Facial and Neck Contouring Using Liposuction and Lipoinjection

Abstract

Speaking at the annual meeting of the Triological Society in Palm Beach, Fla, Dr John Dmytryshyn, Vancouver, British Columbia, Canada, discussed his techniques for contouring five major facial zones using liposuction or lipoinjection. Those zones include the submental, submandibular, midlateral neck, preparotid, and nasolabial zones. Depending on the area to be contoured, he recommended the submental and nasolabial stab-incision approach and the open-facelift approach. Liposuction was performed before rhytidectomy. Pinch testing was advocated before operation and after suctioning to determine the need for and the result of liposuction, respectively. Dr Dmytryshyn did not advocate the use of liposuction in the lateral mandibular area, and he cautioned that the technique was not a substitute for weight loss. Lipoinjection was much less predictable than liposuction, due to the 50% resorption of injected material. Lipoinjection was advocated only for placement under facial creases, wrinkles, and scars, not as augmentation for chin and cheek