Liposuction of Neck and Jowls: Five-Incision Method Combining Machine-Assisted and Syringe Aspiration

Abstract

This method enables conservative removal of jowl fat and thorough removal of neck fat, with a low incidence of adverse sequalae.

18 Liposuction of the Face and Neck: The Art of Facial Sculpture

“…Some authors describe the use of additional incisions, such as in the melolabial crease, 100 in the infrajowl area, 104 and in the inferolateral neck. 105 Despite these reports, we have not found additional incisions to be necessary, and we have achieved consistent results using primarily the submental and postauricular incisions for access to the submentum, neck, and jowls ( Fig. 18.10).…”

Combination Laser-Assisted Liposuction and Minimally Invasive Skin Tightening with Temperature Feedback for Treatment of the Submentum and Neck

“…Tumescent liposuction, LAL, and MIST have been used to treat fat excess and skin laxity, suggesting that a combination approach would be optimal. Traditional tumescent liposuction effectively addressed fat excess and, in the correctly chosen patient, also resulted in excellent recontouring; but in many cases, the residual skin laxity prevented patient satisfaction . Although LAL reportedly facilitates lipolysis, it failed to address the residual skin laxity of the neck adequately .…”

“…Traditional tumescent liposuction effectively addressed fat excess and, in the correctly chosen patient, also resulted in excellent recontouring; but in many cases, the residual skin laxity prevented patient satisfaction. [1][2][3] Although LAL reportedly facilitates lipolysis, it failed to address the residual skin laxity of the neck adequately. 4 Although skin surface skin tightening technologies only deliver modest efficacy, MIST delivers energy directly into or beneath the dermis through needle electrodes or a fiber cannula, which has greater efficacy in laxity reduction, achieving 37% of the laxity reduction of surgical facelifts in a randomized, blinded comparison trial.…”

“…Nonsurgical alternatives to the lower face and neck lift include traditional tumescent liposuction, laser‐assisted liposuction (LAL), skin surface skin tightening technologies, and most recently minimally invasive skin tightening (MIST). Traditional tumescent neck liposuction, although highly effective at fat removal and contouring in appropriate patients, failed in a number of cases to fully address the residual skin laxity left behind . Neck LAL, although reportedly facilitating ease of lipolysis and removal, also failed to address the residual skin laxity adequately .…”

“…Traditional tumescent neck liposuction, although highly effective at fat removal and contouring in appropriate patients, failed in a number of cases to fully address the residual skin laxity left behind. [1][2][3] Neck LAL, although reportedly facilitating ease of lipolysis and removal, also failed to address the residual skin laxity adequately. 4 In contrast to skin surface technologies, MIST delivers the laser or radiofrequency energy directly into the dermis or subdermal plane through needle electrodes or fiber cannula, potentially increasing efficacy in treating lower face and neck laxity without addressing fat excess.…”