The best candidates are younger patients who have fatty pouching in the lower neck associated with excess skin and muscle laxity.

Incisions are made behind the ears and below the chin. The extra fat is first liposuctioned followed by a tightening of the lower SMAS muscles in the neck including the Platysma muscle in the mid-line of the neck. The extra skin is then smoothed and adjusted laterally toward the sides of the face and neck and the excess is trimmed.

A light dressing is placed around the neck. All sutures are removed by 12 days and after 2 weeks all activities can be resumed.

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