Neck Lift (Submental Lipectomy or Neck Fat Excision)
What is a Submental Lipectomy?
Submental Lipectomy, also known as a neck lift, is a surgical procedure which removes localized fat deposits under the chin, corrects muscle laxity, or tightens sagging skin under the chin.
Who is a good candidate for a Submental Lipectomy?
Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. Ideal candidates are seeking to reshape their necks by removing excess fat under their chin, correcting muscle laxity and tightening sagging skin. In these patients, Submental Lipectomy may achieve a more youthful looking neck with a better contour.
NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body's tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed. Click here for more information related to smoking.
How is the procedure performed?
The exact procedure performed will depend on your surgeon's assessment of your anatomy and your desired results. In general, a small incision is made underneath the chin. The fat in this region is suctioned or directly excised. Muscles are tightened, and a small amount of skin may be removed.
Options to Enhance the Procedure
This procedure is often performed in conjunction with a standard face lift or with nose surgery (rhinoplasty) in order to achieve balanced facial proportions. A chin implant (chin augmentation) may also be used to alter the basic shape and balance of the face. Submental lipectomy can reshape the jaw line, and may be especially useful for enhancing the profile of a patient with a receding chin.
List of Physicians Who Perform the Submental Lipectomy
For details about education, experience, and specialty in this clinical area, please visit these physician profile pages:
Planning for Your Surgery
First, schedule a personal consultation with your plastic surgeon. Communication is vital in reaching your goals. You will have the opportunity to discuss your goals and the results you'd like to achieve. Your surgeon will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience. Every patient is different, and your surgeon will choose the surgical technique and treatment plan that is right for you. During your initial consultation:
Preparing for Your Surgery
You will be given specific instructions on how to prepare for your surgery. A pre-operative information packet will be provided that explains everything you should do and know before your surgery date. Your surgeon will instruct you on how to prepare for surgery, including guidelines on eating and drinking, smoking, and which vitamins and medications should be taken or avoided. You should arrange for someone to drive you home after your surgery, whether your surgery is done on an outpatient or inpatient basis. You may also want to make arrangements for someone to help you out for a day or two after you leave the hospital.
Where Your Surgery Will be Performed
Your procedure will take place in the University of Michigan Hospitals' state-of-the-art surgical suites and recovery areas. The majority of these procedures are completed on an out-patient basis.
Types of Anesthesia
General anesthetic is used so that you will sleep and remain comfortable throughout the procedure. Local anesthesia with intravenous sedation is also an option for some patients.
After Your Surgery
Click here for information about how to care for yourself after the surgery and what to expect during your recovery. It is very important that you follow your surgeon's instructions. This will promote healing and improve progress towards your new physical appearance. Also, it is important that you attend all scheduled follow-up appointments so that your surgeon can assess your long-term results and answer any questions or concerns you may have.