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I personally have had the best success using small cannula liposuction for fatty neck rolls. The procedure can typically be done under local anesthesia +/- light sedation and should take less than an hour. Recovery is relatively quick (2 - 3 days before return to work) and modest pain compared to liposuction of the body. Glad to help...
Liposuction or a neck lift would be the two alternatives from your description, but a physical exam would be necessary to give an accurate answer in regard to your specific circumstance. Find a plastic surgeon who performs hundreds of facial procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
There are 2 locations of fat in the neck, these are sub-platysmal, and sub-mental. As long as the skin tone in the neck is adequate, a neck lift will address removal of both of these deposits of fat in addition to a platysma-plasty. A platysma-plasty will be required after the sub-platysmal ...
After submental Smartlipo it is best to wear your compression garment. Throughout your healing process continue to wear the garment as well as follow up with your surgeon. A cold compress will not necessarily help with healing. Good luck!
After having submental Smartlipo it is normal to have a slight numb feeling. Post procedure swelling, bruising, and numbness may occur but they will subside within the next few weeks. Continue to wear your compression garment and attend your regularly scheduled follow up appointments.