Why is liposuction for the jawline not effective in some?

Surgeons may sometimes perform jawline liposuction on patients who are not ideal candidates for a variety of reasons. Understanding these reasons requires a look into the complexities of cosmetic surgery decision-making, patient expectations, and the limitations of certain procedures:
Misdiagnosis of Patient Needs: In some cases, a surgeon might incorrectly assess the patient's needs. They may believe that liposuction alone can achieve the desired outcome when, in reality, a more comprehensive procedure like a deep neck facelift is needed.
Patient Preference: Patients themselves often have specific desires or requests for certain procedures. A patient might insist on liposuction, viewing it as a less invasive option, despite the surgeon's recommendations for a more comprehensive treatment.
Lack of Awareness or Expertise: Some surgeons may not be fully versed in the latest techniques or alternatives. They might not be familiar with or skilled in more complex procedures like deep facelifts and might therefore default to liposuction, which they are more comfortable performing.
Cost Considerations: Liposuction is generally less expensive than a deep neck facelift. Some patients, concerned about costs, may opt for the less expensive procedure, not fully understanding that it might not yield the desired results.
Miscommunication: Ineffective communication between the surgeon and patient can lead to misunderstandings about what can be realistically achieved with liposuction alone.
Marketing and Trends: Sometimes, the popularity of certain procedures (like liposuction) can overshadow more effective but less well-known options. Surgeons might promote what is more commonly requested or recognized by patients.
Overlooking Long-Term Outcomes: Both surgeons and patients might focus on immediate results rather than long-term effectiveness. Liposuction can offer quicker, visible changes but may not address underlying issues that a more comprehensive procedure would resolve.
It's important to note that the outcome and satisfaction of any cosmetic surgery largely depend on the individual case. Patients should seek multiple opinions from qualified surgeons and thoroughly discuss their goals and the potential risks and benefits of each procedure. Surgeons should provide honest, clear, and comprehensive advice, keeping the patient's best interests in mind.

Thank you for your question about the effectiveness of liposuction for the jawline and why it may not always yield desired results.
Surgical Approaches for Facial Contouring:
Variety of Procedures: Facial contouring can be achieved through different methods, including fillers, VASER liposuction, facelift with SMAS plication, or a combination of these.
Consultation and Assessment: Your plastic surgeon will evaluate your face to determine the most suitable surgical option(s) based on your individual needs and expectations.
Conservative vs. Aggressive Approaches:
Many patients initially opt for less invasive methods, like VASER liposuction for the jawline, before considering more extensive procedures like a facelift.
Factors Affecting Jawline Liposuction Results:
Age and Genetics: These play a significant role in how well the skin will respond and conform to the new contour.
Skin Quality: Poor skin quality or damage, such as from sun exposure, can impact results.
Surgical Technique: The amount of fat removed and the type of liposuction (VASER is often preferred) are critical.
Postoperative Care: Wearing a compression garment consistently for the first two weeks post-surgery is vital for optimal skin adherence.
In conclusion, the outcome of jawline liposuction is influenced by a combination of factors including patient characteristics, surgical technique, and postoperative care. It's important to have a thorough discussion with your plastic surgeon about all potential options and their implications to make an informed decision.
I hope this addresses your concerns about the varying effectiveness of jawline liposuction.
Sincerely,
Dr. Katzen

The situation you described is why it is so important to research before selecting your surgeon. You want to review board certified plastic surgeons in your area including before/after photos, reviews, and credentials. Go on a few consultations and ask lots of questions. Do not simply "shop" for the surgeon who says yes to the approach you want when all others say it's not a good way to go.