Is it possible to have lipo for stubborn neck fat (not thyroid related)? (Photos)

Question

Hi, I have been dealing with lower neck fat my whole life, it has been more prominent in the last few years as I have gained weight. My GP thought it could be thyroid related however that was ruled out with bloods and an ultrasound, I was told it was genetic I really want to get this removed as I am very self conscious, is it possible to have lipo in that area or other treatments kindly help!!

Ryan Rebowe, MD · Answer

While it is possible to have liposuction, I would consider radiofrequency or other noninvasive treatments prior to moving toward open liposuction. These procedures would have minimal to no downtime and would likely be less expensive.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Yes, it is possible to have liposuction for stubborn neck fat, especially if it has been determined that the fat is not related to thyroid issues and is likely genetic. Liposuction is a common cosmetic procedure used to remove localized fat deposits, including those in the neck area. Here are some points to consider:

### 1. **Consultation with a Specialist:**
   - **Plastic Surgeon:** You should consult with a board-certified plastic surgeon who has experience with neck liposuction. They can evaluate your specific case, discuss your goals, and determine if you are a good candidate for the procedure.
   - **Assessment:** During the consultation, the surgeon will assess the amount and distribution of fat in your neck, skin elasticity, and overall health to ensure you are a suitable candidate for surgery.

### 2. **Procedure Details:**
   - **Techniques:** There are various techniques for liposuction, including traditional liposuction, tumescent liposuction, and newer methods like laser-assisted liposuction (SmartLipo) or ultrasound-assisted liposuction (VASER). Your surgeon will recommend the best technique based on your needs.
   - **Anesthesia:** Neck liposuction can be performed under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure and your preference.

### 3. **Recovery:**
   - **Downtime:** Recovery time can vary, but most people can return to normal activities within a few days to a week. Swelling and bruising are common but typically subside within a few weeks.
   - **Aftercare:** Following post-operative care instructions is crucial for optimal healing and results. This may include wearing a compression garment and avoiding strenuous activities for a specified period.

### 4. **Alternative Treatments:**
   - **Kybella (Deoxycholic Acid):** This is a non-surgical injectable treatment that can dissolve fat cells in the neck area. Multiple sessions may be needed, and it works best for smaller fat deposits.
   - **CoolSculpting:** A non-invasive treatment that uses controlled cooling to freeze and eliminate fat cells. It is also suitable for small, localized fat deposits but may require multiple treatments.
   - **Radiofrequency (RF) or Ultrasound Therapy:** These non-invasive treatments can tighten the skin and reduce fat through heat or sound waves, respectively.

### 5. **Considerations:**
   - **Risks and Benefits:** Every procedure has risks and benefits. It is important to discuss these with your surgeon to make an informed decision.
   - **Cost:** Cosmetic procedures can be expensive and are usually not covered by insurance. Ensure you understand the costs involved and any financing options available.

Liposuction is a viable option for removing stubborn neck fat if you are a suitable candidate. Consulting with a board-certified plastic surgeon will provide you with personalized advice and a treatment plan tailored to your needs. Additionally, exploring non-surgical alternatives may also be worthwhile.

Eric M. Joseph, MD · Answer

In general, neck fat that may be amenable to removal with liposuction is best seen when somebody makes a double chin. Fat under the chin, that usually extends down to the first horizontal wrinkle in the neck, is best suited for removal with liposuction. Excess fat in the thyroid area, as you described, may best be treated with weight loss. I hope this is helpful, and thank you for your question. Sincerely, Dr. Joseph

Mats Hagstrom, MD (license on probation) · Answer

Most people don’t have thick layers of subcutaneous fat in the lower neck.Some individuals do.Those who do may be candidates for Liposuction in this area.Delivering consistent quality Liposuction results is more difficult than most people realize.The number of plastic surgeons who approach mastery of Liposuction is in reality quite small.Poorly down, Liposuction that can leave people permanently disfigured. Some plastic surgeons do not have experience or not comfortable doing liposuction in this part of the neck.It can be treated successfully, but it requires finding as sufficiently experienced and talented provider.Doing that is more difficult than most people realize.I generally recommend people start the process by having multiple in person consultations with plastic surgeons in your community who seem to have a lot of Liposuction experience. Avoid virtual consultations whenever possible.In order to minimize the chance of having an undesirable outcome I recommend scheduling quite a few consultations before selecting a provider.There is in reality no correct number of consultations needed to find the right provider.Sometimes it’s simply a matter of luck.You should, however Insist on vetting providers during each in person consultation to make sure you have a good understanding of that providers level of experience and skills for this procedure.During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had the same area treated with the same treatment.Highly experienced plastic surgeons should preferably have hundreds or preferably thousands of before, and after pictures to choose from.If providers don’t have any before and after pictures or make excuses to why they don’t have it before and after pictures then continue onto the next provider.Don’t schedule surgery until you get confirmation that this provider knows how to do this procedure well. Best,Mats hagstrom MD

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