Liposuction is a plastic surgery technique to remove small amounts of localized fat.  It is meant for amounts of external fat that you can pinch, and not for overall weight loss.  In the face and liposuction has to be done carefully to avoid damage to underlying facial structures.

In the office or operating room, the area is filled with tumescent fluid.  This fluid gives some numbing after surgery, and also provides less bleeding, which allows the liposuction procedure to have less bruising after surgery.

The problem with liposuction in the face is pure human anatomy.  There actually isn’t that much fat in the face, even if you feel you have chubby cheeks.  The branches of the facial nerve also travel, like branches of the tree, from the ear hole to the middle of your face.  It is actually hard to identify all of the facial nerve branches, but it is easy to induce swelling and temporary damage to the branches of the facial nerve with liposuction.  The facial nerve branches will heal, but they will not function normally if they are swollen and temporarily damaged.  This may result in difficulty in moving your facial muscles, or even asymmetry to your smile.

If you feel that you have chubby cheeks out of proportion to the rest of your face, then you may be a candidate for buccal fat removal. The incision is made on the inside of the mouth, and fat is removed carefully from your cheeks.

Occasionally, during a facelift, some fat can be removed by liposuction through a facelift incision.  Jowl fat is sometimes difficult to remove by liposuction, and usually tightening of the jowl skin and neck liposuction is sufficient to achieve a thinner jowl.

Neck liposuction is a completely matter, and typically is a more common procedure.  Coupled with a necklift, your neck can look more youthful with a sharper jowl line.  Neck liposuction will be discussed in a future blog post.

Should you desire more information about my available services, or want to schedule an appointment, please contact my Patient Care Coordinator at, or call our office at 415-362-1846.

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