Buccal Fat Removal – Double Chin Surgery – Neck Liposuction
Excess fatty deposits in the chin, neck and cheeks may give the appearance of being overweight, or make the neck look like it hangs or cheeks look like they droop. This unwanted fat may be gently removed by various mini procedures with very small incisions placed in hidden locations that have essentially no downtime.
A poorly defined facial structure can be improved with Neck Liposuction or a Buccal Fat Removal. Submental or Neck Liposcution removes excess fatty tissue to help further define the chin and the neckline. This is often referred to as double chin surgery. Full rounded cheeks can be reduced and cheek bones can be better defined by performing a Buccal Fat Removal.
Neck Liposuction Patient 1: This man complained of a double chin and wanted surgery. He underwent a submental neck liposuction to contour his jawline and create a more defined neck. A chin augmentation was performed at the same time because he had a retrusive weak chin.
| Before | After |
 |  |
Neck liposuction is performed by using a very small tube inserted under the skin, and gently removes the excess fatty tissues of the neck with vacuum. The neck contour is improved in two ways: volume reduction and tissue tightening. After the fat has been removed, a few days of compression (pressure) dressings allows the skin to 'shrink' and redrape to the new contour of the neck.
The healing process that occurs under the skin following neck liposuction assists in tightening of the skin and underlying tissues. This can help tighten the neck without a neck lift surgery. If the skin does not have enough elasticity to contract back, skin tightening with a neck lift will be required.
If liposuction is done on a neck that has no skin elasticity, the skin will hang after the liposuction. Doctor Jacono can determine if you are a good candidate for liposuction alone.
Neck Liposuction Patient 2: This woman came in desiring a tighter neck and jawline and assumed she needs a face and neck lift. She underwent only a submental neck liposuction and the removal of fat and the natural skin shrinking gave her a tighter neck line without a lift.
| Before | After |
 |  |
Buccal fat pad removal is for those with extra round cheeks who wish to have a slightly more chiseled look. Most people lose this roundness in their late 20s. Due to heredity, some people may never lose the chubby look in their cheeks. Often candidates for buccal fat pad extraction refer to their face as having "chipmunk cheeks. Buccal fat removal, also called cheek reduction surgery, offers a solution to those who want to reduce the size of their cheeks. Removal of these fat pads can slim the cheeks and contour the face. This can help people achieve a more chiseled look.
Buccal Fat Removal Patient 3: This woman came wanting to get rid of her round "chipmunk cheeks." She underwent a buccal fat extraction to better define her cheek bones, and a chin augmentation to create harmony with her newly defined cheeks.
| Before | After |
 |  |
During Buccal Fat Pad Removal an incision is made inside the mouth, about a half inch in length opposite the upper molar teeth. The fat pad is removed as much as is necessary to achieve the desired contour, but removing the entire fat pad is not suggested as it can create a hollowed face as we get older and lose facial volume. A few patients will have fat pads that are slightly smaller or larger than usual.
Neck Liposuction and Buccal Fat Removal Patient 4: This man came wanting to get rid of his "chubby" cheeks. He underwent a buccal fat extraction to remove the extra fullness in his lower cheeks, and a chin augmentation and neck liposuction were also performed to create a more masculine defined jawline.
| Before | After |
 |  |
Prior to surgery all patients receive a complete physical examination and are started on vitamin supplementation and homeopathic therapies to enhance healing after surgery. Research has shown that surgical results are improved when these regimens are part of your surgical treatment.