It’s not unusual for patients to lose weight following neck liposuction. When weight loss is minimal to moderate, the surgical results of neck liposuction are rarely affected. When patients experience massive weight loss following neck liposuction, dramatic changes can occur in the neck region. These may include a hollowing of the central neck and the development of loose saggy skin. It’s important to understand that no two patients are alike and for this reason, treatment needs to be individualized. In the vast majority of cases we prefer that patients are within 10-15% of their ideal body weight. Unfortunately, this isn’t always possible and some patients proceed with neck liposuction before they’ve reached this goal. Under these circumstances, subsequent weight loss can cause secondary problems which may require revisional surgery. It’s safe to say that the majority of neck liposuction patients aren’t affected by normal fluctuations in weight. When patients undergo massive weight loss, all bets are off and secondary surgery may be occasionally necessary. Under these circumstances, consultation with a board-certified plastic surgeon is appropriate.