Can you Liposuction jowls and the jawline to give it more definition?
Can Jowls Be Liposuctioned?
Doctor Answers 19
The jowls may be lipsuctioned using specialized techniques. However, this is really only best in certain situations (younger patients, tighter skin)--this is rare. Usually, this occurs in older patients and is the result of ptotic (descended) facial tissues that need repositioning, volume shifts, and even loss of bone on the mandible. So, optimum treatment would involve more than simply liposuction. An experienced surgeon can help determine what might be best for you.
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Jowls can be improved with liposuction
The success of facial Liposuction in improving the appearance of the jowls depends upon a few factors. If your jowls are heavy and have a great deal of fat in the sagging portion of the jowls, then liposuction would be very helpful in reducing the redundancy of your jowls.
I have been very pleased with the use of laser lipolysis in this area for redundant heavy jowls. If you are relatively thin, and the majority of your problem is skin, muscle, and other tissue laxity and very little fat, then you may get some skin tightening with traditional liposuction or laser liposuction, but a facelift would likely be significantly more effective in this scenario.
Yes, but usually won't achieve good results due to saggy skin
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Liposuction for better jawline definition
The jowl region can be safely liposuctioned by a competent, experienced cosmetic surgeon. The procedure should be performed conservatively to avoid depressions and irregularities. The liposuction should be relatively superficial to prevent underlying nerve injury.
Most of the time, however, the patients who seek “liposuction of the jowls” also have sagging skin in this region as well as in the neck. These people are usually more suitable to combining judicious conservative liposuction of the jowl region and perhaps the submental neck region with a redraping of the sagging skin and soft tissues, otherwise known as a face/neck lift.
The jowls and the jawline can generally be liposuctioned with some success. The results and success of the procedure depends on your age, skin elasticity and whether or not the jowls need to be repositioned as part of a mini or full facelift (this is frequently combined with lipo on the neck which can give very nice results a younger person who still has reasonable good skin elasticity).
So, overall, if you're fairly young and in good health, liposuction might be a viable option. For older or mature skin, better and more rejuvenating results will come from a mini or full facelift.
Liposuction of the jowls is risky business!
I would caution against liposuction of the jowl as the junction where the jowl meets the depression along the jawline is where the nerve to the smile passes. In general, the jowl is created by the sagging of the skin and "deflation" of the cheek. It is not usually a problem of excess fat.
When one looks at the youthful face, the face is full and has soft curves. Liposuction will not provide lift and may cause irregularities that will be difficult to correct. The subcutaneous facelift is an excellent method to lift the jowl and reestablish the round and smooth contour of the face and eliminate the jowl. Liposuction under the neck is an excellent technique with wonderful effects on rejuvination of the face.
Liposuction of the Jowls
Liposuction as a technique works well to remove fat from regions that have good skin tone. If you have elastic "snappy" skin, then getting rid of fat from below the surface will result in a nice contour. The jowls occur with aging because the face has lost elasticity and has started to "descend" - retaining ligaments affix the skin in certain regions, and thus create the marionette line creases with the jowls behind. So once you have jowls, it means you have poor elasticity. If you attempt to directly address the jowl by removing the fat, the overlying skin is even more deflated, and you are running the risks of seeing contour irregularities. Some surgeons feel they can get a good result from lipo in this region, but I consider it risky - you are more likely to get a good / smooth result with a face lift. This has the additional benefit of resetting the skin tone, redefining the neck line and jaw line, as well as enhancing the cheek region.
Use caution with liposuction of jowls
Jowls are a combination of loose skin, loose deep muscle covering (SMAS) and falling salivary gland underneath. If there is a true excess fat in this area, then Lipo can be effective, but regular lipo or laser guided need to be performed by an experienced surgeon since there is a nerve in this area that can cause a temporary or prolonged droop of the lateral lip if not respected.
Liposuction of jowls
I believe that some people may do this, but I feel that it is dangerous. The reason is that there is an nerve that runs along the jaw with some variability, and it is very possibe to injure the nerve and produce permanent paralysis.
My feeling is that the jowls are best addressed with a face lift procedure.
Jowl lipo can be done but shouldn't always be done
Any fat that has accumulated in excess and is well-localized can be reduced with liposuction. The trick for the jowls is to recognize that it is nearly always accompanied by some skin laxity, and if good judgment is not exercised, it can appear worse rather than better. Most of the time when I do lipo to the jowls it is actually part of a facelift procedure, but there is another option that has worked very well in the right patients, using immediate post-lipo Thermage. We have proven in a clinical study that the skin tightening effect is enhanced when Thermage is applied right after liposuction to the same area. We do it a lot in the neck and jowls together.