What can I expect after neck liposuction?

Liposuction of the neck and jowls is a surprisingly pain-free procedure. My patients generally require a few Percocet tablets the day of surgery. By the next day, Tylenol is usually all that is necessary.

On the other hand, you'll look absolutely horrible after the surgery. Your neck will swell and bruise tremendously, and you'll need a tight-fitting garment that reminds me of a bunny costume. Patients tolerate this garment for about a week.

There really isn't much science to the garments, although it seems to make sense. I believe it decreases swelling and blood collection after the surgery. It is critically important to keep your head up following this procedure.

Blunt procedures such as liposuction disrupt hundreds of tiny blood vessels. These generally stop oozing within a few hours. If your head drops below the level of your heart anytime in the first three weeks, the pressure in the blood vessels can blow off newly formed clots and restart the bleeding.

At the least, you'll have new areas of black and blue. In a worst case, you'll have lumps that can persist for months. The bruising is likely to be gone in two weeks, rarely persisting for three weeks.

Because of gravity, however, over the days and weeks the blood percolates into the lower neck and even the upper chest. After about a week, creative placement of scarves and turtleneck shirts can hide residual bruising and allow the patient to return to the public eye.

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