The ideal neck liposuction techniques primarily depend on the patient’s skin quality, amount of excess fat, and cosmetic goals. Despite varying methods, the aesthetic goal remains the same: create a firmer and more refined neck and chin angle.
Recently, celebrity Los Angeles plastic surgeon Dr. Tarick Smiley has posted a Snapchat video demonstrating a surgery performed on a female patient who complained about her double chin appearance and “heavy” jawline.
Since the patient is young, which often translates to having a good skin shrinkage or elasticity, she has been deemed as a good candidate for a liposuction-alone approach.
A liposuction-alone approach does not require skin excision and thus longer scars are avoided.
Dr. Smiley started the procedure by creating three small incisions (about 1.5 mm); the first one was placed under the chin precisely at the natural skin fold, while the two were placed behind the earlobes for optimal scar concealment.
Occasionally, the use of only one incision behind the chin will suffice. But since the patient had excess fat that extended to a large surface area, a pair of incisions was also necessary to access the fats from different directions, which further promoted smoother results.
Meticulous incision placement was particularly critical because the patient is of ethnic background. Studies have suggested that darker complexion is more susceptible to hyperpigmentation (scar turning significantly darker than the surrounding skin) and keloids.
Aside from meticulous incision placement, the diminutive size of the incision (thanks to the use of liposuction microcannula) has further ensured “invisible” scars.
The use of microcannula is critical in small areas such as the neck and jawline because it removes smaller bits of fat compared to the standard cannula; this of course results in smoother skin surface.
After surgery, the patient was asked to wear a supportive chin strap for at least a week in order to keep swelling to a minimum and help the skin heal closer to the tissue, further improving the angle between the chin and neck.