A shapely neck is admired by cultures throughout the world. A young and firm neck draws attention to the shape of the chin and face; however, not all necks are shaped alike. Whether because of age or genetic predisposition, fatty deposits gather in the neck, resulting in a loss of shape in the chin and neck.
Often done in conjunction with a face lift, neck liposuction gently removes the sagging fatty tissue that has collected in the lower face and underneath the chin. Liposuction of the neck is appropriate for men and women of all ages.
The procedure is performed in our office, usually on an outpatient basis. Neck liposuction is generally performed under local anesthesia, which allows you to remain awake but anesthetized and relaxed. The procedure takes about one hour, depending on its extent.
Preparation
Eat a balanced, nutrient-rich diet before surgery. A healthy diet will help speed recovery. Plan ahead and prepare nutritious meals that are easy to warm up so that you won't need to spend too much time in the kitchen during your recovery.
If you smoke, abstain from smoking for at least six weeks before and after surgery. This reduces the risk of infection and encourages faster healing.
Do not take any medicines containing aspirin or ibuprofen during the two weeks preceding surgery.
Do not eat or drink after midnight the night before surgery.
Be certain you do not have a cold or sunburn the day of surgery.
Do not wear make-up or contact lenses to surgery.
Arrange to have someone take you home after surgery and, if possible, help you around the house for a few days while you recover.
Procedure Overview
Using the "tumescent" technique, the surgeon injects the area with a large amount of sterile saline solution in order to make the area tumescent or firm. The saline solution also acts as a local anesthetic as it constricts the blood vessels, which reduces discomfort and lessens the bruising that follows liposuction.
After the area is firm, the surgeon makes a tiny incision either beneath the chin or in the crease under the ears.
A narrow tube called a cannula is inserted through the incision and excess fat cells are vacuumed out. The incision is stitched up and a compression bandage is applied to the treated area.
What to Expect After Neck Liposuction
After the procedure is over, patients may experience some numbness and swelling and/or discomfort at the incision site. This is normal and will pass with time. Incision site pain is usually minimal and can be controlled with medication, if necessary. Swelling can be treated with cold compresses.
The compression bandage is usually removed in our office the next day, but patients should continue to wear the bandage at night for several weeks to speed recovery.
Within two days you should be able to return to work, if liposuction is the only procedure performed. If done in conjunction with another procedure, patients usually won't notice any additional discomfort.
Risks
As with any surgery there is the risk of complication. Most complications associated with liposuction are minor and will pass with time. Possible complications include bruising, infection, and reactions to the anesthesia. You can reduce your risk of complications by closely following instructions both before and after surgery.
Gastric Bypass Surgery Information
Fluid Injection, a technique in which a medicated solution is injected into fatty areas before the fat is removed, is commonly used by plastic surgeons today. The fluid -- a mixture of intravenous salt solution, lidocaine (a local anesthetic) and epinephrine (a drug that contracts blood vessels) -- helps the fat be removed more easily, reduces blood loss and provides anesthesia during and after surgery. Fluid injection also helps to reduce the amount of bruising after surgery.
The amount of fluid that is injected varies depending on the preference of the surgeon.
Large volumes of fluid -- sometimes as much as three times the amount of fat to be removed -- are injected in the tumescent technique. Tumescent liposuction, typically performed on patients who need only a local anesthetic, usually takes significantly longer than traditional liposuction (sometimes as long as 4 to 5 hours). However, because the injected fluid contains an adequate amount of anesthetic, additional anesthesia may not be necessary. The name of this technique refers to the swollen and firm or "tumesced" state of the fatty tissues when they are filled with solution.
The super-wet technique is similar to the tumescent technique, except that lesser amounts of fluid are used. Usually the amount of fluid injected is equal to the amount of fat to be removed. This technique often requires IV sedation or general anesthesia and typically takes one to two hours of surgery time.
Ultrasound-Assisted Lipoplasty (UAL). This technique requires the use of a special cannula that produces ultrasonic energy. As it passes through the areas of fat, the energy explodes the walls of the fat cells, liquefying the fat. The fat is then removed with the traditional liposuction technique.
UAL has been shown to improve the ease and effectiveness of liposuction in fibrous areas of the body, such as the upper back or the enlarged male breast. It is also commonly used in secondary procedures, when enhanced precision is needed. In general, UAL takes longer to perform than traditional liposuction.
Power Assisted Liposuction
Lipoplasty (liposuction) has proven to be a very popular surgical cosmetic procedure; see current American Society for Aesthetic Plastic Surgery (ASAPS) statistics. Power-Assisted Lipoplasty (PAL) is a relatively new technique, approved for general use by the FDA in December 1998, and is not yet widely used. Most lipoplasty procedures are performed using traditional suction-assisted lipoplasty (SAL) and certain procedures can benefit from ultrasound-assisted lipoplasty (UAL).
Technique:
In PAL, a reciprocating cannula, or hollow tube (powered by gas or electricity) powers through tissue and vacuums out fat and fibrous or scarred tissue reportedly with minimal effort. The back and forth motion of the tip of the cannula facilitates passage through tissue.
Benefits:
Procedure may be gentler for the patient, possibly causing less bruising, swelling and discomfort.
May provide a more rapid recovery, with quicker return to work and activities.
Patients may spend less time in the operating room and under anesthesia than with other lipoplasty techniques.
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