Submental and Jowl Liposuction Workup

  • Author: Arthur W Perry, MD, FACS; Chief Editor: Deepak Narayan, MD, FRCS   more...
 
Updated: Jun 20, 2011
 

Laboratory Studies

Preoperative laboratory tests include only those generally required for surgery.

  • At a minimum, perform urinalysis to look for bacteria and glucose.
  • Perform a hematocrit.
  • Individualize other laboratory tests for the patient.
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Imaging Studies

No particular imaging tests are required for this procedure. Obtaining good quality preoperative photographs is important for medicolegal reasons.

If underlying pathology is suspected based on the physical examination, then perform appropriate tests (eg, CT, MRI of the neck). Be wary of thyroglossal duct cysts, branchial clefts, thyromegaly, and other cervical pathology.

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Contributor Information and Disclosures
Author

Arthur W Perry, MD, FACS  Clinical Associate Professor, UMNDJ - Robert Wood Johnson Medical School, Private Practice

Arthur W Perry, MD, FACS is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Medical Society of New Jersey, and New Jersey Society of Plastic Surgeons

Disclosure: New Vitality Corporation Royalty Consulting

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Alan Matarasso, MD, FACS, PC  Clinical Professor of Plastic Surgery, Albert Einstein College of Medicine; Immed Past President of New York Regional Society of Plastic and Reconstructive Surgery

Alan Matarasso, MD, FACS, PC is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons US Section, New York Academy of Medicine, New York County Medical Society, Pan American Medical Association, and Pan-Pacific Surgical Association

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS  Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center

Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England

Disclosure: Nothing to disclose.

References

  1. Illouz YG. The origins of lipolysis. In: Hetter GP, ed. Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. New York: Lippincott Williams & Wilkins; 1984:25.

  2. Hetter GP. Lipoplasty of the face and neck. In: Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. New York: Lippincott Williams & Wilkins; 1984:249.

  3. Stebbins WG, Hanke CW. Rejuvenation of the neck with liposuction and ancillary techniques. Dermatol Ther. Jan-Feb 2011;24(1):28-40. [Medline].

  4. Collawn SS. Skin tightening with fractional lasers, radiofrequency, Smartlipo. Ann Plast Surg. May 2010;64(5):526-9. [Medline].

  5. Sun Y, Wu SF, Yan S, Shi HY, Chen D, Chen Y. Laser lipolysis used to treat localized adiposis: a preliminary report on experience with Asian patients. Aesthetic Plast Surg. Sep 2009;33(5):701-5. [Medline].

  6. Goldman A. Submental Nd:Yag laser-assisted liposuction. Lasers Surg Med. Mar 2006;38(3):181-4. [Medline].

  7. Gryskiewicz JM. Submental suction-assisted lipectomy without platysmaplasty: pushing the (skin) envelope to avoid a face lift for unsuitable candidates. Plast Reconstr Surg. Oct 2003;112(5):1393-405; discussion 1406-7. [Medline].

  8. Rohrich RJ, Pessa JE. The subplatysmal supramylohyoid fat. Plast Reconstr Surg. Aug 2010;126(2):589-95. [Medline].

  9. Ramírez OM. Advanced considerations determining procedure selection in cervicoplasty. Part one: anatomy and aesthetics. Clin Plast Surg. Oct 2008;35(4):679-90, viii. [Medline].

  10. Rachel JD, Lack EB, Larson B. Incidence of complications and early recurrence in 29 patients after facial rejuvenation with barbed suture lifting. Dermatol Surg. Mar 2010;36(3):348-54. [Medline].

  11. Renaut A, Orlin W, Ammar A, Pogrel MA. Distribution of submental fat in relationship to the platysma muscle. Oral Surg Oral Med Oral Pathol. May 1994;77(5):442-5. [Medline].

  12. Becker H. Subdermal liposuction to enhance skin contraction: a preliminary report. Ann Plast Surg. May 1992;28(5):479-84. [Medline].

  13. Hughes CE, Chang KN, Kenkel JM. Lipoplasty complications. Aesthetic Surg. 2005;25:57-65.

  14. Kamer FM, Minoli JJ. Postoperative platysmal band deformity. A pitfall of submental liposuction. Arch Otolaryngol Head Neck Surg. Feb 1993;119(2):193-6. [Medline].

  15. Moreno A, Bell WH, You ZH. Esthetic contour analysis of the submental cervical region: a study based on ideal subjects and surgical patients. J Oral Maxillofac Surg. Jul 1994;52(7):704-13; discussion 713-4. [Medline].

  16. Newman J, Dolsky RL, Mai ST. Submental liposuction extraction with hard chin augmentation. Arch Otolaryngol. Jul 1984;110(7):454-7. [Medline].

  17. Rohrich RJ, Rios JL, Smith PD, Gutowski KA. Neck rejuvenation revisited. Plast Reconstr Surg. Oct 2006;118(5):1251-63. [Medline].

  18. Rubin JP, Xie Z, Davidson C, Rosow CE, Chang Y, May JW Jr. Rapid absorption of tumescent lidocaine above the clavicles: a prospective clinical study. Plast Reconstr Surg. May 2005;115(6):1744-51. [Medline].

 
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Patient aged 35 years. Left – Preoperative. Right - 4 months postoperative, liposuction of 25 mL from submental area and jowls with chin implant on right.
Patient aged 36 years. Left – Preoperative. Right - 4 months postoperative, liposuction of 150 mL from submental area and jowls.
Woman aged 45 years. Left – Preoperative. Right – Postoperative, liposuction of neck and jowls and excision of thyroglossal duct cyst.
Woman aged 58 years. Left – Preoperative. Right - 5 months postoperative, liposuction of 100 mL of fat from neck.
This 50-year-old woman underwent liposuction of the submental and jowl areas, as well as the pretragal zones. 200 cc was suctioned. The photos on the right were only 3 weeks postoperative. Additional skin tightening and resolution of swelling is expected.
 
 
 
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