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Just Not Worth It

I am a plus sized woman (12-14) and while I do not mind being heavy-bodied, I am self conscious about my neck and chin. In 2022, I had my neck, jowls, and dorsocervical pad done using Airsculpt+ at Elite, hoping to reduce the bulkiness of my neck, and improve definition around my jawline.

I'll start with what was good about my experience. The nurses are all very kind and lovely, and the facility is located in a nice area, quiet and calming. I was left with a tiny increase in jawline definition.

Now everything else.

I'll start with my main complaints which are about how the AirSculpt is advertised as needle free, scalpel free, and virtually painless. When you walk in, you're greeted by a large TV showing interview after interview of smiling, attractive people who extol the virtues of AirSculpt ("No needles! No incisions! I was amazed at how painless the actual procedure was!!") including videos of people during the procedure, smiling, maybe slightly dopey looking from the pain medications.

The reality is that while there are technically no needles or scalpels making incisions in your skin, they do use a tool to break the skin to create an entry point, through which a cannula (read: big-ass needle) is inserted. The question of whether or not these count as a needles or incisions seems, to me, academic at best, and willfully misleading. Further, while the "actual procedure" (meaning the step wherein fat is removed) is minimally painful, rest assured that what leads up to that point can be and was (for me at least) literally agonizing. You can opt for a shot of an opioid for pain relief ahead of time, or xanax to relax. I had to decline the opioid initially because I have reactions to them. They also offer nitrous to inhale, but they don't allow continuous use. The few periods of time that I was allowed nitrous were the few when I felt okay. The first step feels much like being snapped hard with a rubber band to create the incision points, It's not too awful since it's quick. The following step, where numbing fluid is injected into the layer of fat under your skin, this is absolutely horrendous. Searing, tearing, ripping, stabbing pain. Maybe this could be more or less tolerable depending on the area of body worked on but I cannot imagine an area where this would be described as "virtually painless" Once the numbing kicks in, the rest of the procedure isn't so bad. But during the numbing, I was shaking uncontrollably, with tears streaming down my face, begging to keep the nitrous. For the second area, I opted to receive a shot of the opioid and to suffer the consequences an hour later when they came in the form of a prolonged attack of gall pain.

Jump to recovery. It's not too bad, all said. I didn't need anything more than ibuprofen and tylenol for pain, but it certainly wasn't fun. Bruising cleared up within about a month, and it stayed somewhat uncomfortable and tight in areas for about 4 months. By the time of my 6 month checkup, everything seemed normal.

The results were middling at best, and insignificant at worst. I can tell in the mirror there is minor change, but it isn't really what I imagined even in my more conservative expectations. I doubt anyone else can really see a difference in me. I thought maybe at my 6 month checkup and photo session I would be able to really see the change, but during that appointment I was struck looking at the pictures just how negligible the differences were. I do have the musculature and bone structure that would make ideal results totally impossible, but my results are still kind of a massive let down. I thought for sure I would at least see an appreciable jawline, or an alteration to the angle of the slope of my neck in these photos. Nope. I walked out of there utterly let down and frankly, embarrassed. While it wouldn't have been fun to hear, it might have been nice to have the surgeon tell me in the initial consultation "the results you will see are going to be incredibly subtle."

Considering the $10k price tag (that is even a reduced price due to the timing of my procedure) I can't say this was worth the expense and pain. Maybe for another area of the body where the pain would be less and the results could be more dramatic? But for me, it was an extremely unpleasant and pointless experience. I expected *some* reduction of bulk, and a bit more definition and a tightened neck. What I was left with was a negligible improvement of jawline definition and a pervasive feeling of saggy/puffy/fatty neck and double chin.

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