If there is any fullness in the neck, it is wisest to perform liposuction earlier rather than later. This is because the neck is a very gravitationally prone area. If the surgery is not performed early on, the skin may lose elasticity, leaving a lower face and neck lift as the only viable option. The majority of improvement from well done liposuction of the neck comes from the surgeon knowing how to get the maximum, even skin retraction. Although only minimal fat is generally removed, even the fattest necks, can see great improvement. I liposuction the neck in one of two ways, either through submental liposuction or by doing the entire neck. In the case of submental liposuction, it is not necessary to liposuction the whole neck (only under the chin), and only one incision is necessary. For those that have fullness of the lateral neck, it is important to liposuction the entire neck up over the jaw line, and sometimes the jowls, to achieve an optimal result. If this patient has only submental liposuction from one midline incision, the central part of the neck will retract without the lateral neck retracting. The results will either look unnatural or incomplete. For these patients, I use three incision points: one under the chin and one under each earlobe. The worst and unavoidable result of neck liposuction is having to wear a chin strap for five to seven days full time and another seven to ten days part time. For this reason, unlike other areas where my patients can_b_..._/b_
