Overview
Whether it's that last bit of fat that won't leave your neck, or it just seems that no matter how much weight you lose, there are stubborn areas of fat that just won't go away. This is especially true of the fat deposits below the jaw and on the neck, also called the submental area. When fat resides in the neck, it can often give an individual the dreaded double chin. Liposuction is used in this area to help attain a sleeker, more distinct neck, and has the ability to garner excellent improvements to the appearance of the neck and profile. However, for individuals with loose and sagging skin, a neck lift may also be warranted. During the initial consultation in Scottsdale, AZ with our board-certified surgeon, Dr. Paul Holden, the appropriate assessments will be made to gain insight as to whether neck liposuction will be enough to attain the desired results.
Reviews
Surgical Technique
During liposuction, a small incision will be made just below the chin and excess fat will be removed from the neck through a cannula. Most surgeons prefer to use the tumescent (“superwet”) liposuction technique. During this approach, a liquid made up of saline, a numbing agent and a substance that controls bleeding will be injected. This procedure may be a stand-alone procedure but, in most cases, it used in unison with the neck lift.
Neck Lift
Once the fat has been removed from the neck, incisions are made under the chin and near the ears to allow the surgeon access to the neck muscles. At this time, the muscles will be pulled tight and the overlying skin will be stretched and re-draped over the neck so the desired definition and contour is attained. A drain may be placed under the skin to help collect fluid and blood, but this drain is usually removed within 24-48 hours. If a combination procedure is taking place, such as a facelift, the neck lift will most likely occur after the facelift has been completed.
During/After Surgery
All neck liposuction procedures are performed in a surgical facility under monitored anesthesia care (MAC) sedation. Following surgery, patients will wear a compression garment to control swelling. Patients who have a combined surgery of neck liposuction plus a lift will have a longer recovery period. During the first follow-up visit, when all bandages are removed, patients will be able to see the results immediately.

Neck Liposuction FAQs
Will I Have a Scar?
Scarring with liposuction is very minimal. The incisions will range from keyhole punch marks to very small lines and usually are not an issue with this procedure.
What About a Small Amount of Fat?
Liposuction removes both small and large amounts of fat. Patients that have a small, yet distinct bulge residing just under the chin will benefit greatly from this procedure. The removal of this fatty bulge should be fairly straightforward.
Does the Fat Come Back?
The fat cells removed during liposuction do not come back. However, patients that gain weight after surgery are at risk of regaining fat because the remaining cells left behind can expand and become larger. Patients that adhere to a healthy diet and exercise program will continue to see results years after their surgery.