Vertical Neck Bands After Chin Liposuction Will This Resolve?

Question

I'm 1 month post liposuction of the chin. I had some lumps and bumpiness which seems to be going down with massage but when I lift my chin up there are visible hard vertical bands where the neck meets the chin. I'm thinking this is underlying muscular structure rather than scar tissue or swelling. Will this become less visible? Will it go away?

Joseph Mele, MD · Answer

(Link and Liposuction Video included) The best person to ask is your plastic surgeon, so I encourage you to keep your follow-up appointments. In general, if you have vertical neck bands caused by the neck muscles, platysmal banding, liposuction will not help. Usually a neck/face lift with a platysmaplasty is needed to smooth these. If you had these bands before surgery, they will not go away after neck liposuction. If you did not have them before, they may or may not resolve depending on the cause.

	In general, the fat on the neck disguises the bands. If you had visible banding before liposuction, you will have visible banding after liposuction, and they will often become more noticeable.  I you had them, but did not see them due to the amount of fat on the neck, liposuction may reveal them. In this situation, again, it will not resolve with time.

	On the other hand, sometimes the normal healing scar tissue beneath the skin will form lumps and bands. This usually peaks between 3 to 6 weeks after liposuction, resolves over 3 to 6 months. If this is the case, time and massage can help. External ultrasound can also in some cases speed the resolution.

Jason Emer, MD · Answer

"Injecting soft fillers like Belotero in this area can reduce lines, wrinkles and folds as well as improve skin texture with long-term collagen production. Fillers are being used more frequently to contour and lift rather than solely line fill. Of course, fillers are best used in combination with lasers and microneedling​ with PRP to get the optimal outcome.

I suggest getting a formal evaluation with a cosmetic dermatologist to create an individualized treatment plan that works for you. Best, Dr. Emer"

Patti A. Flint, MD · Answer

If you are over forty-five, you would most likely be better off with an open surgical approach as opposed to liposuction alone. These visible muscular bands in the neck are difficult to control with Botox alone, and surgical manipulation creates the most complete and long-standing outcome in my opinion.

Andrew Pichler, MD · Answer

Prior to the liposuction the dehiscent ( separated) platysma muscle was camaflauged. Now it has become visible with less fat covering it. The solution is either periodic Botox/Dysport injections or a submentoplasty ( repair of the muscle surgically). See what your PS says.

Sheldon S. Kabaker, MD FACS (retired) · Answer

If you had successfull liposuction of the neck, underlying platysma muscle likely is closer to the skin and is visible. Surgical correction by platysmaplasty or a neck lift could improve this.

Vertical Neck Bands After Chin Liposuction Will This Resolve?

Answers (5)

Answer: Neck bands

Answer: Neck bands

Answer: Visible neck bands

Answer: Visible neck bands

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Everything you need to know about Chin Liposuction

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Vertical Neck Bands After Chin Liposuction Will This Resolve?

Answers (5)

Answer: Neck bands

Answer: Neck bands

Answer: Visible neck bands

Answer: Visible neck bands

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Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.