Lower neck lipo - are there any procedures that would help the lower part of my neck? (Photo)

Hi, thank you for sharing your photos and background—it really helps to understand your concerns.
From what you’ve described, it sounds like you have a congenital fat deposit around the lower neck, which can be particularly challenging because it lies below the area traditionally treated with standard neck liposuction.
SmartLipo (laser-assisted liposuction) can sometimes reach more difficult or fibrous areas, but it depends heavily on your individual anatomy and skin laxity. Not every surgeon has experience with this device, which may be why it wasn’t suggested to you. In carefully selected patients, SmartLipo can help contour stubborn fat in smaller or more unusual areas, including parts of the lower neck—but results and safety depend on precise technique and the amount of fat present.
Other possible options include:


Submental liposuction with advanced techniques: Some surgeons can adapt liposuction approaches to target areas below the standard lines, though it requires careful planning.


Renuvion or other skin-tightening devices: These are best combined with fat removal to improve skin contraction after contouring.


Non-surgical options: Energy-based fat reduction like Kybella or cryolipolysis may be considered, but effectiveness in congenital, fibrous fat deposits is limited and less predictable.

It’s important to remember that each patient’s anatomy is unique, and the lower neck can be tricky due to vital structures and skin elasticity. Some cases may require a combination of targeted liposuction plus skin-tightening technologies to achieve the best outcome safely.
In short, while it is challenging, there may be solutions beyond traditional liposuction, especially with a surgeon experienced in advanced contouring techniques and devices like SmartLipo.