Jowl liposuction: Everything You Need to Know About double chin  Removal

News, Tips and Aesthetic Care Blog

Published by Dr MIguel Fernadez Calderón: 18/01/2025


Many times people begin to accumulate fat under the chin, which affects the shape and harmony of the face. This can generate insecurity and sometimes it is not eliminated with non-invasive procedures. That is why we explain to you what the jowl liposuctionand everything you need to know about the elimination of the double chinso you can look a much more stylized face.

Causas de la papada

El origen del doble mentón está relacionado con diversas causas. Una de ellas es la predisposición genética, ya que la herencia influye en la elasticidad de la piel y cómo se distribuye la grasa en el cuello. El envejecimiento es otro factor importante porque la piel pierde colágeno y elastina a medida que pasa el tiempo, de igual manera los músculos del cuello se debilitan.

Aumentar de peso provoca la acumulación de grasa en todo el cuerpo, incluyendo el mentón. Esto significa que la papada se puede hacer más notoria. También será más evidente en personas que tienen la mandíbula menos definida.

Otra causa está relacionada con la mala postura, por ejemplo, al mirar constantemente hacia abajo.

Factores de riesgo y prevención

Además de estas causas, podemos mencionar algunos factores que aumentan el riesgo de tener papada:

  • Mantener una dieta rica en grasas saturadas, azúcares y alimentos procesados.
  • La falta de actividad física, lo que provoca el aumento de peso y músculos poco tonificados.
  • Exponerse al sol sin protección puede acelerar el proceso de envejecimiento y la flacidez.
  • El tabaquismo deteriora la calidad de la piel, reduce su elasticidad y contribuye al envejecimiento prematuro.
  • Falta de hidratación en la piel, lo que puede hacer que la papada sea más notoria.
  • Cambios de peso drásticos y repetidos.

Para prevenir la aparición de la papada se recomienda mantener un peso estable, hidratar la piel, usar protector solar en el cuello y la cara, y mantener la cabeza erguida, evitando inclinarla con frecuencia hacia adelante.

¿Cómo se elimina la papada?

Existen diferentes tipos de tratamiento que ayudan a eliminar la grasa que se acumula en el mentón. Entre ellos hay procedimientos quirúrgicos y no quirúrgicos.

Non-surgical methods

Aquellas personas que quieren eliminar la papada sin recurrir a la cirugía pueden optar por tratamientos como: 

  • Radiofrecuencia para estimular la producción de colágeno y elastina.
  • Ultrasonido focalizado de alta intensidad o HIFU, que ayuda a conseguir un efecto lifting.
  • La criotolipólisis, que consiste en congelar las células grasas para que luego sean eliminadas por el cuerpo.

La mesoterapia y las inyecciones de ácido desoxicólico también son parte de los tratamientos no quirúrgicos para eliminar la papada.

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Procedimientos quirúrgicos

Cuando la acumulación de grasa es considerable y la papada muy pronunciada, los tratamientos quirúrgicos son más efectivos. Estos incluyen la liposucción de papada, el estiramiento del cuello, la cervicoplastia y el lifting facial.

What is jowl liposuction?

The double chin lipo, also known as jowl liposuction. It is a relatively simple cosmetic surgery that removes fat accumulated under the chin and part of the neck. In this way, the facial lines will look more defined and the patient recovers the aesthetic harmony in the area.

Objectives of the procedure

The main objective of this cosmetic procedure is to eliminate localized fat deposits in the neck and lower face. This area is commonly known as double chin. 

It is of great help to improve skin flaccidity and rejuvenate the entire neck area. It also helps to define the facial contour improving the harmony of the whole area. 

Differences between double chin lipo and other facial treatments

There are some procedures that are related or confused with the double chin lipo. That is why we explain the differences between them:

  • Bichectomy: If you are wondering what a bichectomy is and what it is used for, it reduces the size or eliminates the Bichat balls through incisions inside the mouth. While lipolipectomy removes the accumulation of fat from the neck and lower chin. 
  • Neck lift: Its main objective is to eliminate flaccidity and wrinkles in the neck area. And jowl liposuction is to eliminate the accumulated fat in the area. Both procedures complement each other very well.
  • HIFU: Unlike lipolipolipectomy, this treatment is non-surgical. It uses high frequency ultrasound waves to promote collagen production and improve the firmness and appearance of facial and neck skin. It does not remove accumulated fat. 

Ideal candidates for the Jowl liposuction

The ideal candidates to undergo jowl liposuction are all those who have the following characteristics: 

  • Significant fat accumulation in the neck area and under the chin. 
  • Healthy skin with good elasticity.
  • That they have a healthy weight or are within 30% of their ideal weight. 
  • They do not have any condition or disease that hinders recovery. 
  • It is recommended for patients between 18 and 50 years of age.
  • With realistic expectations about the results.

Factors to consider before the procedure

Before undergoing a lipopump you should consider some aspects such as: 

  • General health: Some medical conditions may hinder the surgery and your recovery, such as diabetes, high blood pressure, heart problems and others. You should consult with your doctor to determine if the procedure poses a risk to your health.
  • Weight: If you are overweight, your neck will look much thicker. Consider reaching a healthy weight to obtain more satisfactory results after the operation. Remember that obesity also negatively affects your overall health. 
  • Chin size and position: It is possible that your chin is retracted or very small, which creates the illusion of having a larger jowl. In these cases, the cosmetic surgeon must analyze if it is necessary to correct its projection and/or size with a mentoplasty and perform neck liposuction.
  • Skin flaccidity: Consider that lipolipolipectomy only focuses on the elimination of accumulated fat in the neck. If you have excess skin flaccidity you should resort to other treatments such as neck lifting. 
dewlap

Medical evaluation and previous recommendations

Before undergoing neck liposuction , you should undergo general medical examinations. These, in addition to ruling out any condition that could interfere with the procedure, will help you determine how your immune system is doing. 

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On the other hand, it is important that you go for check-up consultations to analyze your case. 

Also, follow your doctor's indications and recommendations before the operation. Such as stopping taking certain medications, avoiding alcoholic beverages and tobacco, and leading a healthy lifestyle. 

Jowl liposuction Procedure

Preoperative Preparation

The preoperative period for a liposuction, as mentioned above, includes the review of the medical history and the performance of medical tests. Some of them are: complete hematology, electrocardiogram, ultrasound and others. 

You should also avoid alcohol and tobacco consumption for at least 24 hours before surgery, do not shave the area to be treated and wash the skin very well with soap. 

Steps of the Surgical Procedure

If you have any doubts about what jowl liposuction is like, the procedure is quite simple. 

To remove the accumulated fatty tissue in the area, very fine cannulas are used. Small incisions are made under the chin or behind the ears to insert them. These are so small that they do not leave scars on the skin.

Next, the process of suctioning the fat and defining the contour of the neck and jaw begins. Subsequently, the incisions are closed with a few stitches and a compression bandage is placed.  

Anesthesia Used and Duration of Surgery

Jowl liposuction is a minimally invasive surgery and in most cases, ambulatory. It can be performed under general or local anesthesia. This varies depending on each patient.  

The duration of the procedure is approximately 45 minutes to 1 hour. 

Recuperación y cuidados Posoperatorios

Expected Recovery Time

Recovery time is very short. You will be able to return to your daily activities in approximately 2 weeks. 

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Consider that the first few days after the operation you should rest.

Recommendations for Optimizing Results

If you want to get the best results. Follow your doctor's instructions regarding the postoperative period, such as medications to take and care of the area. 

We recommend the use of compression bandages, keeping the skin hydrated, drinking plenty of water and consuming foods rich in collagen. 

You should also try to sleep on your back and avoid constant movements that make you tilt your head downward.

Results and Benefits of Jowl liposuction

Realistic Post-Surgery Expectations

Having realistic expectations of the results of jowl liposuction is important. Keep in mind that they vary from patient to patient and are not immediately visible. 

The real results are observed approximately 3 months after the operation. 

Duration of Results Obtained

The duration of the results of a lipolippexy depends on factors such as weight gain and aging. If you maintain a healthy lifestyle, avoid weight gain and take proper care of your neck skin. You will be able to enjoy the results of the procedure for much longer.  

Potential Risks and Complications

Like any surgery, liposuction has some risks such as hematomas, seromas, infection, tissue damage, skin irregularities. As well as asymmetry in the results and allergic reaction to medications.

In very rare cases, temporary nerve damage may occur. 

To minimize the risks associated with this operation we recommend you to comply with the rest time. Also use the compression bandage and keep your postoperative check-up appointments. 

It is important that you maintain good oral and facial hygiene, that you do not expose the sutures to the sun and that you take the medications prescribed by your doctor.

Costs and Economic Considerations

The price of a Jowl liposuction ranges from 1200 € to 3000 €. This varies depending on multiple factors such as, complexity of the case, specialist's fees, location of the clinic, patient's needs, additional procedures and others.

If you want to eliminate the fat accumulated in your neck and show off a more defined face, the double chin lipo is an excellent alternative. You can contact us for an evaluation.

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    Dr. Miguel Fernández Calderón - Plastic Surgeon


    Degree in Medicine from the University of Castilla-La Mancha, with training in Plastic, Aesthetic and Reconstructive Surgery at the University Hospital La Paz. Member of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (S.E.C.P.R.E).

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