The best candidates are younger patients who have fatty deposits in the middle or lateral neck associated with muscle laxity and muscle banding, but with only minimal or moderate skin excess.

Only one small 1 inch long incision is made directly below the chin. Liposuction is performed to remove the excess fat from the neck, followed by a tightening of the SMAS (superficial muscle aponeurotic system) muscles of the midline neck including the platysma muscle. Any excess skin is trimmed and the incision is closed. A small wrap around head and neck dressing is applied and all sutures are removed in 7 days. Full activity is resumed in 2 weeks.

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