Under Chin Vs Behind the Ears Incision for Chin Liposuction?

Question

Why do some doctors only cut a single incision under the chin and others cut two incisions by each ear? I presume more fat can be reached with 2 incisions but does the single incision limit the doctor that much more?

Larry S. Nichter, MD, MS, FACS · Answer

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.

Richard J. Bruneteau, MD · Answer

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.

Michelle Spring, MD, FACS · Answer

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.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

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

Jeffrey J. Roth, MD, FACS · Answer

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.

Paul S. Nassif, MD · Answer

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

Tanveer Janjua, MD · Answer

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.

York Jay Yates, MD · Answer

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.

Tom J. Pousti, MD · Answer

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 &ldquo;cross feathering&rdquo; 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 &ldquo;closed technique&rdquo; allows for better scars.

	I hope this helps.

Pat Pazmino, MD, FACS · Answer

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 exist in your skin.

Under Chin Vs Behind the Ears Incision for Chin Liposuction?

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