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Face Cosmetic Surgery

Neck Liposuction

Removal of fat in the neck

Mini Facelift

Fat accumulates in the neck when a person gains weight, ages, and is genetically predisposed to gaining jowls later in life. Fat in the neck can be isolated to a fat compartment below the chin or be more generally located through the neck. It is commonly called a double chin.

People with small to moderate isolated fat pockets below their chin can often treat it without surgery using Coolsculpting or Kybella.  Patients with larger amounts of fat will get better results from liposuction.

Neck liposuction is a procedure to remove the fat from the neck whether it is in the isolated pocket immediately below the chin or the fat is more generalized throughout the neck.  

The procedure can be performed in the office under local anesthesia and oral sedation, or under general anesthesia at a surgery center. If performed alone (without a neck lift), the procedure will take about 1 hour.  Liposuction produces an immediate and comprehensive result.

The Procedure:

Two very inconspicuous incisions are made in the chin crease beneath the chin.  Tumescent numbing medication as well as a medication to reduce bruising are injected into the fat. The fat is then removed with a small 2 mm cannula.

The result is a smoother appearance and a sharper angle between the jaw line and the neck. 

A bulky headwrap is placed once the procedure is completed.

There are a number of reasons people consider neck liposuction. The best candidates are those that:

  • Have realistic expectations of what can be achieved
  • Are healthy and have remained at their current weight for more than six months
  • Are unhappy with their double chins
  • Want to have a slimmer neck
  • Want to have a defined jawline


After surgery you should rest at home and let yourself heal. Dr. Chang will send you home with a detailed recovery plan. There are a number of different ways to help aid recovery:

  • All patients wear a bulky headwrap for about 1 week.
  • There will be some bruising and swelling which should fade within a week.
  • Most patients are presentable without drawing attention in 1 to 2 weeks.
  • Sutures are removed 10 to 14 days after your surgery. Some may be absorbable.
  • Strenuous exercise should be avoided during this time to help in the recovery process.
  • Apply aquaphor ointment twice a day until the sutures are removed.
  • Most patients will take one to two weeks off of work.
  • Pain is minimal to moderate.

Final results should not be expected for at least 3 to 6 months.

As with any surgery, there are associated risks. Only you can decide whether a neck liposuction can achieve your goals and whether the recovery and risk is acceptable to you. Complications are rare but can include:

  • Local bleeding.
  • Facial asymmetry.
  • Infection particularly from the absorbable sutures.
  • Loss of sensation although rare.
  • Widened or thickened scar.
  • Delayed wound healing with skin or tissue necrosis.
  • Extra skin at the ends of the incisions.
  • For men, temporary or permanent hair loss where the incision is made.
  • Swelling which doesn’t go down.

Unsatisfactory results may require additional procedures. Patients will generally be responsible for any associated facility fees. 

The fat cells that are removed will not grow back.

However, if you gain a significant amount of weight following liposuction, the remaining cells will expand and grow larger.

Your cost for neck liposuction will depend on whether or not additional procedures are performed such as face lift or a neck lift? And the type of anesthesia (local vs general). See the price card below for more details.

There are a number of other surgical and non-surgical procedures that can be performed with a neck liposuction. These include:

  • Mini facelift
  • Neck lift
  • Profractional laser resurfacing

Neck fat, as well as fat in general, can be reduced with Coolsculpting or Kybella. Coolsculpting or Kybella are more appropriate for minor fat pockets. Both are nonsurgical options with no downtime.  Both will result in about a 20% reduction in fat with each treatment. 

Patients who are looking for either more immediate or more comprehensive results will benefit more from liposuction.

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Neck Liposuction

Starts at $4500

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Dr. Chang Featured in a Maagazine

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

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Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

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  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

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