Neck Liposuction and The Lapel Lift™

How is neck liposuction performed?

Neck liposuction can be performed with either local anesthesia alone, or under twilight anesthesia. For maximum comfort, and for laser liposuction cases, we recommend twilight anesthesia for a safer, more enjoyable experience. First the skin is injected with a numbing solution, and then one very small (less than 1/8 inch) incision is made behind each ear. A delicate 2.75-3.0mm cannula is then threaded under the skin in uniform, gentle passes to recontour the subcutaneous fat layer, remove any excess fat, and heat the skin to 40 degrees Celsius (if laser liposuction is being used). This process makes the neck appear smaller and tighter, especially in profile, and may be a better option than a surgical neck lift in younger women with good skin elasticity.


What is The Lapel Lift™ for Women, and how is it different from regular neck liposuction?

The Lapel Lift™ for Women (click here for the male version the Lapel Lift) is a more involved procedure than simple neck liposuction that is designed for maximal tightening that is often desired by white collar professionals that spend a great deal of time in front of people like doctors, lawyers, sales people, and executives. The Lapel Lift™ adds several steps onto those described above for regular neck liposuction, but still accomplishes almost all of the work through 2-3 tiny micro-incisions that leave almost no visible scars. Some combination of the following steps are necessary for a Lapel Lift procedure:

  1. Neck liposuction. The first step of the Lapel procedure is the same as for regular neck liposuction. The excess fat is liposuctioned through one very small (less than 1/8 of an inch) behind each ear. This is done in such a way that the jawline is enhanced at the same time as the heaviness of the neck is lessened.
  2. Fiberoptic Laser Skin Tightening. A fiberoptic laser cannula is passed under the skin to heat the dermis to 40 degrees Celsius to start the collagen building process that gradually tightens the skin for up to 12-14 months after the procedure. This procedure is also sometimes performed with regular neck liposuction alone, but the energy delivery is higher in the Lapel procedure, which is why twilight anesthesia is recommended over local anesthesia.
  3. Platysma muscle repair (platysmaplasty). A natural split in the platysma muscle of the neck occurs as in most men and women while they are in their 30’s, and worsens to the point of being visible as a “turkey neck” later in life. It is sometimes necessary for this muscle to be repaired through a tiny incision under the chin (where most people already have a scar from a childhood fall).
  4. Submental fat pad removal. When the platysma muscle splits, it allows the sub mental fat pad to fall downwards with gravity. When this fat pad is large, it can contribute significantly to a heavy neck appearance and must be removed for an ideal result.
  5. Jawline recontouring with Radiesse. This step is more commonly needed in men, but can also produce a nicer result when performed properly in a woman. While men typically need a stronger, squarer jaw, women need a smoother more shapely one with minimal jowling. Jawline recontouring for a women is focused on hiding the jowls (or micro jowls), and sculpting a smoother uninterrupted line across the length of the jaw from the chin all the way to the neck.
  6. Infrared Laser Skin Tightening. The final step of this procedure actually happens during the recovery phase in the office starting at the 3-6 month mark. An infrared laser hand piece is used to provide further deep heating to the collagen building layers of the skin, but this time the heating elements passes into the skin from the outside surface instead of from the inside as it was done during the procedure with the fiberoptic cannula. This is not a necessary step for everyone, but it is a nice addition to the recovery process for additional tightening without any additional surgery. Click here to learn more about infrared laser skin tightening.

Jawline 3


How is neck liposuction for women different than it is for a man?

  1. Women have different aesthetic goals. Although both men an women want a tight neck in profile, and a smooth defined jawline, the ideal shapes of those structures differ between a man and a woman. A man’s jaw is stronger, more defined, and more square than a woman’s, but a woman’s neck is often much tighter in profile than a man’s. Women often have jowls or micro jowls that need to be hidden with injectable products like Radiesse more often than men do, and the overall shape of the jawline in women must be sculpted to be softer, smoother, more delicate, and narrower than in a man. These subtle aesthetic differences must be considered when performing procedures like this so that the streps outlined above can be tailored appropriately to the desired outcome.
  2. Men have heavier necks than women. Men have heavier, thicker skin, and larger more prominent sub mental fat pads that lead to a thicker turkey neck appearance. This makes a man more likely to require a full Lapel Lift procedure for an optimal result, whereas many women will have an excellent result with neck liposuction alone.

What is recovery time after neck liposuction and The Lapel Lift™?

The recovery from either of these procedures is actually simpler and easier than you might expect. The procedure takes about 2 hours, and you’ll go home the same day with a supportive dressing in place. You will see Dr. Vendemia in the office the following day, and he will remove the dressing for you. You’ll leave the office with a simple cotton/spandex neck strap that will support and sculpt the new neck contour for the next 3-4 weeks. You’ll be expected to wear the strap for the majority of the day and night for as many days after the procedure as you can (realistically, of course), and then every night after you go back to work and stop wearing the strap during the day. Bruising, swelling, and pain are usually minimal to none depending on how many of the above steps were necessary during your procedure, and most patients do fine with only a few pain pills on the first night after the procedure. Your neck will look only a modest amount better until about the 2nd or 3rd week after surgery when the swelling subsides enough to see the result, but it will look better than what you started with even during the first few weeks. The neck will continue to tighten for the subsequent 12-14 months after the procedure, sometimes dramatically so.


How can I get more information about neck liposuction and The Lapel Lift™ for Women?

Feel free to give us a call at 917-703-7069 or send us a message by clicking here to get more information about neck liposuction or The Lapel Lift™ for Women. The Lapel Lift™ for Men is also available for your the special man in your life, so please feel free to inquire about that as well.


Woman Calling

Are you considering liposuction for a tighter neck and more defined jawline? We offer the most innovative techniques and the quickest recovery times in the safest environment possible, and all procedures are performed by a fellowship-trained plastic surgeon. Please feel free to contact us online or call our office at 917-703-7069.

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