layer of the face is then elevated and placed into a more esthetic position. Excess skin is removed and closed with some fine sutures, which are removed in 1 week. I do place a light pressure dressing that you can remove the following day and depending on how much bruising occurs you may have very little downtime at all. For more significant signs of aging or for those that want a much longer lasting result, I would recommend an extended SMAS deep plant facelift with a platysmaplasty, which would be performed under general anesthesia in an operating room. The mini-lift with liposuction will always allow you to look better than you would have had you never had the procedure done and at a minimum should last for several years, but the extended SMAS deep plane facelift with platysmaplasty typically lasts 10 years or more. If you have the deep plane facelift I do recommend that patients stay locally overnight since I leave a drain in.

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Question: In all pictures that I am in I have a double chin. Can a necklift get rid of the rolling around the neck and chin areas?

Answer: In most patients a necklift will get rid of the double chin; however, some patients have an excessive amount of fat under the chin that contributes to this problem and they would benefit from neck liposuction as well.  Some patients actually have excessive fat under the muscle that is under the chin and this would require a more sophisticated approach to give them a really nice neck line.  Ultimately, having a consultation with a board-certified facial plastic surgeon will allow the surgeon to examine the area and determine the best option for the patient’s particular anatomy.

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Question: I have a neck that looks thick but I am not a fat person. I would like to have liposuction done on my neck. Does this result in any bruising of the neck and is there any pain afterwards?

Answer: Most patients have very little, if any, bruising from neck liposuction but it certainly can happen so I always recommend that patients be prepared to have some visible bruising.  Otherwise, there is very minimal discomfort involved with the procedure, but I do ask that patients wear a sling for the first 24 hours after the procedure and then to wear the sling as much as possible during the first week to try to redistribute the skin and try to minimize swelling in the area.  Overall, patients typically look quite good the next day and many patients will actually return to work the following day knowing that when they get home from work they need to reapply the sling and wear it overnight.  Ultimately, I see patients back a week after the liposuction procedure to make sure that things are healing as expected and then I check them 2 months afterwards to assure that we got the result that we desired.

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