Will neck liposuction fix my genetic fat neck? (Photo)

Question

My neck has excess fat that does not go away w/ weight loss. How can this be fixed ?

Semih Yildiz, MD, FEPOBRAS · Answer

Neck liposuction can be a good option when the fullness is mainly superficial fat under the chin and upper neck, especially if the skin has good elasticity and can tighten after the fat is removed. It is often used for people who have a genetic double-chin/full-neck pattern that does not improve much with weight loss.

In your side-view photo, there appears to be fullness under the chin and a softer neck-chin angle. A photo cannot show whether that fullness is mostly superficial fat, deeper fat, muscle position, salivary glands, skin laxity, or chin/jaw projection, and those details determine the right treatment.

If the issue is mostly superficial fat, submental/neck liposuction may improve the contour. If there is deeper fat under the platysma muscle, a low hyoid bone, prominent digastric muscles, enlarged glands, loose skin, or a small/retrusive chin, liposuction alone may give only a partial improvement. In those cases, options may include deep neck contouring, platysmaplasty, skin-tightening procedures, or chin augmentation depending on the exam.

The most important step is an in-person evaluation by a board-certified plastic surgeon or facial plastic surgeon who does a lot of neck contouring. Ask specifically whether the fat is superficial or deep, whether your skin is likely to retract well, whether your chin position contributes to the profile, and what result is realistic with liposuction alone.

If you are a good candidate, neck liposuction is usually a relatively focused procedure, but it still has risks such as swelling, bruising, unevenness, numbness, contour irregularity, loose skin, and the need for revision. The best plan should match the anatomy rather than assuming all neck fullness is just fat.

Chet Mays, MD · Answer

Thank you for submitting your question and including photos. You would be a great candidate for submental liposuction. Unfortunately that fullness is usually genetic but can be decreased with liposuction. I recommend scheduling a consult with a board certified plastic surgeon like myself so we can create a surgical plan based on your goals.

Carlos Mata MD, MBA, FACS · Answer

Thank you for your question. When diet and exercise do not successfully reduce excess fat in the neck area, neck liposuction can be a helpful treatment option. The outcome also relies on the skin's elasticity; younger individuals with more elastic skin generally experience better skin retraction after liposuction. I would recommend skin tightening to give you the best results possible.

J. Timothy Katzen, MD, FACS · Answer

Hello madisonvvvl,

Thank you for your question regarding the best solution for genetic neck fat.

Based on your description and photo, liposuction is an excellent solution for addressing excess fat in the neck, especially when it's resistant to weight loss.

Why Liposuction is Ideal for Genetic Neck Fat:

Targeted Fat Removal:

Liposuction precisely targets and removes fat from specific areas, making it highly effective for contouring the neck and improving your profile.
Permanent Results:

Once the fat cells are removed through liposuction, they do not grow back. This ensures long-lasting results, providing a more defined and slimmer neck appearance.
Minimally Invasive:

Neck liposuction is a minimally invasive procedure with a relatively quick recovery time. It involves small incisions and leaves minimal scarring, usually hidden in natural creases.
Genetic Fat Reduction:

Since your neck fat is genetic, it is likely resistant to diet and exercise. Liposuction can effectively reduce this stubborn fat, giving you the desired contour that weight loss alone cannot achieve.
Conclusion:

You would be an excellent candidate for neck liposuction based on your photo and description of genetic neck fat. This procedure will effectively address the excess fat and provide you with a more defined and aesthetically pleasing neck contour.

Good luck, and I hope I’ve answered your question regarding the best solution for your genetic neck fat.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic Surgeon

Reza Rod, MD · Answer

Thank you for submitting your question and photo. Although it is difficult to give a precise opinion without a physical examination, I think you’re an excellent candidate for liposuction. There is minimal amount of fat to be removed, however, proper liposuction will make an excellent difference in contouring your neck.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

Neck liposuction can be an effective solution for reducing excess fat in the neck area, including fat that is genetically predisposed. The results are immediate, with significant changes visible once the swelling subsides.

Genetic factors can influence where your body stores fat, including the neck area. Neck liposuction can effectively reduce this fat, but maintaining the results requires a healthy lifestyle.

Consulting with a qualified plastic surgeon is essential to determine if you are a good candidate and to discuss your specific goals and expectations. The surgeon can also provide advice on maintaining the results and addressing any additional concerns, such as skin laxity.

Sincerely, 
Dr. Emmanuel Mallol

Igor Burko, MD · Answer

Hello, my name is Dr Burko, and I am a Plastic Surgeon at SY Aesthetics in NYC. In your case, it looks like your skin tone is very good with minimal skin laxity. Therefore, I think submental liposuction would be a good option to help contour your neck. It is best to consult with a plastic surgeon to go over goals and expectations prior to any procedure.

Dev Vibhakar, DO, FACS · Answer

Hi,Congrats on your weight loss. Based on the single photo it does appear that you may have a small fat pocket and minor skin redundancy in that central neck area. The first step is to see a board certified plastic surgeon to determine if this is truly a fat pocket or submandibular glands that are showing in you neck area after weight loss. Next is to determine the amount of skin laxity and quality of the skin. If it is a fat pocket then liposuction will help contour the area +/- some form of skin tightening (J plasma vs Morpheus vs FaceTite- depends on surgeons preference/experience).Hope this helps, Dr. Dev

Arif Eroglu, MD · Answer

Hello; in order to reduce fat under your neck and chin areas; the best method is after Vaser, with thin cannulas; decreasing for the fat and preventing the skin from loosening; is the implementation of the "Renuvion J Plasma" technique to the skin.

James Knoetgen, III, MD · Answer

Neck liposuction can effectively address excess fat in the neck area, including what is often referred to as a "fat neck" or "double chin," which may be influenced by genetic factors. However, it's essential to consider several factors before deciding if neck liposuction is the right solution for you:
Suitability of Neck Liposuction
1.	Excess Fat: Neck liposuction is suitable for individuals with localized fat deposits in the neck area. It can help create a more defined jawline and slimmer neck.
2.	Skin Elasticity: Good skin elasticity is important for optimal results. If the skin is too loose, liposuction alone may not achieve the desired outcome, and additional procedures like a neck lift might be recommended.
3.	Overall Health: Being in good overall health and having realistic expectations about the surgery and its outcomes are crucial.
Procedure Overview
•	Consultation: A thorough consultation with a board-certified plastic surgeon is necessary to assess your specific situation and determine if you're a good candidate for neck liposuction.
•	Procedure: The surgery typically involves making small incisions under the chin or behind the ears, through which a cannula is inserted to suction out excess fat.
•	Recovery: Recovery time can vary, but most patients return to normal activities within a week or two. Swelling and bruising are common but usually subside within a few weeks.
Benefits
•	Improved Contour: Enhanced definition of the jawline and neck.
•	Permanent Results: As long as a stable weight is maintained, the results are typically long-lasting.
Considerations and Risks
•	Risks: As with any surgical procedure, there are risks, including infection, asymmetry, contour irregularities, and reaction to anesthesia.
•	Genetics and Weight: If genetic predisposition or weight gain continues, fat can return, although not necessarily in the same area.
Alternative Options
•	Non-Surgical Treatments: Procedures such as Kybella (injectable treatment) and CoolSculpting (cryolipolysis) can also reduce neck fat without surgery.
•	Lifestyle Changes: Diet and exercise might help reduce overall body fat, including the neck area, though spot reduction is generally not effective.
A detailed consultation with a skilled plastic surgeon will provide recommendations based on your individual needs and goals. They can offer insights into the potential benefits and limitations of neck liposuction for your specific case, ensuring you make an informed decision.

Will neck liposuction fix my genetic fat neck? (Photo)

Answers (14)

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