As we age, certain areas of the body can accumulate fat that is hard to lose, in spite of a healthy diet and vigorous exercise. The neck is one such area. Fatty deposits in the neck can detract from the appearance of the entire body, making a younger person seem older, or a fit person seem out of shape.
Liposuction can give this area a new streamlined contour, enhancing the effect of facial features and improving the profile. Liposuction in this area produces consistently good results, and has a particularly high satisfaction rate. If you are considering neck liposuction, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you schedule a consultation with Dr. Kremer.
Frequently asked questions about Neck Liposuction by Dr. Michael A. Kremer:
The face and neck are usually the first features we notice when we meet someone new, so improvements in this area can create a dramatic change. A firm, trim neck gives the face a more youthful look. Sometimes just having this procedure done provides an incentive to make healthier lifestyle choices, and maintain fitness in the rest of the body. Patients who have been self-conscious about their bulging necklines often feel more comfortable wearing a range of clothing and jewelry styles after liposuction.
During the consultation, you and Dr. Kremer will discuss the changes that you would like to make in your appearance. He will explain the different options available to you, the procedure itself, its risks and limitations, as well as the kind of anesthesia required.
Dr. Kremer will begin with a physical examination to evaluate your overall weight, skin and muscle tone, and distribution of fat deposits. He will also record a medical history, including any medications that you are currently taking.
Be sure to ask all the questions you have about the procedure. Learning everything you can about your options, risks and benefits is the key to making an informed decision.
Before the procedure, a saline solution containing a local anesthetic and adrenaline is injected into the area to be treated, which makes the fat deposits easier to break up and extract. This extra fluid also minimizes trauma to the surrounding tissue, reducing swelling and post-operative pain. The administration of adrenaline also decreases bleeding during surgery, further reducing risks.
During the procedure, Dr. Kremer then makes a tiny incision in the skin, typically in the crease just under the chin or behind the ear lobes. He next inserts a thin tube called a cannula into the fatty area. The cannula is used to break up the fat deposits and sculpt the area to the desired proportions. The unwanted fat is removed with a vacuum syringe or pump, leaving the skin, muscles, nerves, and blood vessels intact.
The procedure takes about one hour.
If you have no medical problems, the procedure can be performed on an outpatient basis, either in the office or in an outpatient clinic. It may be performed under local anesthesia with light sedation or general anesthesia. The longer the procedure is expected to take, the more likely that general anesthesia will be recommended. You may be allowed to return home within a few hours of the surgery, and spend the night in the comfort of your own home.
If you have other medical problems, concurrent procedures, or a lengthier procedure performed under general anesthesia, it may be necessary to spend the night in the hospital so your recovery process can be monitored by a medical staff.
The procedure is most often done with a local anesthetic. The pain during the procedure is most often minimal, although you may feel pressure, movement, or a vibrating sensation.
Your neck may be stiff and sore for a few days, and you may experience some pain, burning, swelling, bleeding or temporary numbness. If necessary, Dr. Kremer will prescribe medication to relieve this initial discomfort.
Your stitches will be removed in about a week. You will be fitted with a compression band to cut down on swelling and to hold your neck in its new shape until the tissues have adjusted.
Most of the bruising and swelling should subside within three weeks. You should be able to return to work within a week, or even within a few days if your work is fairly sedentary. Remember that you will be wearing the compression band for several weeks after your surgery to ensure that your neck stays firmly shaped.
Most people are pleased with the new contour of their necks and often feel a boost in energy and self-confidence. Although liposuction cannot alter skin quality or muscle tone, and should not be a substitute for regular exercise and a balanced diet, your neck will always be slimmer than it would be if you hadn't had this procedure.
Even though the neck size has been reduced, there may be extra skin once the fat has been removed. Although wearing the compression band will help to firm the area, this extra skin may sag, especially if your skin elasticity is poor. It may be necessary to perform a neck lift or facelift, either concurrently or after this procedure.
The fat cells are permanently removed by liposuction, so you will not regain weight in that area.
In general, the best candidates for neck liposuction:
- Have specific fat pockets that are resistant to diet and exercise.
- Do not have frequent fluctuations in weight.
- Desire reshaping and not weight loss.
- Have relatively firm, elastic skin.
- Have had no previous surgery in the area where liposuction is desired.
- Are psychologically stable.
- Do not smoke.
- Are well informed about the procedure.
- Are accepting of any limitations, as discussed with Dr. Kremer.
- Hold realistic expectations about the outcome.
The above is only a partial list of the criteria that Dr. Kremer will consider in determining whether or not this procedure is appropriate for you.
Since the normal aging process affects the firmness and elasticity of the skin, older patients may not experience results as dramatic as those typically achieved in younger patients.
Neck liposuction is often performed in conjunction with a facelift or necklift.
Although liposuction is the most commonly performed cosmetic facial surgery procedure in Germany, and the majority of these operations are successful, there are risks and limitations to the procedure, as with any surgery.
After surgery, some patients experience dimpling, lumpiness, numbness, scarring, discoloration, or sagging skin in the treated area. Following Dr. Kremer's instruction, both before and after surgery, will help minimize these problems. Follow-up surgery may be needed in some cases.