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Liposuction of the neck
Some younger patients develop a fatty area under the chin. Some somewhat older ones develop excess skin on the neck, with or without an
accumulation of fat. Both of these cosmetic problems are amenable to treatment by liposuction. In the proper candidate, with proper technique, the results can be very gratifying. Procedures on the
neck show results pretty quickly, and the procedure does not take very long.
In either case, the skin of the chin or neck forms a very thin area of scar in the area where the fat was removed. These scar areas are not
visible from the outside. But, (like adhesions which can sometimes occur after intra-abdominal surgery) scar tissue tends to pull everything attached to it closer together. So it shrinks and tightens the
skin over time.
Even greater tightening of the skin of the neck may be achieved with the addition of laser treatment. If the problem is primarily loose skin
(instead of or in addition to fat accumulation), a resurfacing CO2 laser is sometimes used immediately following the liposuction. The undersurface of the skin is treated from underneath (from inside the
tunnels made by liposuction) with the laser. The laser visibly shrinks the skin immediately as the laser energy is applied. This shrinking on the underside of the skin looks just like the shrinking which
occurs on the surface of the skin when a resurfacing laser is used for wrinkles.
Fortunately, liposuction does not disturb the surface skin appearance postoperatively like laser resurfacing for wrinkles does. Even greater
tightening of the skin of the neck may be achieved with the addition of laser treatment.
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