Reoccuring jowls and neck laxity after a face / neck lift likely will need some type of revision. Liposuction could handle some of these issues, if these issues are related to excessive fatty tissue. The concern with just employing liposuction is the layering of the skin. With the reduction of fat, the skin will be of relative excess and may or may not redrape the way you would like it to. Also often the reoccurance is not due to loosening, it is often due to the loss of swelling from the process that was acting to pull back the neck and jowls. I know that there are certain things that you really need to do for the neck to be properly shaped and formed. You need to remove all the necessary fat that has accumulated and also you really have to treat the neck thoroughly to pull it tight. You need to do a corset neck lift and this needs to be done with an attention to detail.
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Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington