Neck liposuction—also known as submental or chin liposuction—is a targeted procedure that removes excess fat beneath the chin and along the neck. It’s ideal for patients looking to reduce a “double chin,” improve jawline definition, and create a smoother transition between the chin and neck. This fat can be difficult to shift with diet and exercise alone, making liposuction an effective solution for those with good skin elasticity.
However, neck liposuction only addresses superficial fat. It does not tighten loose or sagging skin, treat prominent neck bands, or correct deeper structural issues. For those concerns, procedures such as a deep plane neck lift may be more appropriate. Understanding these distinctions is key to selecting the right treatment and setting realistic expectations.
Understanding Neck Liposuction: Anatomy & Surgical Considerations
To understand how neck liposuction works and whether it’s the right choice for you — it helps to look at the anatomy of the neck and how it changes with age.
The shape and contour of the neck are influenced by several layers:
- Skin: This is the outermost layer, and its elasticity (how well it ‘snaps back’) plays a major role in the outcome of neck liposuction. As we age, or due to sun damage or genetics, skin loses collagen and elastin, making it less likely to contract smoothly after fat removal. Good skin elasticity is key for a tight, refined result.
- Superficial Fat: Located just beneath the skin, this is the main target in neck or chin liposuction. Extra fat in this layer can lead to a double chin or blurring of the jawline.
- Platysma Muscle: This thin sheet of muscle extends from the collarbone up to the lower face. With age, the platysma can weaken or separate along the midline, resulting in visible vertical neck bands. In patients with underlying muscle laxity, neck liposuction alone may make these bands more visible. For these cases, a neck lift— including a platysmaplasty—is generally more appropriate to repair and tighten the muscle for a smoother neck contour.
- Deep Neck Structures: Under the platysma are deeper fat pockets (subplatysmal fat), muscles (digastrics), and glands like the submandibular glands. Liposuction can’t safely reach these areas. If fullness in the neck is due to deeper fat or gland prominence, more advanced surgery such as a deep plane neck lift may be needed.
What Neck Liposuction Can and Can’t Do?
What it can do:
Neck liposuction is highly effective for reducing localised fat beneath the chin and along the upper neck. By removing this fat, the angle between the chin and neck becomes more defined, and the jawline appears sharper—especially in patients with firm, elastic skin.
What it can’t do:
It won’t tighten loose skin or fix visible muscle bands. If your primary concerns are sagging (turkey neck), or prominent platysmal bands, then a neck lift will likely be more appropriate.
When a Neck Lift Is a Better Option
A neck lift is recommended when there’s more than just fat to address. If the main issues include:
- Loose or sagging skin
- Visible vertical bands from platysma muscle laxity
- Fullness caused by deeper fat or enlarged submandibular glands
…then a lift is generally the better choice. This procedure involves skin removal, muscle tightening (platysmaplasty), and in some cases, reduction or repositioning of deeper tissues. The deep plane neck lift goes further by working in deeper anatomical layers to achieve more dramatic contouring for suitable candidates.
Non-Surgical Alternatives to Neck Liposuction
If you’re not ready for surgery or have only mild concerns, several non-surgical treatments can help improve the appearance of your neck and jawline. While results are more subtle than surgical options, they may be suitable for early signs of ageing or small fat deposits.
Popular options include:
- Fat-Dissolving: Break down fat under the chin with a series of injections. Best for small, localised areas. Swelling after treatment is common.
- Fat Freezing: Uses cooling to target fat cells, gradually reducing fullness under the chin. Multiple sessions are often needed.
- Skin Tightening Devices:
- Ultrasound (e.g. Ultherapy, HIFU): Stimulates collagen for a subtle lifting effect.
- Radiofrequency (RF): Heats the skin to tighten and firm. Some options use microneedling or internal probes for deeper effects.
- Thread Lifts: Threads are placed under the skin to lift and support sagging tissue. Effects are mild and temporary.
- Injectables: Enhance jawline definition and contour. Results last several months to over a year.
Non-surgical options can be effective for selected candidates, but they won’t replace the results of a neck lift or liposuction in more advanced cases.
Are You a Good Candidate for Neck Liposuction?
Neck liposuction can be a great option for reducing fullness under the chin and enhancing jawline definition—but it’s not right for everyone. During your consultation, Dr Turner will assess your health, anatomy, and goals to see if it’s the right fit.
You may be a suitable candidate if you:
- Younger – generally best in patients under 35 years old
- Are in good general health with no serious medical conditions
- Are close to a stable, healthy weight (this is not a weight-loss procedure)
- Are a non-smoker (or willing to quit before and after surgery)
- Have good skin elasticity that can retract after fat removal
- Have localised fat under the chin or along the neck
- Have realistic expectations about what the procedure can achieve
- Complete the mandatory psychological assessment required in Australia for all cosmetic surgery patients
Who Might Not Be a Good Candidate if you?
- Have significant skin laxity, sagging, or a “turkey neck” appearance
- Have visible vertical neck bands caused by muscle laxity
- Carry excess weight or expect the procedure to replace weight loss
- Are unwilling or unable to quit smoking
- Have serious medical conditions that increase surgical risk
- Have unrealistic expectations about what the surgery can deliver
Why Skin Quality Matters Most
During your consultation, Dr Turner will closely assess your skin quality, fat distribution, and overall anatomy. If your skin lacks the elasticity needed for good redraping after fat removal, a neck lift may be recommended for better, longer-lasting results.
Neck Liposuction Surgery: What to Expect?
Neck liposuction with Dr Scott Turner is a carefully performed procedure designed to remove unwanted fat beneath the chin and along the neck, creating a more defined jawline and smoother neck contour. The surgery is tailored to each patient and carried out with precision to ensure safe, natural-looking results.
Here’s a general overview of what the procedure involves:
Where It’s Performed
Depending on your individual case, it may take place at Dr Turner’s accredited in-clinic facility or at one of the private hospitals where he operates. Neck liposuction is typically done as a day surgery, meaning you go home the same day.
Anaesthesia Options
Most patients have the procedure under local anaesthetic with minor sedation, where you’re relaxed but not fully asleep. In some cases where liposuction is combined with other procedures—general anaesthesia may be recommended. Dr Turner will discuss the best option for your comfort and safety during your consultation.
Tumescent Technique
This involves injecting a special fluid into the fat layer before fat removal. The solution includes:
- Saline to hydrate the tissue
- Local anaesthetic to numb the area
- Adrenaline to reduce bleeding and bruising
This technique makes fat removal safer, more comfortable, and reduces post-op swelling.
Small, Hidden Incisions
Tiny incisions (usually 2 or 3) are made under the chin or near the ears. These are placed in discreet natural creases to minimise visible scarring.
Precise Fat Sculpting
A fine, blunt-tipped cannula is used to break up and suction out unwanted fat from the superficial layer under the skin. Dr Turner uses careful, controlled movements to create a smooth, balanced contour that blends naturally into the jawline—this isn’t just fat removal, it’s detailed reshaping for a refined result.
How Long It Takes
The procedure typically takes about one hour, though timing can vary depending on the volume of fat removed and whether other procedures are being performed at the same time.
After Surgery: Compression and Care
After surgery, a compression garment is applied to reduce swelling, help the skin retract, and support healing. Small incisions may be closed with stitches or left open to drain naturally—both options are designed to minimise scarring.
Dr Turner and his team will provide clear pre- and post-operative instructions, including how to care for the area, when to wear your compression garment, and what to expect during recovery.
Complementary Procedures for Enhanced Results
Neck liposuction can create a more defined neck and jawline by removing excess fat—but in some cases, combining it with other procedures can deliver even better, more balanced results. During your consultation, Dr Turner will assess the overall proportions of your face to see if additional treatments may help enhance your outcome.
Chin Augmentation (Implants)
For some patients, a small or recessed chin can make the neck look heavier and reduce jawline definition—even after neck liposuction. In these cases, enhancing chin projection with a silicone chin implant can significantly improve overall facial balance.
A chin implant is a solid, biocompatible material designed to sit over the chin bone and add structure and definition. When performed alongside neck liposuction, chin augmentation can amplify the results—bringing greater harmony to the lower face and improving the transition between the neck, chin, and jaw.
Buccal Fat Removal
The buccal fat pads are located in the lower cheeks. If these are overly prominent, they can make the face look round or “bottom-heavy.” Removing some of this fat can create a slimmer, more contoured look—especially in the lower face. This can work well alongside neck liposuction to enhance facial slimming. Suitability depends on your facial structure and will be assessed by Dr Turner.
Combining procedures in a single operation can improve overall facial harmony and reduce the need for multiple recovery periods.