Under Chin Vs Behind the Ears Incision for Chin Liposuction?

Thank you for the question. Incisions used for chin liposuction are generally placed below the chin and/or below the ear lobes. Using more than one incision allows for a “cross feathering” technique improving chances of achieving smooth contour. These incisions should be kept as small as possible (1-2 mm). I prefer to close all incision lines because I think this “closed technique” allows for better scars. I hope this helps.

Liposuction incisions can vary depending on your anatomy and the surgeon's preference. I prefer using more incisions if I think that I can better address the contour and fat. This is because it is often easier to reach the fatty tissue from a more remote area and attack it from different directions than placing an incision right in the middle of the area to be treated. The incisions are small and heal up so well that it is worth the tradeoff for better contour... more

If you only have a double chin or fat in the middle of your neck below the chin, then liposuction can be done through a tiny stab wound in the crease directly beneath your chin. In patients who have excess fat along the sides of the neck under the jaw, then a small stab wound is made beneath the ear lobule so that the laser or cannula can reach the lateral or side portions of the neck. In addition, for some patients who have jowls or laxity of skin and fat under the jaw bone... more

It is matter of the doctor's training an experience of his/her results.  It is not uncommon to use both incisions so that the extra fat can be removed more evenly. Dr. ES

First, you are a good candidate for this procedure, (good skin and a recognizable deposit of fat). When we do Liposuction, we typically place more than one incision for the area.  This allows us to "cross cut" the area, resulting in a smoother contour.  For the area under the chin, the incisions are usually a little behind the crease under the chin, and behind each ear.  Again, it is important to talk to your plastic surgeon so he can evaluate you and tailor the... more

As you have noticed, there are several different types of incisions for Chin liposuction. In our practice, we generally start with a single incision directly behind the crease under your chin. This typically allows us access to the entire Chin region. However, if there are areas of fat that we are not able to access with this single incision, we will then make an additional incision behind one or both ears. All incisions are placed in inconspicuous areas and within lines that already... more

Hi! The incisions for liposuction of the chin and neck are the size of a pencil POINT.  So don't worry about them. We use a tiny incision under the chin, and a tiny incision behind each ear.   When I approach the neck and chin from several directions, you get a smoother contour.

Hello, The best way to perform this is with 3 incisions, at the ears and submental. This allows you to get to the jowls also. If you are limited to the chin only, the chin incision alone is good enough. Hope this helps answer your question. Dr. Nassif

To prevent rippling and waviness liposuction is best done from two opposite sites with criss crossing tunnels. If the amount of fat under the chin is localized to just that area, one could limit the liposuction port incisions to just a single incision. On the other hand, IF the fat is more widely distributed, if the surgeon wants to create a sharper face to neck definition along the jaw line, then we definitely would use two or three ports. The incisions are so small that when they heal,... more

 If the fat excess is confined to the immediate chin area, a single incision in the midline can suffice.  If there is more fat laterally or along the jawline, sometimes extra incisions will help.  They are all so small that they don't show.

The typical incision is under the chin. Two more stab incisions can be made behind the ears. All are well hidden and cosemtically never become an issue. The reason for adding the 'behind the ear' incisions is the ability to reach the fat near the jaw line and angle of the jaw. In some heavy faces it can be difficult to reach those areas from under the chin incision alone. Regards Take a look at the photo on my website homepage. It was done with under the chin incision only.

Depending on the amount of fat and the angle of the jawline and chin relative to this fat it is sometimes necessary to use lateral incisions to achieve a smooth result. This allows "cross tunneling". I never hesitate to use more incisions if it will achieve a better result. These are very small incision, especially for the neck (3mm) leaving barely perceptible scars.

Dear Shanti: Don't fret too much about how many incisions are needed for chin liposuction. These incisions are basically invisible. Obviously more incisions allow the surgeon to reach more areas of the neck. In general the fat is best attacked from different directions for optimal healing and smoothness (sort of a crisscross pattern). Defer to your surgeon in terms of what s/he think is best.