Name of the Procedure:

Suction Assisted Lipectomy; Head and Neck

Common name(s): Liposuction of the head and neck, Suction lipectomy, SAL

Summary

Suction assisted lipectomy, often known as liposuction, is a surgical procedure that removes excess fat deposits from specific areas of the head and neck through a suction technique. It helps in contouring and reshaping these regions to improve appearance.

Purpose

The procedure primarily addresses the presence of localized fat deposits that are resistant to diet and exercise. The goals of the procedure are to enhance facial contours, create a more defined jawline, and improve overall appearance.

Indications

• Stubborn fat deposits in the chin, jawline, or neck.
• Patients with good skin elasticity and muscle tone.
• Individuals in good general health who have realistic expectations.

Preparation

• Pre-procedure instructions may include fasting for a certain period.
• Patients may need to stop certain medications, especially blood thinners, as advised by their physician.
• Preoperative assessments or blood tests may be required.

Procedure Description

1. Anesthesia: Local anesthesia with sedation or general anesthesia is administered.
2. Incisions: Small, inconspicuous incisions are made in the targeted areas.
3. Tumescent Solution: A saline solution mixed with local anesthetics and epinephrine is injected to reduce bleeding and facilitate fat removal.
4. Cannula Insertion: A thin, hollow tube (cannula) is inserted through the incisions to loosen excess fat.
5. Suction: The dislodged fat is suctioned out using a surgical vacuum or syringe attached to the cannula.
6. Closure: Incisions are closed, and a compression garment is applied to minimize swelling.

Duration

The procedure typically takes 1 to 3 hours, depending on the extent of the areas treated.

Setting

The procedure is usually performed in a hospital, outpatient clinic, or surgical center.

Personnel

• Surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and technicians

Risks and Complications

• Common risks: Swelling, bruising, temporary numbness.
• Rare risks: Infection, blood clots, uneven contours, persistent swelling.
• Complications may require corrective procedures.

Benefits

• Improved facial and neck contour and appearance.
• Enhanced self-confidence and aesthetics.
• Results can be seen shortly after swelling subsides, typically within a few weeks.

Recovery

• Post-operative care includes wearing a compression garment for several weeks.
• Pain and discomfort can be managed with prescribed medications.
• Patients typically recover within 1 to 2 weeks but may need to avoid strenuous activities for a few weeks.
• Follow-up appointments ensure proper healing.

Alternatives

• Non-surgical alternatives like CoolSculpting.
• Diet and exercise for gradual fat reduction.
• Surgical alternatives might include neck lift or chin augmentation.
• Each alternative varies in invasiveness, cost, and effectiveness.

Patient Experience

• During the procedure, patients under local anesthesia may feel movement but should not feel pain.
• Post-procedure discomfort can include swelling, bruising, and soreness, manageable with medications.
• Most patients can resume normal activities within a week, with full recovery expected in a few weeks.