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Expert Tips for Neck Fat Removal Results

Many individuals are troubled by the accumulation of excess fat under the chin and on the neck, often referred to as a “double chin.” This type of fat can prove to be particularly resistant to reduction through traditional means such as diet and exercise. As a result, a growing number of people are seeking out cosmetic procedures specifically designed for neck fat removal, to achieve a more sculpted and streamlined appearance of the chin and neck area. However, it should be noted that the term “buffalo hump removal” is incorrect in this context, as it refers to a different condition altogether. This comprehensive guide will delve into the various surgical and non-surgical options available for neck fat removal, along with what patients can expect from these procedures, who makes an ideal candidate, and how to ensure lasting results.

What is Neck Fat Removal Surgery?

Neck fat removal typically refers to liposuction procedures that specifically target excess fat deposits under the chin and on the neck. Liposuction is one of the most popular and commonly performed cosmetic surgeries. It involves inserting a small tube called a cannula under the skin to suction out excess fat. Neck liposuction is specialized to focus on problem areas on the chin, jawline, and the front and sides of the neck. The goal is to create better definitions and contours along the jawline and down to the neck.

In some cases, neck liposuction may be performed along with procedures to tighten loose neck skin for optimal neck fat removal results. There are a few options when it comes to skin tightening:

Neck Fat Removal
  • Laser Skin Tightening: Laser energy is used to heat up and stimulate collagen production in the skin, leading to gradual tightening over the next few months.
  • Radiofrequency Skin Tightening: This uses radiofrequency energy to heat and tighten the deeper dermis layers of the skin.
  • Surgical Skin Excision: This surgical procedure removes strips of excess neck skin, pulling the remaining skin tighter.

The combination of liposuction for fat removal and energy-based skin tightening provides complete neck contouring and optimal improvement of a double chin or “turkey neck.”

Considerations for Neck Fat Removal Surgery

Neck fat removal surgery is an outpatient procedure performed under general anesthesia or local anesthesia with sedation. As with any cosmetic surgery, there are a number of factors to weigh when considering neck liposuction:

The Neck Fat Removal Procedure
The first step towards the buffalo hump removal journey is contemplating the procedure itself. Performed as an outpatient operation, it involves either general anesthesia or local sedation.

Expected Results
Post buffalo hump removal surgery, patients can anticipate a considerable reduction in neck and chin fat, leading to a more defined jawline. Unlike sagging skin, fat can be easily removed, implying that the outcome predominantly depends on the skin’s elasticity. Between 2 to 3 months, as swelling subsides, the buffalo hump liposuction’s final results become apparent.

Recovery Timeline
In the course of the initial week or two following neck fat removal surgery, patients might witness neck swelling and bruising. Traditionally, about 1 to 2 weeks off work is required. To ensure optimal recovery, patients should steer clear of strenuous activities for at least four weeks.

Neck Fat Removal Costs
On average, buffalo hump surgery costs are estimated at around $3,000. However, incorporating skin-tightening procedures or performing an extended procedure might add to the expenditure.

Risk Factors
Although rare, some risks associated with buffalo hump removal include adverse reactions to anesthesia, bleeding, infections, asymmetry, and nerve damage.

Ideal Candidates
The perfect candidates for neck fat removal typically have good skin elasticity, localized fat deposits rather than substantial sagging skin, and maintain realistic expectations about the potential improvement.

Post-Operative Care
Post-neck fat removal surgery, it’s crucial to adhere to specified post-operative care to minimize potential complications and promote a speedy recovery.

Selecting the Right Surgeon
The experience and skills of the surgeon significantly influence the neck fat removal surgery’s success. Consequently, it’s vital to select a board-certified surgeon with an excellent track record in buffalo hump liposuction surgeries.

Long-Term Maintenance
Following the neck fat removal surgery, it’s imperative to maintain a healthy lifestyle to preserve the surgery’s results.

10 Non-Surgical Alternatives for Neck Fat Removal

For those looking to avoid surgery, the good news is that several effective non-surgical neck fat removal technologies have emerged over the past decade. Consider the following ten non-invasive buffalo hump surgery options:

Skin Tightening Devices

CoolSculpting (Cryolipolysis)
Fat freezing technique that targets and kills fat cells in the neck. Multiple treatments yield gradual yet subtle improvements as optimal neck contouring.

Kybella Injections
FDA-approved injectable treatment that dissolves fat cells. Moderate improvements are observed within 2-4 months after the full treatment series.

Ultrasound Cavitation
Targets and destroys neck fat cells through ultrasound energy. Several weekly sessions result in moderate tightening over 2-3 months.

Skin Tightening Devices
Devices like Ultherapy, Thermage, or radiofrequency alternatives can tighten neck skin more subtly than surgery. Results take 2-3 months to become fully noticeable.

High-Intensity Focused Ultrasound (HIFU)
Non-invasive technology that uses ultrasound energy to tighten and lift neck skin. Multiple sessions produce gradual neck contouring improvements.

Injection Lipolysis
Another injectable treatment option that dissolve fat cells in the neck, improving neck contouring gradually.

Laser Lipolysis
Melts neck fat cells using laser energy, often combining treatment with skin-tightening techniques.

Thread Lifts
A minimally invasive procedure that inserts threads under the skin and tightens the neck. Results are immediate and last between 1-2 years.

Chemical Peels and Microdermabrasion
While not directly targeting neck fat removal, these treatments improve skin texture and appearance, providing a more refreshed and youthful look.

Weight Loss and Exercise
Natural weight loss accompanied by targeted exercises can also achieve noticeable improvements in buffalo hump removal and overall appearance.

The benefits of these non-surgical buffalo hump liposuction methods include minimal downtime, reduced risks, and avoidance of scars. Results may be subtle and more gradual than surgical neck fat removal procedures, often requiring multiple treatments.

Comparing Surgical vs. Non-surgical Neck Fat Removal

Determining the perfect neck fat removal solution boils down to one’s needs and aesthetic goals. The two primary pathways for buffalo hump removal, namely surgical neck liposuction, and non-surgical alternatives, each bear specific advantages and challenges. Let’s examine these in a more detailed manner:


Neck liposuction offers a dramatic reduction of excess neck and chin fat in a single operation, making it an effective method for buffalo hump liposuction. On the contrary, non-surgical buffalo hump removal executions also deliver noticeable improvements, provided they entail multiple treatments spanned over several months.


The investment greatly varies between the two neck fat removal techniques. Surgical neck liposuction is generally costlier, with prices starting from $3000. Non-surgical buffalo hump surgery treatments are less expensive, ranging between $500 to $1500 per session. Do bear in mind that these require multiple sessions for noteworthy results.

Pain and Side Effects

Considerations of pain and potential side effects are critical in the neck fat removal journey. Neck liposuction implies the usage of anesthesia and carries a higher risk of side effects such as numbness or asymmetry. In comparison, the non-surgical under neck fat removal options usually involve minimal discomfort, temporary redness, or swelling.


In the aftermath of neck liposuction, one might experience bruising and swelling, lasting up to 2 weeks and leading to significant downtime. However, non-surgical neck fat removal procedures have comparatively negligible social downtime, despite requiring multiple appointments.


Neck liposuction tends to create small hidden scars where the cannula is inserted. Conversely, non-surgical buffalo hump removal applications do not result in scarring.

As we delve into these factors, your overall budget, your tolerance of side effects, and your expectations concur to shape your neck fat removal journey. Sometimes, a combined approach employing non-surgical tightening and a limited liposuction procedure might offer a balanced approach.

Remember, each buffalo hump removal approach is unique and effective in its own way. Understanding these differences can guide you to make a well-informed decision that best suits your neck fat removal journey. 

Identifying the Ideal Candidates for Neck Fat Removal

One’s eligibility for a neck fat removal procedure is rooted down to several key determinants. Given below are six attributes that outline the ideal candidates for efficient, successful buffalo hump removal:

Those with Good Skin Elasticity

Those with Good Skin Elasticity

and Those with ideal skin elasticity ascertain improved neck fat removal results. The skin’s natural ability to rebound after the elimination of fat defines sharper chin and neckline contours. Although excess sagging skin might necessitate additional surgical tightening, the presence of good skin elasticity already sets up a good baseline for buffalo hump liposuction.

Individuals with Localized Fat Deposits

Neck fat removal procedures, particularly liposuction, work best on individuals with fat deposits restricted to certain areas rather than those with significant excess skin. Liposuction targets fat removal effectively. Therefore, individuals with good skin tone, who merely struggle with disproportionate localized fat deposits under the chin, often achieve optimal buffalo hump liposuction results.

Patients with Realistic Expectations

Realistic expectations increase the satisfaction rate post buffalo hump removal While the procedure can significantly improve neck contours, it’s essential to realize that our genes, too, play a part in the structure of our chin and neck that cannot entirely be modified. Unrealistically high expectations might lead to disappointment in the final neck fat removal outcome.

Individuals Near Their Ideal Weight

An optimal candidate for neck fat removal is typically one that is already nearing their ideal weight. These people understand that buffalo hump removal procedures are not weight loss solutions but rather contouring procedures meant to complement the results of weight loss.

Those Committed to a Healthy Lifestyle

Buffalo hump surgery is not an alternative to maintaining a healthy body weight through a balanced lifestyle. Thus, ideal candidates should already practice regular exercise and have attempted to manage neck fullness through diet and exercise before considering invasive procedures.

People with Good General Health

The neck fat removal procedure, like any medical procedure, demands a significant measure of general health. This includes having no active infections, no serious medical conditions, and no history of problematic healing.

As the journey through buffalo hump surgery begins, a holistic view of one’s health, lifestyle, and expectations is important. An open and honest discussion with your chosen professional can aid significantly in the path toward achieving your under neck fat removal goals. Remember, each person is unique, and so is their journey towards health and confidence.

Preparing for Neck Fat Removal

If you decide to move forward with neck fat removal, either surgical or nonsurgical, make sure to take these steps during your preparation:

Find a Board Certified Cosmetic Surgeon: Having an ASPS board-certified plastic surgeon perform your neck liposuction provides the highest standards of training, safety, and ethics. You can search profiles to find a qualified local neck liposuction specialist.

Schedule Consultations: Meet with your surgeon to discuss options tailored to your anatomy and goals. You can even ask to see neck liposuction before and after photos. They can recommend the best treatment plan for optimal neck fat removal results.  

Follow Pre-Procedure Steps: Your doctor will advise you on any lab tests needed, avoiding medications/supplements, and fasting before the procedure day. This helps minimize bleeding and complications.

Thorough preparation and choosing a premier surgeon with expertise in neck procedures will give you added peace of mind and confidence leading up to your neck fat removal treatment.

Recovering from Neck Fat Removal

Understanding how to recover comfortably and properly care for your treated neck is key:

  • Swelling and Bruising: Expect significant swelling and bruising on the neck and chin for 1-2 weeks following surgery. Ice packs can help minimize swelling in the initial days. Bruising fades over 10-14 days.
  • Medications for Pain and Discomfort: Stick closely to your surgeon’s recommendations for pain medication, antibiotics, and any other prescriptions to help manage discomfort as you recover. Oral pain medication is typically prescribed for 4-7 days post-procedure.
  • Head Elevation: Keeping your head elevated on several pillows or a recliner can minimize swelling during the first week after neck liposuction. Avoid bending over or any activities that put your head below your heart.
  • Drainage and Dressings: Wear any compression garments or dressings as directed to minimize swelling and support the healing process. Drainage tubes may temporarily be in place to remove excess fluid and reduce swelling.
  • Normal Healing Timeline: Most patients can return to non-strenuous work within 7-10 days. The bruising should fade in 2 weeks. Final results are visible within 2-3 months.

Your surgeon will provide you with detailed post-procedure recovery instructions. Closely following these guidelines ensures proper healing after your neck fat removal. Call your doctor’s office with any concerning symptoms like fever or excessive swelling.

Keep Up with a Balanced Diet

10 Strategies to Maintain Results After Neck Fat Removal

The journey doesn’t end with a neck fat removal procedure. It is important to adhere to carefully formulated strategies to visually and physically reap the long-term benefits of your buffalo hump liposuction. Here are ten strategies to maintain the rest after the buffalo hump removal procedure:

Keep Up with a Balanced Diet

Following a healthy, balanced diet is the cornerstone of maintaining your neck fat removal results. This includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. Steering clear of processed foods, unhealthy fats, sugars, and excessive caloric intake ensures an ideal weight management protocol.

Regular Physical Exercise

Combining cardio, strength training, and flexibility exercises targets full-body fitness, essential for keeping the results of the under neck fat removal surgery potent. Exercise helps to keep weight in check, which is vital when avoiding the possibility of fat redeposits.

Avoid Significant Weight Fluctuations

Managing weight fluctuations, primarily those greater than 10 pounds, could prevent fat deposits from re-emerging around the neck and chin areas after neck fat removal. Maintaining a controlled, stable weight, is pivotal to preserving the optimal results of the procedure.

Stay Hydrated

Proper hydration assures the skin’s freshness and elasticity. It helps maintain skin tone and volume, which can contribute to the long-lasting effects of buffalo hump liposuction.

Refrain from Smoking

Smoking can impair the healing process after neck fat removal and perpetuate faster skin aging. Cut out nicotine to boost skin health, enhance healing after surgery, and uphold the buffalo hump removal results.

Limit Alcohol Intake

Excessive alcohol worsens skin conditions and leads to weight gain, threatening the sustainability of neck fat removal results. Occasional moderate consumption, though, won’t prove detrimental.

Annual Checkups with Your Cosmetic Surgeon

Make sure to schedule annual visits with your cosmetic surgeon for an evaluation of the buffalo hump removal results. This helps to promptly address any emerging issues such as new fat deposits or changes in skin laxity over time.

Protection Against Sun Exposure

Excessive sun exposure speeds up the skin’s aging process, leading to loss of elasticity and premature wrinkles. Using broad-spectrum protection and avoiding the sun at peak hours can help preserve the results of your neck fat removal procedure.

Consider Additional Skin Tightening Treatments

As we age and our skin loses elasticity, additional skin tightening treatments like Ultherapy could potentially uphold the neck fat removal results. These treatments keep the neck skin firm and help prevent sagging after the initial fat removal.

Think of Quick Touch-Up Options

In the eventuality of stubborn fat pockets re-emerging in your neck years after the initial neck fat removal, quick touch-up sessions of non-invasive fat removal techniques such as Kybella or CoolSculpting can efficiently address them.

Investing time and commitment to your personal care is indispensable while sustaining the results post buffalo hump removal. While the fat cells eliminated during the liposuction procedure will not regrow, maintaining a healthy, stable weight and timely attention to any new changes will uphold your youthful profile for a more extended period.

Remember, each one’s commitment to a healthy lifestyle ensures the sustainability of buffalo hump removal results. It isn’t the end of your journey; it’s the beginning of your new, satisfying path towards a healthier, more confident you.


Frequently Asked Questions about Neck Fat Removal

  • How is neck liposuction performed?

    Your surgeon will make a few small incisions under the chin and behind the ears. Thin cannulas are inserted to meticulously suction excess fat above and below the platysma muscle using gentle back-and-forth motions. Loose skin may also be tightened with laser, radiofrequency, or surgical excision.

  • Where is the scarring after neck liposuction?

    The small insertion points used for cannulas are placed inconspicuously so resulting scars are easily hidden along the natural contours of the chin, jawline, and behind the ears. Skilled surgeons take care to minimize scar visibility.

  • How long is recovery after neck liposuction?

    Patients should plan for 1-2 weeks off work and daily activities. The first week involves significant swelling and bruising that gradually improves. Avoid strenuous activity for 3-4 weeks. Most return to normal activity within a month.

  • What are the risks of neck liposuction?

    Rare but potential risks include adverse reactions to anesthesia, asymmetry, seroma fluid buildup, nerve damage resulting in numbness, and blood clots. Choosing an experienced board-certified plastic surgeon minimizes risks.

  • How much does neck liposuction cost?

    The average cost is $2500 - $5000 depending on the surgeon’s fees, extent of correction needed, and geographic location. Additional costs may occur if skin tightening procedures are added.

  • Is neck liposuction painful?

    There is only mild pain after surgery managed with oral medication for a few days. There may be soreness, swelling, and stiffness that resolves within two weeks after neck liposuction procedures.

  • Does insurance cover neck liposuction?

    Since neck liposuction is an elective cosmetic procedure performed to improve appearance rather than a medical necessity, insurance does not provide coverage for this procedure.

  • At what age is neck liposuction recommended?

    There is no minimum age since it depends on when a person develops stubborn submental fat and skin laxity. However, the procedure is recommended once undesired fat is still present even after weight loss attempts. Patients of any adult age can be candidates if in overall good health.

  • How long do the results of neck liposuction last?

    As long as your weight remains stable, the improved contour and reduction of excess fat achieved through neck liposuction is permanent. However, skin laxity can worsen with age and may require a surgical neck lift later in life.

  • What about Kybella vs. liposuction for double chin?

    Kybella injections dissolve fat non-surgically but require multiple treatments and provide more gradual improvements. Liposuction permanently removes fat cells faster and more aggressively in one procedure, but involves surgery-related risks.

Michael J. Ormsbee
Michael J. Ormsbee
Michael J. Ormsbee is the editor of Fast Lose Fat. He is an Associate Professor in the Department of Nutrition, Food, and Exercise Sciences and Interim Director of the Institute of Sports Sciences and Medicine in the College of Human Sciences at Florida State University.