Under Chin Vs Behind the Ears Incision for Chin Liposuction?

Here is the reason why some doctors only make a single incision under the chin and others use  two additional incisions by each ear ( I make mine in the ear lobe crease). It  depends on the fat distribution and to some extent the skill of the surgeon. For a small amount of fat just below the chin a single incision is adequate. However for a full neck fat that extends significantly beyond the center the best results are usually obtained with having access behind the ears.

The surgical approach to liposuction of the neck
varies from patient to patient and depends on the location of the fat. In the
majority of cases, a midline chin incision is utilized. This provides access to
the central neck where most of the fat is usually located. In more severe cases
where the fat extends more posteriorly towards the angle of the jaw, bilateral
incisions can be made inferior to the ear lobule. This approach provides
excellent access to the lateral neck region.

All of these incisions are well hidden and heal
nicely. They provide excellent access to the neck and yield excellent aesthetic
results. It’s important to understand that the results of neck liposuction are
excellent and patients report high satisfaction rates, irregardless of the incision
location. 

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 and more complete fat removal.

 

 

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 treatment to you.