I Could Not See Any Report if Somebody Treated Face by Using Cellulaze. Can Be Cellulaze Used for Small Areas Like Jowls, Neck?

Doctor Answers 11

Cellulaze for the Jowls and Neck is Now Called Precision Tx and Is Effective

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The Cellulaze side-firing fiber was adapted for use in the neck and jowls with a smaller fiber and handpiece. The idea is to use the Celulaze technology to tighten the skin of the lower face and neck just as it is done in the thighs. Fatty deposits in the jowls and neck can be treated with the laser directed toward the fat until the fat is melted, then liposuction is done with a small cannula. The laser is then turned up  toward the skin, and controlled heating is applied systematically and under Thermalguide computer control to make sure the temperature of the skin stays in the desired and safe range until a certain amount of energy has been delivered. A smooth result can be obtained and the heating of the undersurface of the skin leads to some immediate and sustained skin contraction over a period of several months.  Patients should consult a board-certified plastic surgeon to be sure their expectations align with what the Precision can achieve. This is not a deep layer and skin tightening facelift which some patients would need. However, as others have commented it fills a gap for those who want a good liposuction procedure for the jowls and neck with the benefit of some skin tightening, more than can often be achieved with liposuction alone.

Mountain View Plastic Surgeon
5.0 out of 5 stars 54 reviews

Treating Jowls and Neck with Cellulaze / Precision Tx

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Your question was asked a while ago, but there are new developments which make it very pertinent today!  The Cellulaze technology, which uses laser and liposuction to treat cellulite, has been very successfully applied for neck and jowl lifting / tightening with Precision TX from Cynosure.
Precision TX is a minimally invasive procedure, performed by a qualified surgeon in his office under local anesthesia through three tiny, inconspicuous incisions.  It addresses skin tightening directly by delivering laser energy to the undersurface of the dermis, rather than having to penetrate from the outside as with traditional laser skin treatments.  In addition, the laser fiber is directed at the deeper layer to dissolve excess fat which can be removed with liposuction at the same session.  The results, while not as dramatic as with open neck- and facelift, are significant, and the expense and downtime are only a fraction of those from surgery.
This procedure fills a previous gap in our treatment options, and is ideal for patients who are looking for neck and jowl tightening without open surgery.  There are still relatively few physicians offering Precision TX, and many surgeons are not aware of the excellent results that can be achieved with it.  I'd encourage any patient considering neck surgery to look into this option before making their decision.  

James Bartels, MD
Manchester Facial Plastic Surgeon

Cellulaze areas

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Cellulaze can be used for the arms, abdomen, neck and legs but make sure the indication is there. Often what really benefits a patient is liposuction of this area. Cellulaze would mainly address any laxity of skin. See a board certified plastic surgeon In my practice in the San Francisco Bay Area I have come to the conclusion that the happiest patients are those that have realistic expectation on what Cellulaze can do for them. Hope this helps! Dean Vistnes.

M. Dean Vistnes, MD
Bay Area Plastic Surgeon
4.9 out of 5 stars 51 reviews

Cellulaze for dimpling skin

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Cellulaze is used on the body in areas that have lumpy dimpling skin. If you want to tighten the skin on the jowls and neck it would be best to try Smartlipo or Precision TX. Smartlipo will remove unwanted fat from the area and tighten the skin while Precision TX will tighten the skin. It is best to consult with your surgeon and decide which procedure is best for you.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Can Cellulaze be Used to Treat Small Areas like Jowls and Neck?

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Cellulaze was designed specifically to treat areas of cellulite on the body only. The company that developed Cellulaze (Cynosure) has also introduced a very similar device called Precision Tx for treatment of areas of the face and neck, and was recently featured on the Dr. Oz show. 

The Precision Tx fiber uses the same laser wavelength as Cellulaze but the fiber is smaller to deliver less energy more precisely. The laser beam is split, just like it is in Cellulaze, so that the energy can be directed towards the undersurface of the skin to get enhanced skin tightening. The Precision Tx device was designed to treat small areas in the face like the neck and jowls. 

Just remember that it is not a miracle device and there are limitations to the amount of improvent that can be achieved. Still, it offers a less invasive means of changing facial contour and will be very useful for a range of individuals. It will not replace traditional facelift techniques for people who have more advanced changes or those who want more complete correction. 

It is important to consult with a Real Board Certified Plastic Surgeon who is experienced with both procedures and can give you a balance assessment of what might work best for you. 


Cellulaze for neck

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Though not typical Cellulaze in the traditional sense, the same Sidelaze technology with a smaller fiber (800um as opposed to 1000um) is used for the neck and lower face.  It can be helpful to improve areas with fat reduction and skin tightening but treatment there is a limit to how much can be achieved--an area should not be treated too aggressively to achieve greater fat loss because skin not tighten adequately.  It's always best to have a consultation with a board certified plastic surgeon that is experienced with the procedure to get the most accuratte information for your particular case.

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

SideLaze minimally invasive rejuvenation of face and neck

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The SideLaze800 is a side-firing laser with precise temperature control used to address skin laxity of the face and neck, as well as treating the fat of the neck.  It shouldn't be thought of as equivalent to surgery, but for the right candidate can be a good alternative.  It also avoids scars, limits cost, offers a quick recovery, and can easily be done under local anesthesia.

Cellulaze, Sidelaze, Facial and Neck fat/ tightening

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The Cellulaze/Sidelaze system is useful for tightening of the neck and reduction of fat.  Due to potential damage of the nerves removal of the fat from the jowls is not recommended. The Sidelaze may be used for tightening of the jowls skin with  liposuction or the Smart Lipo to safely remove the jowl fat. Cheers

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon


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Dear biz345


The unique side firing laser utilized in Cellulaze has been used for the treatment of the jowls and neck to improve the shape and texture of the skin.  A smaller more controllable handpiece and fiber are used for this procedure.  I would contact a board-certified plastic surgeon that has experience with Cellulaze to see if you are a candidate for the newest procedure available.


Robert Kratschmer, MD

Sidelaze fiber can be used for the jowls and neck

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Some Cellulaze surgeons have the Sidelaze800 which allows for treatment of the jowls and neck with the same laser.  In this procedure, the laser is used to plane down areas of excess fat and tighten the skin.  Sometimes liposuction is required in the neck area as well.  I don't believe the results can ever be as good as a neck and facelift, but this is a good alternative.  Laser skin tightening can be effective, but the results can be variable and does not work well in patients with a signficant amount of loose skin.

Shim Ching, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.