What Can Be Done If the Skin Sags After Facial Liposuction? Are Additional Procedures Needed?

Facial liposuction is a surgical procedure aimed at removing localised fat accumulations in the face and neck area through fine cannulas. This procedure is applied to:

• Make the jawline more defined

• Slim the lower triangle of the face

• Reduce the appearance of a double chin

• Make the facial contour more clearly perceived

Op. Dr. Ayşe Öznur Akidil emphasises that in facial liposuction planning, not only the amount of fat but also skin quality, facial bone structure, the state of the mimic muscles and the age factor must be evaluated together. Because the face is one of the most sensitive areas of the body aesthetically.

Skin sagging is the formation of a loose, drooping appearance as a result of the skin not being able to recover itself sufficiently in the area where the fat tissue has been reduced after liposuction. This does not occur in every patient and is often temporary.

The laxity seen especially in the first weeks is usually a natural part of oedema, tissue adaptation and the healing process. However, in some patients sagging can become permanent and additional interventions may come onto the agenda.

Skin elasticity, that is its ability to recover itself, is directly related to the strength of collagen and elastin fibres. As age advances, the production of these fibres decreases. Especially in individuals aged 40 and over, skin recovery after liposuction can be more limited.

In facial liposuction the idea that "the more fat is removed, the better the result" is not correct. Excessive fat removal can cause the reduction of the tissue that acts as a natural support beneath the skin, leading to sagging. For this reason the surgeon's experience is extremely important.

Some people's skin structure is genetically thinner and has a low elasticity capacity. In these patients supportive applications after liposuction more frequently come onto the agenda.

Rapid weight gain and loss after the procedure can cause the skin tissue on the face to loosen. This is one of the important factors that increase the risk of sagging.

No. The first 3-6 months after liposuction is a period in which the skin renews and adapts itself. During this process:

• Oedema decreases

• Tissues adapt to their new position

• Collagen production increases

Op. Dr. Ayşe Öznur Akidil states that at least 6 months should be awaited to evaluate the final result, and that the laxity seen in the early period is often not permanent.

Endolift application stimulates collagen production by providing a controlled increase in heat in the subcutaneous tissue. It is quite effective in mild and moderate sagging.

Mesotherapy and PRP applications can be preferred to improve skin quality and speed up the recovery process. These methods help the skin look more vivid and firm.

In some patients, recovery in the skin can be achieved with thread-lift methods without the need for surgery. This method is preferred especially in the middle-age group.

In patients with advanced sagging and markedly reduced skin elasticity, surgical face or neck lift procedures may come onto the agenda. This decision must definitely be made after a detailed examination.

Yes. With correct patient selection and correct planning, the risk of sagging can be greatly reduced.

• Skin elasticity should be assessed beforehand

• If necessary, liposuction should be combined with skin-tightening procedures

• Excessive fat removal should be avoided

• The patient's age and lifestyle should be taken into account

This approach forms the basis of quality, long-term results among aesthetic applications in İzmir.

In the post-procedure period, the patient's compliance with the process has a direct effect on the results.

• The bandages and corsets recommended by the doctor should be used regularly

• Smoking and alcohol consumption should be avoided

• A protein-based diet should be preferred

• Check-ups should not be neglected

Op. Dr. Ayşe Öznur Akidil emphasises that the post-procedure process is at least as important as the surgery and that the patient must manage this process consciously.

Facial aesthetic procedures are not limited to the moment of the operation. The recovery process, regular follow-up and, when necessary, supportive applications determine the permanence of the result. For patients considering facial liposuction in the field of aesthetics in İzmir, long-term planning with an experienced doctor provides a great advantage.

Skin sagging after facial liposuction is a situation that can largely be prevented or managed with the right technique and personalised planning. Sagging does not develop in every patient; and when it does, surgical intervention is not necessarily required.