Experience from Laser Lipo on Neck and Jowls?

Dear Akimber
There is no evidence that using a laser based instrument for liposuction of the neck and jowl is any better than microcannula liposuciton. What is clear is that the surgeon has to charge additional fees to cover the cost of a $150,000 machine. Irresepective of the method used to accomplish liposuction of these area, recognize that these are wonderful methods for the right people. We often perform lower face (jowl) and neck liposuciton under local in the office operating room on Thursday and the patient returns to work that Monday with absolutely no signs they have had a surgical procedure.
When there are neck cords and significant skin laxity, lower face and neck liposuction will be disappointing. Yes liposuction is a big component of what is done in a lower face lift. However, for many deep suspension of the facial muscle planes and removal of lax skin is needed to rejuvenate the face.
Best advise, seek multiple consultations, study the before and after photos and then choose your surgeon carefully after considering who makes the most sense and who you are most comfortable with.

I don't do jowls above the jaw due to risk of nerve injury.
It works fine, slightly decreased down time and bruising. Better shrinkage of skin compared to traditional liposuction.
The key is the degree of skin laxity- too much and a neck lift would be the better option.