Face and Neck Liposuction
DURATION: 30 minutes
RECOVERY: slight bruising, 1 week of a compression wrap, sutures for 5 days
INSURANCE COVERAGE: No
What is submental liposuction? Fat buildup in the neck and under the jawline (double chin) can create a rounded facial appearance. It is the sharp lines of the cheekbones and jawline that frame and enhance our most important facial features. Liposuction involves using a special cannula to gently loosen and remove fat.
Who is the ideal candidate? While removal of the fat can give an improvement to almost any patient, certain patients can benefit more than others. Younger patient’s (<50 years old) tend to have skin that will retract back down once the fat is removed. Other candidates that get great results are those whom have a low body fat percentage but still have a stubborn double chin. This is often inherited but doesn’t have to be!
What about Kybella? I published the landmark paper on Kybella and it’s cost efficacy. I reviewed the papers submitted to the FDA for approval and found that they used over $6000 worth of Kybella to get an improvement. In addition to being way to expensive for the results you get, Kybella causes a significant amount of pain and swelling, there is a 4% chance of nerve injury, it can cause bald spots in a beard, and worst of all: it has to be repeated 3-4 times!
There are VERY few patients who I ever recommend Kybella too. Even though it is performed by many doctors, you will rarely find someone qualified to do liposuction tell you that Kybella is a good option. Lastly, Kybella and Coolsculpting only address the central fat or the area under the chin. They do not help define the jawline which in today’s selfie driven world is important!
What is the procedure like? The procedure takes a little bit over 30 minutes. You have the option of taking a Xanax or two and then I gently numb your neck with local anesthetic. Three <1cm incisions are made: one in the crease below your chin and one in each crease below your earlobes.
I use a special technique where I begin with passing of the cannula in a superficial plane that does not remove any fat. The purpose of this dry liposuction is to create a plane which will help your skin retract down to the underlying tissues and not only give you a contour improvement but also help with tightening the neck. After this, we use a 3mm cannula to remove the fat between your skin and the muscles of your neck.
You are able to go home immediately after with 3-4 stitches you will have are removed after 5-7 days. There will be some swelling and possibly some bruising for 3-5 days and it takes about a month to see your final result. We ask you to wear a compression bandage around your face and neck for a week and then you can continue wearing it for another week just at night.