Lipo of Neck, Unsure of Results - 1 Week

Thanks for the posted photos NOW! I see a very nice early result. What is your hurry? Your neck got that way over many years, so after 1 week you want to be fully healed? Try to understand the term "realistic expectations". In your circumstance I believe full healing or result will take months. I also recommend lymphatic deep massages or external ultrasound therapy.  From MIAMI Dr. Darryl J. Blinski

Patients undergoing chin
liposuction will inevitably develop swelling following this procedure.  During the procedure the liposuction
cannula is passed through the subcutaneous tissue.  This causes disruption of the lymphatic channels and
cellular injury, which causes swelling.

Significant improvement in swelling
can be seen in the first three weeks following surgery with the majority gone
in about three months.  Small
amounts of swelling may persist up to a year following surgery.

We generally recommend the use of
compression support garments day and night for the first week following
surgery.  We also recommend
nighttime compression for an additional two to three weeks after the procedure.

In addition low salt diets and head
elevation are also helpful.  Massage
can be helpful as well.  This
maneuver decreases swelling by mobilizing retained fluid following liposuction.

In your case your swelling is
normal and should resolve with time. 
Your history indicates that a large amount of fat was removed and significant
swelling would be anticipated after a procedure of this type. Compression,
massage, head elevation, and low salt diets will
hopefully speed your recovery.

 At one week, you are having too much swelling to know your long term outcome.  Be patient for 6 months, then see your Board Certified Plastic Surgeon and reevaluate your condition.