eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Liposuction of the Face and Neck: Multimedia

Author: Manoj T Abraham, MD, FACS, Clinical Assistant Professor, Division of Facial Plastic & Reconstructive Surgery, New York Medical College,New York Eye & Ear Infirmary; Private Practice, Facial Plastic, Reconstructive & Laser Surgery PLLC
Coauthor(s): Thomas Romo III, MD, FACS, Chief, Clinical Instructor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary
Contributor Information and Disclosures

Updated: Oct 6, 2008

Multimedia

A 6-mm straight suction cannula commonly used in ...Media file 1: A 6-mm straight suction cannula commonly used in cervicofacial liposuction. Note the atraumatic blunt tip design.
A 6-mm straight suction cannula commonly used in ...

A 6-mm straight suction cannula commonly used in cervicofacial liposuction. Note the atraumatic blunt tip design.

A small 1-cm puncture incision is made in the mid...Media file 2: A small 1-cm puncture incision is made in the midline, hidden within the submental crease, using a number 11 scalpel blade.
A small 1-cm puncture incision is made in the mid...

A small 1-cm puncture incision is made in the midline, hidden within the submental crease, using a number 11 scalpel blade.

The skin is tented and fed with the opposite hand...Media file 3: The skin is tented and fed with the opposite hand in order to ensure smooth passage of the suction cannula in the appropriate subdermal plane.
The skin is tented and fed with the opposite hand...

The skin is tented and fed with the opposite hand in order to ensure smooth passage of the suction cannula in the appropriate subdermal plane.

Limits of dissection in the neck with the suction...Media file 4: Limits of dissection in the neck with the suction cannula (dotted blue line) in a patient undergoing closed cervicofacial liposuction. Note the superior margin of undermining (angle of the mandible) and the lateral margin (anterior border of the sternocleidomastoid muscle). Dissection in this patient extends down to the level of the thyroid notch, but it may be carried down as far as the sternal notch.
Limits of dissection in the neck with the suction...

Limits of dissection in the neck with the suction cannula (dotted blue line) in a patient undergoing closed cervicofacial liposuction. Note the superior margin of undermining (angle of the mandible) and the lateral margin (anterior border of the sternocleidomastoid muscle). Dissection in this patient extends down to the level of the thyroid notch, but it may be carried down as far as the sternal notch.

Gentle negative pressure is applied manually with...Media file 5: Gentle negative pressure is applied manually with a 10-cc syringe. Withdrawing the plunger continuously to produce a 1- to 2-cc vacuum creates and maintains suction.
Gentle negative pressure is applied manually with...

Gentle negative pressure is applied manually with a 10-cc syringe. Withdrawing the plunger continuously to produce a 1- to 2-cc vacuum creates and maintains suction.

More on Liposuction of the Face and Neck

Overview: Liposuction of the Face and Neck
Workup: Liposuction of the Face and Neck
Treatment: Liposuction of the Face and Neck
Follow-up: Liposuction of the Face and Neck
Multimedia: Liposuction of the Face and Neck
References

References

  1. Teimourian S. Suction lipectomy of the face and neck. Facial Plast Surg. Fall 1986;4(1):35-43. [Medline].

  2. Converse JM. Reconstructive Plastic Surgery. New York, NY: WB Saunders Co; 1977:1869-75.

  3. Adamson PA, Cormier R, Tropper GJ, et al. Cervicofacial liposuction: results and controversies. J Otolaryngol. Aug 1990;19(4):267-73. [Medline].

  4. Gross CW, Becker DG, Lindsey WH, et al. The soft-tissue shaving procedure for removal of adipose tissue. A new, less traumatic approach than liposuction. Arch Otolaryngol Head Neck Surg. Oct 1995;121(10):1117-20. [Medline].

  5. Aguilar EA 3rd. Cervicofacial liposurgery. In: Bailey BJ, Tardy ME Jr., eds. Head & Neck Surgery—Otolaryngology. New York, NY: Lippincott, Raven; 1998:2799-2809.

  6. Becker DG, Cook TA, Wang TD, et al. A 3-year multi-institutional experience with the liposhaver. Arch Facial Plast Surg. Jul-Sep 1999;1(3):171-6. [Medline].

  7. Butterwick KJ. Enhancement of the results of neck liposuction with the FAMI technique. J Drugs Dermatol. Oct 2003;2(5):487-93. [Medline].

  8. Dedo DD. The aging neck. In: Bailey BJ, Tardy ME Jr., eds. Head & Neck Surgery—Otolaryngology. New York, NY: Lippencott Raven; 1998:2717-32.

  9. Donofrio LM. Fat rebalancing: the new "Facelift". Skin Therapy Lett. Nov 2002;7(9):7-9. [Medline].

  10. Farrior EH, Park SS. Suction assisted lipocontouring. In: Cummings CW, Krause CJ, Thomas JR, eds. Otolaryngology, Head and Neck Surgery. New York, NY: Mosby; 1998:709-19.

  11. 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].

  12. Jasin ME. Submentoplasty as an isolated rejuvenative procedure for the neck. Arch Facial Plast Surg. Mar-Apr 2003;5(2):180-3. [Medline].

  13. Markman B. Anatomy and physiology of adipose tissue. Clin Plast Surg. Apr 1989;16(2):235-44. [Medline].

  14. Sattler G, Sommer B. Liporecycling: a technique for facial rejuvenation and body contouring. Dermatol Surg. Dec 2000;26(12):1140-4. [Medline].

  15. Schaeffer BT. Endoscopic liposhaving for neck recontouring. Arch Facial Plast Surg. Oct-Dec 2000;2(4):264-8. [Medline].

  16. Sclafani AP, Kwak E. Alternative management of the aging jawline and neck. Facial Plast Surg. Feb 2005;21(1):47-54. [Medline].

Further Reading

Keywords

liposuction, cosmetic surgery, liposuction of the face and neck, cervicofacial liposuction, liposhaving, lipocontouring, liposurgery, cervicofacial, cervical, cosmetic, aesthetic, aging, mandible contour, cervicomental angle, rhytidectomy, malar implants, chin implants, genioplasty, submental liposuction, ptosis, facial support structures, malar fat pad, buccal fat pad, skin elasticity, wrinkles, sagging of facial skin, tissue laxity, jowls, wattles, turkey gobbler, cervicofacial support structures, cosmetic deformity, facial plastic surgery, hyoid bone, retruded mandible, prognathic mandible, parotid gland, submandibular gland, platysma, liposuction of the face and neck, liposuction of the face, liposuction of the neck, cosmetic surgery of the face

Contributor Information and Disclosures

Author

Manoj T Abraham, MD, FACS, Clinical Assistant Professor, Division of Facial Plastic & Reconstructive Surgery, New York Medical College,New York Eye & Ear Infirmary; Private Practice, Facial Plastic, Reconstructive & Laser Surgery PLLC
Manoj T Abraham, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Association of Physicians of Indian Origin, American College of Surgeons, American Medical Association, American Rhinologic Society, American Society for Cell Biology, California Medical Association, Medical Society of the State of New York, New York Academy of Medicine, New York County Medical Society, Sigma Xi, and Triological Society
Disclosure: Nothing to disclose.

Coauthor(s)

Thomas Romo III, MD, FACS, Chief, Clinical Instructor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary
Thomas Romo III, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

Medical Editor

J David Kriet, MD, FACS, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Director of Facial Plastic and Reconstructive Surgery, University of Kansas School of Medicine
J David Kriet, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, AO Foundation, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Keith A LaFerriere, MD, Clinical Professor, Fellowship Director, Department of Surgery, Division of Otolaryngology, University of Missouri at Columbia
Keith A LaFerriere, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Missouri State Medical Association
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

RELATED EMEDICINE ARTICLES
Patient Education
 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.