Where Are the Puncture Marks for Liposuction for a Double Chin?

Typically we make an incision where the lobe of the ear meets the neck, (on both sides).  We also will place an incision a little back from the natural (mandibular) crease in the midline under your chin.  With multiple incisions one can criss-cross the area undergoing liposuction.  This usually leads to a smoother contour.  It is important to realize that this treats the fat and not other things that can be effecting your neck contour, (bands, excess skin, etc).  Also important to wear the compression garments and follow the after care advise of your Board Certified Plastic Surgeon.

After one week, in my experience, you do not see and cannot find the opening signifying the location through which liposuction of the neck is accomplished.  These tiny marks disappear quickly and completely.  Facial exercises will NOT tighten loose skin, but will add wrinkles... After all, Botox, Dysport, and Xeomin relax facial muscles to soften or eliminate wrinkles, so it stands to reason that exercising muscles will magnify wrinkles, does it not?  Tightness of the skin following neck liposuction depends on how tight (or loose) and how elastic the skin is, and how much fat is removed.  Very often, neck skin tightens significantly after liposuction of the neck to contract around the smaller more well defined contour that results after fat removal.

It is important to have good access to the double chin area to do a great job with liposuction or SmartLipo.  I use three small punch incisions 1.5mm each as entry spots for removing the double chin fat.   This works well for me, however other options may also work well for other surgeons. 

typically liposuction of the neck is a reasonable procedure for patients with a small to moderate amount of excess fat in the neck under the chin area.  This will require a small (2-3mm ) incision in the area just below the chin which will not be noticeable once healed.  This procedure can aid in tightening of this skin as long as there is good skin tone and the patient is deemed to be appropriate for this procedure.  There are many therapies / lasers/ radiofrequency machines that are marketed to replace liposuction for these types of issue but none of them have the proven track record of results that liposuction has when performed by a qualified plastic surgeon.

The most common entrance site for neck liposuction is right under the chin. In some cases, small incisions may also be made around the earlobes to reach the back part of the neck if needed. These are such small incisions of a few millimeters that they heal without being detectable. There is no form of exercise that will tighten neck skin. Unless one has a loose and hanging neck wattle, most neck skin will contract to some degree after liposuction. It is usually a question of how much and how smooth it will become.