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Many people feel insecure about the area under their chin, whether due to excess fat, sagging skin, or both. Understanding the difference between these concerns is the first step toward choosing the right procedure to achieve a more contoured and youthful neck.

Do I Have a Double Chin?

If you have stubborn fat under your chin that doesn’t go away despite diet and exercise, it may be due to genetics. A double chin is often hereditary, meaning that even individuals at their goal weight may still have a persistent fat deposit under the chin that does not seem to go away with lifestyle changes.

“Many patients come in frustrated, telling me they’ve done everything—dieting, exercising, even losing weight overall—yet they still have that stubborn fullness under the chin,” says Dr. Maia. “In these cases, neck liposuction can be a great option to sculpt the jawline and bring out their natural contours.”

Neck liposuction (neck lipo) is ideal for patients with good skin elasticity who need fat removal without significant skin tightening.

Photo of a 31 year-old bride-to-be, before and 6 weeks after awake neck liposuction.
31 year-old bride-to-be before and 6 weeks after awake neck liposuction.

What Is Neck Liposuction and How Does It Work?

Neck liposuction, sometimes referred to as “double-chin liposuction”, is a 30 minute, minimally invasive procedure performed under local anesthesia at our Tysons Corner clinic. Dr. Maia uses small, hidden incisions to remove excess fat and sculpt the jawline.

What Is the Recovery Like After Neck Liposuction?

  • Expect mild swelling and bruising for 1-2 weeks
  • Most patients return to work within a few days
  • Final results become visible in about 3 months as swelling fully subsides
  • Best suited for younger patients whose skin naturally tightens after fat removal

Do I Have Loose, Sagging Skin Under My Chin?

Loose, sagging skin—often referred to as a turkey neck—occurs due to aging, loss of collagen, and muscle laxity. Unlike a double chin, where fat is the primary concern, sagging skin requires a skin-tightening procedure for improvement.

Can Liposuction Fix Sagging Skin?

Fat removal alone won’t correct skin laxity. If you have loose skin under your chin, a neck lift may be necessary to achieve a smoother, more youthful contour.

Photo of a 50 year-old patient, before and 3 months after a deep plane neck lift, mini facelift, and neck liposuction.
50 year-old patient before and 3 months after a deep plane neck lift,
mini facelift, and neck liposuction.

What Are My Neck Lift Options?

The right neck lift procedure depends on the severity of skin laxity:

  1. Mild to Moderate Skin Laxity → Awake Mini Neck Lift
    • Ideal for patients with mild to moderate skin sagging
    • Uses a small, discreet scar behind the ear
    • Provides noticeable skin tightening without major surgery
    • Performed under local anesthesia for a comfortable experience with minimal downtime
    • Many patients combine neck liposuction with an awake mini neck lift for improved jawline definition

“For those in their 30s or 40s with mild to moderate skin laxity, an awake mini neck lift can be a fantastic option,” says Dr. Maia. “We can perform a partial neck lift under local anesthesia and achieve great results.”

  1. Moderate to Severe Laxity → Deep Plane Neck Lift
    • Best for patients with significant sagging and muscle laxity
    • Lifts and tightens deeper structures of the neck for long-lasting results
    • Creates a smoother, more youthful neck contour
    • Ideal for those seeking dramatic yet natural-looking improvements
    • Inconspicuous scars hidden in the natural crease of the ears with no tell-tale signs of plastic surgery

How Do I Choose the Right Neck Contouring Procedure?

The best option depends on factors like age, skin elasticity, and whether excess fat, loose skin, or both are the primary concerns. Some patients may benefit from a combination of procedures for optimal results.

“I always tell my patients that there’s no one-size-fits-all approach to neck rejuvenation,” Dr. Maia shares. “Some patients just need liposuction, some need skin tightening, and others need a combination of both for the best results. My goal is to create a natural, refreshed look—never overdone.”

Dr. Maia, a board-certified plastic surgeon in Northern Virginia, specializes in customized neck contouring treatments. With a focus on natural, balanced results, she helps patients achieve a more youthful and confident appearance.

Dr. Maia’s patient consultant offers complimentary mini consultations to determine which treatment would best help you achieve your goals. After the consultation, she collaborates with Dr. Maia to create a custom treatment plan tailored to your needs before moving forward. Book a complimentary consultation by visiting https://www.maiaplasticsurgery.com/contact-us/.

Posted on behalf of The Maia Team

8100 Boone Boulevard Suite 730 Tysons Corner
Tysons, VA 22182

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Maia Plastic Surgery

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J. B.

Dr. Maia and her staff are incredibly professional and truly empathetic. They’ve done a beautiful job with the treatments that I’ve gotten and I look forward to coming to the office every single time.

Karli N.

Dr. Maia deserves more than 5-stars! I’m thrilled with my results and I’m less than 3 months post surgery. Dr. Maia is confident and kind, and not at all pushy like other plastic surgeons. I was overly impressed the morning of the procedure. The surgical and hospital staff know her well! They were ready for her and put me at ease while I was getting settled in the OR. I appreciate the team in Dr. Maia’s office for their patience and care. They are just as calm as Dr. Maia.

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Dr. Maia, Alana, and Kristina are talented, knowledgeable, and attentive. Great results, great support, and very responsive to any questions. Would recommend to anyone looking to improve their quality of life!

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Dr Maia is the consummate plastic surgeon. From her compassion to exceptional surgical skill and results, there is no better. Would give 10 stars if I could.

Deise G.

I had a great experience with doctor Maia. Beyond my expectations.

Nate R.

Mid 40s male who’s always had nasal breathing issues and a dorsal bump. I finally decided to do something about it with a septoplasty/rhinoplasty combo. I met with a few doctors but Dr. Maia stood out. She instilled confidence, and I’m extremely pleased with the results. The surgery was straight forward, and the swelling was surprisingly light. A week later the cast was off and I was on the short road to recovery. Honestly, if I had known it was this easy I would have done it earlier. Thanks Dr. Maia!

Karolina

I recently had Dysport injected by NP Kristina, and I could not be happier with the outcome. I can already see some of the results few days post-injections! I love how quickly Dysport softens the wrinkles, without giving you the "frozen look". Just in time for the upcoming holidays! Earlier this year, I did 3 Morpheus-8 treatments to my face and neck, and I am CONSTANTLY being complimented on how good my skin looks. Worth every penny! I also had fillers injected by Dr. Maia and Kristina. Dr. Maia did my under-eye, which I am obsessed about... what a change! Kristina injected my lips, chin, jawline, and cheeks. My face looks more proportional and guess what.... I FINALLY HAVE A CHIN :) Thank you, Dr. Maia, Kristina, and the Team. You're the best. I will surely be back for more.

R. H.

I had tummy tuck and muscle repair with Dr. Maia 3 months ago. I couldn't be happier. I am 44 and I got my 25 year old body back after tummy tuck with Dr. Maia. The initial consult was great. The surgery was fast. The post op care was excellent. Dr. Maia and team assured me that I had great post recovery and everything going okay. I had no complication whatsoever. The incission was very small and low which I love. She is amazing and caring surgeon. He teams are very responsive and wonderful. I am very happy with the result and everything.

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