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Updated 03/31/06
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Neck
Liposuction
As
we age, certain areas of the
body can accumulate fat that
is hard to lose, in spite of a
healthy diet and vigorous
exercise. The neck is one such
area.
Fatty deposits in the neck can
detract from the appearance of
the entire body, making a
younger person seem older, or
a fit person seem out of
shape.
Liposuction can give
this area a new streamlined
contour, enhancing the effect
of facial features and
improving the profile.
Liposuction in this area
produces consistently good
results, and has a
particularly high satisfaction
rate. If
you are considering neck
liposuction, the following
information will provide you with a
good introduction to the procedure. For
more detailed information about how
this procedure may help you, we
recommend that you schedule a
consultation with Dr. Kremer / Dr. Zettl.
What
are some of the most common benefits
of this procedure?
The
face and neck are usually
the first features we notice
when we meet someone new, so
improvements in this area
can create a dramatic
change. A firm, trim neck
gives the face a more
youthful look. Sometimes
just having this procedure
done provides an incentive
to make healthier lifestyle
choices, and maintain
fitness in the rest of the
body. Patients who have been
self-conscious about their
bulging necklines often feel
more comfortable wearing a
range of clothing and
jewelry styles after
liposuction.
During
the consultation, you and Dr. Kremer / Dr. Zettl
will discuss the changes
that you would like to make
in your appearance. He will
explain the different
options available to you,
the procedure itself, its
risks and limitations, as
well as the kind of
anesthesia required.
Dr. Kremer / Dr. Zettl will begin with a
physical examination to
evaluate your overall
weight, skin and muscle
tone, and distribution of
fat deposits. He will also
record a medical
history, including any
medications that you are
currently taking.
Be sure to ask all the
questions you have about the
procedure. Learning
everything you can about
your options, risks and
benefits is the key to
making an informed decision.
Before
the procedure, 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.
During the
procedure, Dr. Kremer / Dr. Zettl
then
makes a tiny incision in the
skin, typically in the
crease just under the chin
or behind the ear lobes. He
next inserts a thin tube
called a cannula 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 vacuum syringe or
pump, leaving the skin,
muscles, nerves, and blood
vessels intact.
If
you have no medical
problems, the procedure can
be performed on an
outpatient basis, either in
the office or in an
outpatient clinic. It may be
performed under local
anesthesia with light
sedation or general
anesthesia. The longer the
procedure is expected to
take, the more likely that
general anesthesia will be
recommended. You may be
allowed to return home
within a few hours of the
surgery, and spend the night
in the comfort of your own
home.
If you have other
medical problems, concurrent
procedures, or a lengthier
procedure performed under
general anesthesia, it may
be necessary to spend the
night in the hospital so
your recovery process can be
monitored by a medical
staff.
The
procedure is most often done
with a local anesthetic. The
pain during the procedure is
most often minimal, although
you may feel pressure,
movement, or a vibrating
sensation.
Your
neck may be stiff and sore
for a few days, and you may
experience some pain,
burning, swelling, bleeding
or temporary numbness. If
necessary, Dr. Kremer / Dr. Zettl
will
prescribe medication to
relieve this initial
discomfort.
Your stitches will be
removed in about a week.
You will be fitted with a
compression band to cut down
on swelling and to hold your
neck in its new shape until
the tissues have adjusted.
Most
of the bruising and swelling
should subside within three
weeks. You should be able to
return to work within a
week, or even within a few
days if your work is fairly
sedentary. Remember that you
will be wearing the
compression band for several
weeks after your surgery to
ensure that your neck stays
firmly shaped.
What
is the long-term outcome like for
most people?
Most
people are pleased with the
new contour of their necks
and often feel a boost in
energy and self-confidence.
Although liposuction cannot
alter skin quality or muscle
tone, and should not be a
substitute for regular
exercise and a balanced
diet, your neck will always
be slimmer than it would be
if you hadn’t had this
procedure.
Even though the neck size
has been reduced, there may
be extra skin once the fat
has been removed. Although
wearing the compression band
will help to firm the area,
this extra skin may sag,
especially if your skin
elasticity is poor. It may
be necessary to perform a
neck lift or facelift,
either concurrently or after
this procedure.
In
general, the best candidates
for neck liposuction:
Have
specific fat pockets
that are resistant to
diet and exercise.
Do
not have frequent
fluctuations in weight.
Desire
reshaping and not weight
loss.
Have
relatively firm, elastic
skin.
Have
had no previous surgery
in the area where
liposuction is desired.
Are
psychologically stable.
Do
not smoke.
Are
well informed about the
procedure.
Are
accepting of any
limitations, as
discussed with Dr. Kremer / Dr. Zettl.
Hold
realistic expectations
about the outcome.
The
above is only a partial list
of the criteria that Dr. Kremer / Dr. Zettl
will consider in determining
whether or not this
procedure is appropriate for
you.
Since
the normal aging process
affects the firmness and
elasticity of the skin,
older patients may not
experience results as
dramatic as those typically
achieved in younger
patients.
Neck liposuction is often
performed in conjunction
with a facelift
or necklift.
Although
liposuction is the most
commonly performed cosmetic
facial surgery procedure in
Germany, and the majority of
these operations are
successful, there are risks
and limitations to the
procedure, as with any
surgery.
After surgery, some patients
experience dimpling,
lumpiness, numbness,
scarring, discoloration, or
sagging skin in the treated
area. Following Dr. Kremer / Dr. Zettl’s
instruction, both before and
after surgery, will help
minimize these problems.
Follow-up surgery may be
needed in some cases.
Tell
Dr. Kremer / Dr. Zettl about any
allergies you have (to
foods, drugs,
environmental elements)
Tell
Dr. Kremer / Dr. Zettl if you have a
history of bad scarring,
such as keloids.
Tell
Dr. Kremer / Dr. Zettl about all
medications, herbal
supplements or natural
supplements you are
taking (both
prescription and
non-prescription)
Carefully
follow any instructions Dr. Kremer / Dr. Zettl
gives you
regarding eating and
drinking and smoking.
Avoid
aspirin and
aspirin-containing
medicines for two
weeks prior to surgery.
Arrange
for someone to drive you
home after surgery or
after discharge from the
day surgery center or
the hospital.
Please
inform Dr. Kremer / Dr. Zettl
immediately in case you
should experience fever
or symptoms of an
infection after surgery.
Tell
Dr. Kremer / Dr. Zettl if you have any
of the following
pre-existing conditions:
thyroid
problems such as
hypothyroidism
elevated
blood pressure or other
circulatory disorders
cardiovascular
disease
diabetes
any
other serious medical
condition(s)
The
information on this web site
is only intended as an
introduction to this
procedure and should not be
used to determine whether
you will have the procedure
performed nor as a guarantee
of the result.
The
best method of determining
your personal options is to
schedule a personal
consultation with Dr. Kremer / Dr. Zettl. He will be able to
answer specific questions
related to your situation.
