Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg

Neck and Face Liposuction

Liposuction of the neck, under chin area and and lower face may be done on its own, typically in younger patients, or may be part of a more extensive facial rejuvenation procedure. The procedure may be combined with other procedures, frequently fat graftingeyelid surgery and/or facelift. Liposuction targets the fatty excesses.

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Liposuction of the neck, jawline, jowls and above the nasolabial fold

The procedure is relatively minimally invasive, performed under sedation as day case surgery in my own clinic. Local anaesthetic is given. I usually use 5 standard incisions (about 3 mm long), under each earlobe, in the crease under the chin and one on each side of the face. These leave an imperceptible scar. The fat is removed through fine cannulae using syringes to provide suction (liposculpture). Fat removal enhances the concavity of the neck and tightens the skin. The lower face and neck respond particularly well to liposuction giving a pleasing neck contour.

The fat obtained from liposuction is extremely useful as your own stem cell rich filler material and I will almost always encourage patients to use this fat for further facial improvement – see fat grafting.

Following the procedure, you will be transferred to the ward to recover. You will be discharged later the same day with pain medication although this is not a particularly painful procedure. You may also be given a neck band for support which should be worn for a week post-operatively. You can remove the band when lying down. Bruising will last about a week or maybe a little longer. Complications can include nerve or vessel damage, but fortunately these are very rare.

Neck and face lipo will give you a permanent improvement in your appearance.

Before and after neck liposuction.

Before and after neck liposuction

Before and after neck liposuction, male patient.

Before and after neck liposuction, male patient.

Before and after neck liposuction.

Before and after neck liposuction.


We have met before – about 10 years ago – I was kicked in the face by my horse and you performed the surgery (rather brilliantly). Now I am interested in something else…

All 6

I just want to thank you again:) I’m super happy. Could you please send the before and after u fixed it pics, I would like to show my mum.

All 7

From a cleft patient who had secondary surgery to help her speech:
It is one year ago that i was blessed to meet and know you. Thank you very much for the support you rendered to me while I was in South Africa. I will never forget your acts of kindness. I am fine now and my speech has greatly improved! I think I don’t need another operation. Even though I don’t communicate that often, you are always at heart.


I would just like to take the opportunity to say THANK YOU to Dr. Lazarus and his team.
I have had a very good experience due to the pleasant staff and of course Dr. Lazarus himself.

All 9

I am feeling uncomfortable and not very proud of myself! I did not get round to expressing my gratitude and appreciation to you.! Dirk, thank you so very much for all your kindness and understanding throughout my dealings with you and it has been always been a pleasure dealing with your entire practise.

All 8

Actually drove past your surgery this morning and thought I should pop in to say hello. Am very happy with the way the surgery has turned out, has made a huge difference and am very grateful. I will endeavour to pop in sometime in the near future to let you have a look.

All 6

Dear Anneli

I came to Capetown from UK about 9 years ago and sought out Dr Dirk for cosmetic surgery. He performed a tummy tuck, lipo, and facelift on me during my time there and I don’t think I have ever written to thank him for the wonderful work he did. Thank You to him and all you ladies on his staff. I attach 2 shots of me on the beach in France, showing my nice flat tummy.

All 5

Hello again, Dr. Lazarus!
Once again I would like to say how pleased I am with the result of your handiwork!

All 4

You are such a STAR thank you for all your assistance.

All 3

Just a quick thank you to all the staff – felt in safe professional and caring hands from the moment I walked through the door this morning.

All 2