The marginal mandibular branch crosses the mandible and goes from being deep in the neck to superficial in that part of the face. This means that Liposuction in the Jowls can potentially damage that branch of the facial nerves, causing to a stroke, like appearance, when moving your mouth or smiling. Facial nerve injury from Liposuction when it happens is usually temporary, but can be very upsetting to patients. This can’t happen from Liposuction so it’s always safer to stay below the jaw line. I personally no longer do Liposuction of the Jowls. Delivering consistent quality, Liposuction results is more difficult than most people realize. I cannot emphasize enough the importance of provider selection. To find the right provider I suggest patients have multiple in person consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of patients with previous characteristics similar to your own. Inexperienced plastic surgeon should have no difficulty showing you with the before, and after pictures of at least 50 previous patients. Being shown a handful of preselected images, representing the best results of the providers career is insufficient to get a clear understanding of what the average results look like in the hands of each provider or how many of these procedures I’m actually done. In the end, understanding your candidacy for the procedure, and choosing the right provider are the two most important variables. Focus your efforts on these two key variables. Best, Mats Hagstrom, MD