Wide-undermining neck liposuction: tips and tricks for good results

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Surgical Techniques

Background:

• Neck rejuvenation is a highly sought-after cosmetic procedure.
• Various techniques exist, but wide undermining and local anesthesia offer advantages in selected patients.
• This article details experience with neck liposuction, focusing on wide-undermining techniques.

Purpose of the Study:

• To present the authors' experience with wide-undermining neck liposuction.
• To propose tips and tricks for mastering this technique.
• To evaluate the safety and efficacy of this method for neck rejuvenation.

Main Methods:

• A retrospective review of 118 patients (34 males, 84 females) from January 2005 to September 2012.
• Patient selection based on age and neck-aging features.
• Procedure performed under local anesthesia with wide rhomboid-shaped undermining and preservation of a thin fat layer.

Main Results:

• All patients showed improved neck contour and redefinition of the cervicomandibular angle.
• Skin redraping was observed in all cases, with no need for touch-ups.
• Edema and ecchymosis resolved rapidly, and no major complications occurred.

Conclusions:

• Wide-undermining neck liposuction under local anesthesia is a safe and effective procedure.
• Careful patient selection based on age and anatomical features is crucial for optimal outcomes.
• The technique yields impressive improvements in neck contour with minimal complications.