Do I need neck liposuction or facelift surgery?

Do I need liposuction, a facelift or both procedures? Liposuction and facelifting are two very different surgeries that can be done as a standalone procedure or in most cases, are done together for total facial rejuvenation.


Submental liposuction (removal of fat from under the chin) is performed to improve contour to the neck and jawline.  A contoured neck is one of the telling signs of youth. Fat in the submental area can be caused from weight gain or genetically inherited. For many, this fat is the hardest to lose despite weight loss.

The main requirement for submental liposuction is that the patient still has good elasticity to the skin in this area. If the patient does not have good elasticity in the neck/jawline area liposuction can actually make the skin in this area look loose. If this is the case, the skin would have to be surgically tightened to provide the profile with a sharper, more sculpted jaw.


Appropriate candidates for a traditional facelift are typically someone who has moderate to severe jowling, neck laxity, and who is seeking long lasting results. For most patients a lower facelift is the only way to remove sagging skin to achieve a chiseled neck and jawline.

It is very common during a facelift that submental liposuction is done at the same time to achieve total facial rejuvenation. During this procedure, liposuction is performed under the chin, jawline, and upper neck areas. Once the fat is removed from these areas, the skin is then tightened by excising the excess skin on the midface and neck.

During the recovery process, there is significant swelling from both the liposuction and the facelift. After about 2-3 weeks, swelling from both procedures will have begun to resolve and the results will be more apparent.


If you are looking for improvement but also desire a minimally invasive option, FaceTite may be right for you. FaceTite utilizes RFAL (radio frequency-assisted liposuction) for thermal energy to tighten and remove excess fat.  FaceTite is able to lift and tighten the lower face and neck but will not quite give the result of a traditional facelift. A couple incision points are made, and a probe is inserted under the skin, where direct thermal heating causes fat coagulation and tissue remodeling. You can expect approximately 70% of the results a facelift would give, but this can be a great alternative for some.

If you have the desire for a smoother contoured neck, jawline, and lower face, we are able to offer our patients both minimally invasive treatments and surgical options that are going to have long lasting results.  If you think liposuction might be right for you, also check out Kybella which is an FDA approved injectable that dissolves fat cells.

To learn more about neck liposuction and other face procedures, please contact our office at (801)776-2220.

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