Liposuction of Neck and Jowls: Five-Incision Method Combining Machine-Assisted and Syringe Aspiration

BACKGROUND: Liposuction of the jowl region is difficult from a single submental incision and must be done conservatively in order to avoid overresection of fat. The neck region may be suctioned much more completely. OBJECTIVE: A new method for liposuction of the neck and jowls that uses five incisions and that combines syringe suctioning of the jowls and machine-assisted suctioning of the neck has been developed. METHODS: The neck was suctioned from submental and infra-auricular incisions. The jowls were suctioned from the infra-auricular and additional infrajowl incisions. RESULTS: This method has been used on 68 patients over a 3-year period. Three additional patients underwent syringe liposuction of only the jowls. Volumes of fat aspirated from bilateral jowls were consistently nearly equal. The incidence of adverse events was low. CONCLUSION: This method enables conservative removal of jowl fat and thorough removal of neck fat, with a low incidence of adverse sequalae.