You may be suitable for facial liposculpture if you have lost volume in your cheeks or if you have a fatty neck
Facial liposculpture refers to procedures that aim to improve the definition of your facial contours. The basic idea of liposculpture is to remove excess fat when it is present (for example the chin/ neck) and to inject fat into areas where volume has been lost (for instance the cheek area). “Sculpting” the fat to achieve smooth, well-defined contours, requires care and precision.
Micro-liposuction is used to remove excess fat (see section on liposuction). Facial liposuction can be used to improve the definition of your jawline and to reduce double chins. Dramatic improvements can sometimes be achieved using liposuction alone (particularly in younger patients where skin quality is good). In other patients, loose skin remains when the fat has been removed, and the only way to deal with this is to combine the liposuction with a lower neck facelift.
Fat transfer (lipomodelling/ fat cell grafting/ Coleman fat injection) is a technique that has become very popular over the last 15 years or so. It involves removing fat from one part of the body (usually the abdomen, buttocks or thighs) and its transfer to another part of the body. The fat is removed using liposuction and is prepared in the operating theatre to separate the fat cells. The fat is then injected where it is needed. The areas of the face most commonly treated are the cheeks, to restore the youthful appearance of “high cheekbones“. Fat is used in the same way as fillers but has the advantage of being completely natural. It can give a long lasting result but some absorption of fat will occur, and a repeat procedure may be required. Fat transfer can be used in isolation or combination with other facial surgery when needed.
Am I a candidate for neck liposuction?
You might be a candidate for neck liposuction if you have fatty tissue under your chin and neck area and have good quality skin. If your skin is too loose, then liposuction to the chin is likely to make this worse.
What are the alternatives to neck liposuction?
A weak chin can exacerbate the appearance of a fatty neck or “double chin”. Where the chin is weak, chin augmentation with dermal fillers or with a chin implant can help improve the definition of the jaw and neck. Chin augmentation can be combined with neck liposuction to give added overall refinement to the neck. If your neck skin is loose or wrinkled, then you may benefit from a formal neck lift procedure.
How is the procedure performed?
Neck liposuction is a simple procedure that can be carried out under local or general anaesthetic. When liposuction is carried out on its own, it is usually performed as a walk in walk out procedure under local anaesthetic. Your neck will be numbed using local anaesthetic injections. Tiny 2mm incisions are then made using a needle to allow a small liposuction cannula to remove the excess fatty tissue. The procedure then takes around 5-10 minutes to perform. No stitches are required, and small dressings are applied to the liposuction insertion sites. You do not need any bandages or strapping.
Is there any scarring?
The scarring following neck liposuction is barely perceptible as the incisions used are so small.
What is the recovery like?
You can expect a degree of swelling and bruising which will usually settle by 7-10 days.
When can I expect to see the outcome?
You should notice a difference to the appearance of your neck by four weeks, but the final results can take 3-4 months to become apparent.
What are the risks?
Neck liposuction requires careful attention to detail. If liposuction is performed too aggressively, it can leave an uneven appearance as well as indentations which are difficult to correct. Rarely there may be some bruising to the nerve that moves the corner of your mouth, and this can take days or weeks to recover. If liposuction is performed on the wrong patients, it can leave loose hanging skin.
How much does it cost?
Neck liposuction – from £1800 under local anaesthetic
All inclusive costs for one year following surgery