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.

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. 

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.