Necklift and Submental Liposuction are usually performed in an outpatient surgical center, either operated by your surgeon or a hospital facility, and take about an hour. Most patients can return home after the surgery or can stay in a nearby hotel or recovery facility for the first night. If you are having more than one procedure, however, you may chose to remain in the hospital or in a recovery facility for a few days so that medical staff can monitor the recovery process.
Neck Lift and Neck Liposuction surgery can be performed under local anesthesia mild sedation, under “twilight anesthesia” (which is local anesthesia with heavy sedation) or under general anesthesia. Usually long or multiple procedures are performed under general anesthesia.
In a Neck Lift, the surgeon can remove some of the saggy and redundant neck skin through incisions behind the ear and under the chin area. Sometimes the incisions extend in front of the ear as well. The muscle under the chin is tightened and elevated by placing a suture across the neck crease. Loose skin is tightened by pulling the skin upward and backward and removing the excess skin from behind the ear. The incisions are closed with sutures that will be removed after one to two weeks, self-dissolving sutures or, in the scalp area, removable surgical staples.
Neck Liposuction is not an alternative to weight loss but can remove stubborn fat deposits which do not respond to diet and exercise. Today, a number of new techniques, including Ultrasound Assisted Lipoplasty (UAL), Power Assisted Liposuction (PAL), the Tumescent Technique, and the Super-wet Technique are used.
During the procedure, fat is removed through a small incision usually placed in a natural skin crease under the chin or behind the ear lobes. A thin tube called a cannula is then inserted 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 high pressure vacuum, leaving the skin, muscles, nerves, and blood vessels intact.
In the Super-wet Technique, 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.
The Tumescent Technique, in which even larger amounts of liquid solution are injected, has similar benefits.
A newer method, Ultrasound Assisted Liposuction (UAL), uses sound waves to liquefy the fat after the injection of fluids. UAL also minimizes trauma, causing less bruising and blood loss.
Another earlier method of liposuction is called Dry Liposuction because no liquefying agent is used but it is not in frequent use today.
The technique chosen for your operation will be determined by a combination of factors, including the precise area to be treated, the amount of fat to be removed, your surgeon’s training and experience, and your preferences. The pain during the procedure is most often minimal, although you may feel pressure, movement, or a vibrating sensation.