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You may be tempted to try one of the laser, ultrasound, orradiofrequency-assisted liposuction platforms based on the promise of improvedskin tightening. However, there is no evidence that thermal liposuction createsbetter results. In fact, in my experience, the heat from these devices canactually cause problems like scarring, dermal adhesions, and burns. I do notrecommend thermal liposuction for the chin or anywhere else on the body.Traditional liposuction has proven quite effective on theneck and chin area, although the surgeon must be very careful not to treat thearea maximally for fear of creating a contour deformity, otherwise known as adivot, wavy area, or rippled skin. A different option is SAFELipo, which isgreat for delicate areas like the chin. It uses a 3-step process that isextremely precise, allowing for maximal fat removal while causing minimalbruising, bleeding and swelling. In the first step, the special cannula orprobe gently breaks apart fat and separates it from the surrounding tissueswithout disrupting the blood vessels. This creates mechanically emulsified fatthat is now ready to be removed easily. Thesecond step is the aspiration or suctioning of the ‘liquefied’ fat. Since thefat has already been separated and emulsified, the surgeon can use a muchsmaller, gentler cannula to remove it. The third and final step is the fatequalization step, which smooths out the remaining thin layer of fat bycreating ‘local’ fat grafts that prevent the skin from scarring down unevenly.This creates a very smooth, firm result with excellent skin retraction. I'veperformed thousands of SAFELipo procedures, and I've found that patientsexperience fewer adverse effects, a shorter, more comfortable recovery, andsuperior results. Consult with a board-certifiedsurgeon and make sure that you're very comfortable with his or her credentials,their actual before and afters, and their recommendations. Good luck!
The type of technique chosen should be individualized to your specific goals and needs. If you have a great deal of fullness and excessive fatty tissue in the neck and under the chin, a standard tumescent technique would often give the best results. If there is minimal excess fatty tissue and excessive loose skin is the primary problem, a technique that produces less suction and more inflammation, such as suction-less liposuction, or “subcision” may be appropriate. Vaser® liposuction or laser liposuction may help with improved skin contraction following the procedure. If, in fact, there is a great deal of loose skin, perhaps another procedure alltogether, such as a neck lift or submentoplasty, might even be more appropriate.
Thank you for your question. I have tried mulitle technologies over the years for the chin - traditional lipo, PAL, Vaser and laser assisted. I think the person doing the lipo and evaluation you to see if you are a good candidate is more important. Currently I use the SmartLipo Triplex. I use in for all my neck liposuctions and facelifts. I hope this helps.
When there is fat under the chin, traditional liposuction using a syringe or a machine can be used to extract the fat. However, using a laser with a tiny fiber optic beam of light (the size of a strand of spaghetti) is my preferred technique becuase it causes much less bruising and less downtime. In my opinion, there is an advantage to using the 1440 nm Smartlipo (laser) because the wavelength of this laser is very attracted to water in our skin. This helps not only melt the fat, but also tighten the skin.
I use Smart Lipo on 12 to 18 watts followed by 2 or 3 mm liposuction to remove residual fats. Best to obtain in person evaluations.