Abstract
Background
Neck rejuvenation is one of the most sought after procedures in the restoration of the facial contour. Numerous techniques to improve the aesthetic outcome and reduce downtime have been described. In our experience, wide undermining and local anesthesia are key to obtaining good results in selected patients who want a quick recovery. This article presents our experience with liposuction of the neck and proposes some tips and tricks to master wide-undermining neck liposuction.
Methods
From January 2005 to September 2012, a total of 118 patients (34 males, 84 females) underwent neck liposuction. Patient selection was based mainly on age and neck-aging features. The procedure was performed with the patients under local anesthesia. A wide rhomboid-shaped skin undermining of the submandibular and neck area was performed and a very thin fat layer was preserved. Dressing was applied for 3 days.
Results
Improvement of the neck’s contour was observed in all patients. Redefinition of the cervicomandibular angle and skin redraping of the cervical area occurred in all cases. No further touch-ups were needed. Edema and ecchymosis resolved in a few days. No major complications were observed.
Conclusions
Our results show that wide-undermining neck liposuction performed under local anesthesia is an effective and safe procedure. Patient selection based on age and anatomical features was fundamental to obtain impressive improvement of neck contour.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Similar content being viewed by others
References
Goodstein WA (1996) Superficial liposculpture of the face and neck. Plast Reconstr Surg 98:988 discussion 997
Gasperoni C, Salgarello M, Emiliozzi P, Gargani G (1990) Subdermal liposuction. Aesthet Plast Surg 14(2):137–142
Porto da Rocha R, Porto da Rocha EL, de Souza Pinto EB, Sementilli A, Nakanishi CP (2005) Cutis marmorata resemblance after liposuction. Aesthetic Plast Surg 29(4):310–312
Gaddio AS (1992) The gold triangle at the neck. Aesthetic Plast Surg 16:27–32
Gasparotti M (2006) Liposcultura, Body contouring, Cellulite. Piccin Nuova, Padova, pp 135–138
O’Ryan F, Schendel S, Poor D (1989) Submental-submandibular suction lipectomy: indication and surgical techinique. Oral Surg Med Pathol 67:117–125
Koehler J (2009) Complications of neck liposuction and submentoplasty. Oral Maxillofac Surg Clin North Am 21:43–52
Jacob CI, Berkes BJ, Kaminer MS (2000) Liposuction and surgical recontouring of the neck: a retrospective analysis. Dermatol Surg 26:625–632
Conflict of interest
The authors have no conflicts of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Innocenti, A., Amodeo, C.A. & Ciancio, F. Wide-undermining Neck Liposuction: Tips and Tricks for Good Results. Aesth Plast Surg 38, 662–669 (2014). https://doi.org/10.1007/s00266-014-0330-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-014-0330-6