Liposuction will not tighten skin of jowls and neck after Facelift Surgery
If you have excess fat and NO LOOSE SKIN in your neck after Facelift then Liposuction may help. New laser Liposuction may also help tighten the skin a small amount.
However if you truly have jowls and neck folds caused by skin laxity Liposuction will not adequately tighten neck and jowl skin.
In fact using Liposuction near the angle of the lips can cause serious irreversible nerve injury and a crooked mouth.
If you have significant jowls and neck laxity after a Facelift it is very likely you will need a revision Facelift with emphasis on the lower face and neck. This likely needs to include an incision under the chin and a Platysmaplasty-a procedure to suture tighten the neck muscles under the chin. This procedure should give you a nice tight neck and jaw line
As we age, certain areas of our face lose volume selectively more than others. This may accentuate the jowl. One key aspect of a youthful appearance is maintaining facial volume. Sometimes adding volume to other areas will create a youthful look and diminish the jowl.
Liposuction to Tighten Jowls and Neck
Liposuction will remove bulk but will not, as an isolated procedure, tighten the jowl and neck skin in a revision of your previous facelift. It is best to wait at least 6 months after the first operation. Make sure you and your surgeon agree on the goals of any future work.
Tighteting jowls and neck
You will get some relaxation of the face after the swelling resolves. Unless you had a lot of fat I wouldn't liposuction your face. It can tend to leave some irregularities.
Whether or not liposuction may help after a facelift really depends on the individual and his/her neck features. If there is a significant degree of fat, then liposuction will improve the neck and jawline. However, the problem of excess skin remains. After about 30 years of age, the elasticity of the skin decreases to the point that if liposuction was successfully in removing excess fat, you could be left with dimpled, redundant skin. Ideally liposuction, if appropriate, would be combined with the original facelift. However, if not done, I would wait at least 6 months before deciding on a secondary procedure. It is possible that there is still some degree of swelling and fullness in the surgical area which will continue to contract and tighten as the healing process continues. It is very difficult to assess this until at least 3 months have passed after your surgery.
Reoccuring jowls and neck laxity after a facelift will likely need revision
Reoccuring jowls and neck laxity after a face / neck lift likely will need some type of revision. Liposuction could handle some of these issues, if these issues are related to excessive fatty tissue. The concern with just employing liposuction is the layering of the skin. With the reduction of fat, the skin will be of relative excess and may or may not redrape the way you would like it to. Also often the reoccurance is not due to loosening, it is often due to the loss of swelling from the process that was acting to pull back the neck and jowls. I know that there are certain things that you really need to do for the neck to be properly shaped and formed. You need to remove all the necessary fat that has accumulated and also you really have to treat the neck thoroughly to pull it tight. You need to do a corset neck lift and this needs to be done with an attention to detail.
Facelift vs Facial Liposuction
Liposuction will remove fat and is often used in the neck under the chin, the jowl area and sometimes along the jaw line at the time of a facelift or independently without a lift. A facelift is primarily used to tighten skin and reposition sagging tissue. If you opted for a facelift and it was part of the recommendations that your surgeon gave you then you should get a great result. Second guessing as to whether you could have gotten away with just liposuction won’t help much now. The good news is that the results from the lift will have far more longevity for you.\\
I hope that helps
Clarification for your situation
a facelift, a follow-up
liposuction procedure may help tighten and contour to the jowl and neck
area–however, only if the skin retains some elasticity and the lack of
definition is due to excess fatty deposits. If the skin has lost form
of laxity, liposuction may not be the most appropriate solution for
lost definition. In this case, a neck lift or a second facelift may be
way to achieve the desired results. The best way to forward is to see a
facelift surgeon for an evaluation of the quality of your skin.
Liposuction doesn't really "tighten" - it removes fat. This is not the procedure to treat jowls ad neck after facelift.
Microliposculpture after facelift
Submental liposuction is best in situations where a patient has minimal excess skin, but with fullness or extra fat in the "double-chin" area. It is possible that submental liposuction will help you, but if your main complaint is excess skin, you may also need a revision operation. This decision is highly individualized based on your anatomy, and I would discuss it with your surgeon.