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Laser Liposuction
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Question: I have some fat under my chin I would like to get rid of, and a bit on the jowl
area. Would like to clean up the jawline, and have it more defined. There was a
plastic surgeon who did a presentation at my health club, and he said that fat
is easily suctioned, and the area contracts very nicely wearing a compression
dressing for a while. My question is, can the neck muscles be tightened a bit
at the same time through the same incision, or is that another procedure? Can
any crepiness, and looseness be addressed at the same time? Any complications
other than infection?
Also I'm about 15-20 pounds over the weight I would like to be. Anyway to tell
how much of that fat is from that, and how much is from gravity? In my early
50's!
Answer: The treatment for deviations from this ideal depends on the cause of
the deviation. The ideal candidate for liposuction is some who has good skin tone,
most of the fat in the neck between the skin & underlying muscle rather than under
the
platysma muscle of the neck, little or no neck muscle laxity & appropriately
proportioned/prominent jaw bone & chin. The result is less dependent
on the amount of fat removed than on how much that fat contributes
to the preoperative appearance vs. lax musculature, recessed jaw bone etc.
One good way to tell is to grab the neck skin & fat between your
fingers while biting down & gritting your teeth. This tightens
the neck muscles & gives the trained eye an idea of muscle laxity,
fat location.... However, even the most experienced eye sometimes has trouble
with this assessment manuever for example when a lot of neck fat is
present or when the muscles are extremely lax.
A technique where neck liposuction is performed
followed by laser of the undersurface of the skin has been described. In some cases
a
chin implant is placed. The claimed benefits
were less extensive surgery & a weekend facelift. This is misleading as this has
nothing to
do with a facelift or why one would perform a facelift. It is also potentially a
very dangerous procedure & should not be undertaken. Any properly
trained plastic surgeon will know that burns & other skin trauma that
does not involve the deeper layers of the skin (dermis) heals best with
little or no scar. If the surgeon uses primarily liposuction & then
minimal laser the complications are less likely but the laser is a scam
to bring in patients. If the laser is used as described problems are
sure to arise.
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