Aging often brings changes that do not reflect how we see ourselves. The skin may start to sag. Facial volumes are changing, often by “excess” regions, not where we want them to. The neck and the mandibular line, which until yesterday seemed young and vibrant, are now “full” and irregular. Nobody has a crystal globe, but when we look at our parents and grandparents we can imagine our own future from an aesthetic point of view. Liposculpture of the face and neck is performed using special probes, designed for delicate structures, and can restore the contour, shape and tone of the cephalic extremity. The incisions are very small, the recovery very fast and the results of this highly specialized technique can be spectacular. Liposuction can be used alone or in conjunction with other procedures such as cosmetic fat transfer, facial or cervical lifting, blepharoplasty or laser procedures for harmonious results.
What are the indications for cervical liposuction?
The ideal candidates are men and women with a “full” face and neck look, accompanied by an earthly color. Many of them have deep nasogenian creases, an irregular contour of the mandibular line, jowls and a bulky cervical region. These changes can occur as early as in our 30s. An elastic skin and a relatively tonic underlying muscle guarantee the success of liposuction. Most patients are between 30 and 50 years of age, but surgery can also be effective in people of 60-70s. If you are generally healthy, have realistic views about the results that can be obtained and describe any of the following conditions, you can be a good candidate for the procedure: a full neck; double or triple chin; jowls and poorly defined mandibular line; full cheeks.
During the first consultation, before planning your surgery, Dr. Sinescu will carefully evaluate your neck structure, skin elasticity and the underlying muscle tone to establish the best therapeutic strategy. We will discuss what you can expect from this surgery and we’ll review all the existing options. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones.
Surgery will take place in one of the ultramodern clinics where our surgeons work, usually on an outpatient basis. The operation lasts 1-2 hours and can be done in general anesthesia or local anesthesia with sedation, depending on what you and your doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be slightly sedated, and the face and neck area will be numb. You will be awake but you will be relaxed and you will not feel uncomfortable. The type of anesthesia used and the need for hospitalization will be discussed with you prior to surgery.
Dr. Sinescu will mark the areas of the face to be operated, as well as any other regions that will be treated with other procedures, if they are planned. Every area will numbed with local anesthetics for comfort during and after surgery. We use small, virtually imperceptible points of incision for the introduction of cannulas, which are delicate, ultrasonic or non-sonic probes. We eliminate unnecessary fat and debris to create the desired contours and shape, using low suction settings. Finally, the cannulas are extracted and the incisions are closed with extremely thin sutures. The collected fat is often processed and transferred to areas with a volume deficiency. Compressive dressings help the tissues to mold in the desired shape and also reduce edema and bruising. Cold local applications are also helpful. Patients are encouraged to adopt a semi-seated position for the same purpose.
Recovery after facial and cervical liposuction
Removing the dressing – 1-5 days postoperatively
Elastic contention – 3 weeks postoperatively
Body and hair shower – the day the dressings are removed
Suture removal 5-7 days postoperatively
Return to work – 2-14 days postoperatively
Driving – as soon as you feel comfortable
Intense physical activity – 1-2 weeks postoperatively
Fading of scars – a few months to one year
What are the possible side effects or risks?
All surgical interventions have a certain degree of risk; however, major complications after a neck liposuction are unusual. During the first consultation, the individual risks will be evaluated and discussed. You can help reduce risks by carefully following the pre- and post-operative instructions provided. Our staff will be at your side at every step of the way to ensure a safe and aesthetic result.
The most likely side effects include the following:
– sensory or motor peripheral nerve injury
– pathological scarring
– contour irregularities
– long lasting edema
How long do the results last?
Cervical liposuction restores the youthful facial contours. These results generally last between 5 and 10 years, even more in many cases. It is important to note that the effects of aging, gravity and environmental factors will continue to affect the elasticity and tone of the face and neck. Constant skincare is essential to maximize the efficacy and longevity of surgical results.
Frequently asked questions
Are there any procedures we might associate for an improved result?
Cervical liposuction is often performed in conjunction with facelift, forehead lift, central face lift, cervical lift or fat transfers for optimal results. All complementary procedures will be discussed with you during initial consultations.
Is my health insurance covering the costs of the surgery?
Neck liposuction is considered cosmetic surgery and is therefore not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during the first consultations.
Are there alternatives to cervical liposuction?
Botulinum toxin type A injections may be a temporary, non-surgical alternative to lifting, combined with the use of fillers such as hyaluronic acid. These procedures can reduce or eliminate facial wrinkles and creases either by blocking the nerve impulses and temporarily paralyzing the involved muscles, or by adding volume. Minimally invasive treatments such as chemical peels, laser or non-ablative fractional radiofrequency can also improve skin tone, reduce discoloration and fade wrinkles, representing a less invasive alternative.