Northern Virginia- Fairfax and Manassas
By: George Bitar, M.D. and Larry Lickstein, M.D.
Board Certified Plastic Surgeons
When someone looks in the mirror and is unhappy with their face, there may be several factors causing them dissatisfaction. If the patient is unhappy with excess fat in their neck, but has good skin tone and good muscle tone in their neck then they are a good candidate for neck liposuction. The reasons why men and women in their 20’s or 40’s choose to have neck liposuction vary from wanting to look good to being able to shave better.
It can sometimes be difficult to verbalize why someone is unhappy with their face. Assuming that genetics and the aging process play a role in a person’s unhappiness with their appearance, it is important to identify the problem and offer a surgical solution:
- If a patient is unhappy with excess fat in their neck but has good skin tone and good muscle tone of their neck, then he/she is a good candidate for neck liposuction.
- If a patient is unhappy with excess fat in their neck and has loose skin and/or muscle in their neck, then he/she is a good candidate for a neck lift.
- If a patient is unhappy with laxity in their neck as well as their jowls and jaw line then he/she is a good candidate for a mini facelift.
- If a patient is unhappy with their neck, jowls, and cheeks then he/she is a good candidate for a face-lift.
- If a patient is unhappy with droopy eyebrows and wrinkles in the forehead then he/she is a good candidate for a forehead lift.
Preparing for Surgery
An initial consultation is set-up where we discuss the neck liposuction procedure and whether you are a good candidate for the surgery. Your medical history is reviewed, and you will be asked to see your medical doctor for a physical check-up and a few labs to make sure you can undergo the surgery safely. You are asked to stop smoking, if you are a smoker, two weeks before and two weeks after surgery, for the surgery to be performed safely, and for you to have optimal results. You are given the opportunity to talk to patients who have had the same surgery you are considering. We will see you shortly after the surgery (in a day or two usually). You are seen regularly after your surgery. You are always welcome to come back for follow-up, even years after your surgery, free of charge.
The Neck Liposuction Procedure
The procedure is relatively simple and straightforward. A patient, who is deemed a good candidate for this procedure, is given antibiotics, and anesthetized in the operating room. The neck is injected with tumescent solution to give some pain relief and decrease the bleeding during surgery. Then two small incisions are made behind the ear and liposuction is performed to remove the desired amount of fat. When sufficient fat is removed, the incisions are closed and the patient is awakened.
Benefits of this Neck Liposuction Technique
Everyday there is a new way of performing liposuction introduced on the market. Just because a procedure is featured on a T.V. show does not mean it is safe or effective. In my opinion, only a qualified plastic surgeon should perform liposuction, since it could be a more difficult procedure than meets the eye. This technique is simple, safe, effective and yields excellent results consistently. No gimmicks or unproven technology is used.
This technique is performed under anesthesia and requires about a week off of work. The swelling and bruising usually is much decreased in a week, and the patient becomes socially presentable.
How We Minimize Complications of Neck Liposuction:
At the Bitar Cosmetic Surgery Institute, we take pride in making sure we provide for our patients the best surgical experience possible, anticipating problems or set-backs, and addressing them before they happen. This is a process that includes the pre-operative preparation, the actual surgery, and the after care.
General complications can occur with any surgery. Cosmetic surgery is usually a safe surgery performed on healthy patients and, as all surgeries go, is with low risk. What we do to even lower the risk of complications is to operate at a first class hospital with board certified anesthesiologists and nurses. To avoid post-operative complications, we advocate early mobilization –patients seen in our office one or two days after surgery- and active participation in their own post-operative care. When we create a partnership, the results invariably improve.
Bleeding with any form of liposuction is rare. Before liposuctioning the neck, we inject tumescent solution that will constrict the blood vessels and minimize the bleeding. The bleeding from this operation with this technique has been minimal.
The most important step in avoiding infections, in my opinion, is to perform the surgery at a first-rate surgical facility with board certified anesthesiologists and nurses. Patients are given the appropriate intravenous antibiotics coverage throughout the surgery. During the surgery, the skin surface of the patient is cleaned properly. After the procedure, our patients are prescribed a one-week course of antibiotics to minimize infection. As a result of these extra precautions, our rate of infection after a neck liposuction is negligible.
Since with neck liposuction there is no skin removal or tissue manipulation, other than suctioning fat out of the neck, open wounds are non-existent.
We exercise caution around the nerves in the neck region and avoid aggressive liposuction, minimizing nerve injury. Temporary loss of sensation from a “stunned” nerve or a bruised nerve may occur in the time period after surgery, but sensation in the vast majority of cases returns within a few weeks.
Our office will provide you with a detailed post-operative instruction sheet that will be individualized to your needs. We usually see patients the day after surgery in one of our offices to make sure that everything is O.K., and that you are healing as planned. Multiple visits in the year after the procedure will ensure the best outcome possible.
For more information about this procedure call our office and speak to our friendly staff member at 703-206-0506.
Information on this web site is for information only. Do not use the information to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.