Consultation
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.


Neck liposuction and deep neck lift are procedures that reduce fullness beneath the chin to create a sharper, more defined neck and jawline. Signature Facial Plastic Surgery serves patients in Rockville, Bethesda, and the greater Washington, DC area.
A sharper, more defined jawline
Fullness beneath the chin—sometimes called a “double chin”—can result from excess fat, loose skin, or laxity in the neck muscles, and often doesn't respond to diet or exercise. Neck liposuction addresses excess fat alone, while a deep neck lift also addresses underlying muscle laxity for more significant cases.
At Signature Facial Plastic Surgery, the right approach depends on whether your neck fullness comes primarily from fat, skin, muscle laxity, or a combination.
Not every neck concern requires the same procedure. Patients with primarily fatty fullness may do well with liposuction alone, while those with significant skin laxity or muscle banding often need a more comprehensive deep neck lift. Dr. Osayande determines the right approach during your consultation.
Thoughtful patient selection

You may be a candidate for neck liposuction if your primary concern is excess fat beneath the chin with good skin elasticity. A deep neck lift may be more appropriate if you also have loose skin, muscle banding, or more significant age-related changes to the neck.
Good candidates are in good general health with realistic expectations about the degree of improvement achievable for their specific anatomy.
A tailored approach to your neck anatomy
Dr. Osayande evaluates your skin quality, fat distribution, and muscle tone to determine whether liposuction alone will achieve your goals or whether a more comprehensive deep neck lift is needed to address muscle laxity and skin excess.
For deep neck lift procedures, the platysma muscle is tightened to address neck banding, working in combination with fat removal for a more complete result.
“A defined jawline comes from addressing the right layer—sometimes that's just fat, sometimes it's the muscle beneath it. Choosing the correct approach for your anatomy matters more than doing the most extensive procedure available.”
From consultation through recovery
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.
Your incision pattern, degree of repositioning, anesthesia plan, and whether another procedure would add meaningful benefit are selected for your anatomy—not from a standard formula.
Brow lift surgery is performed with anesthesia appropriate to the planned technique and setting. The tissues are carefully repositioned and secured while the incisions are closed with attention to scar quality.
Scheduled postoperative visits allow Dr. Osayande to monitor swelling, incision healing, brow position, and your gradual return to normal activities.
Planning your downtime
Healing varies by patient, but the following timeline offers a general framework.
Swelling, tightness, and bruising are expected; a compression garment provides support.
Swelling gradually improves; the compression garment continues to be worn.
Most patients feel comfortable returning to work and social activities.
Residual swelling resolves and final neck and jawline definition becomes fully visible.
Initial swelling can obscure results; final contour typically becomes visible over several weeks to a few months.
Fat removed by liposuction does not return; however, the neck will continue to age naturally over time.
Bleeding, infection, asymmetry, numbness or altered sensation, and irregularities in skin contour.
Considering upper-face rejuvenation?
Your consultation will determine whether the change you see comes primarily from the brow, upper eyelids, dynamic muscle activity, or a combination of factors.

Why choose Signature
Dr. Bella Osayande is a fellowship-trained facial plastic surgeon whose practice is focused on the face, eyes, brows, nose, neck, and hair. That focused training supports a comprehensive, whole-face approach to every procedure she performs.
Her approach emphasizes precise planning, natural facial expression, honest treatment recommendations, and results that feel proportionate to the individual—not a predetermined aesthetic ideal.
Frequently asked questions
Clear answers to common questions about surgery, recovery, scars, and treatment selection.
Liposuction removes excess fat alone, while a deep neck lift also tightens underlying neck muscles and addresses skin laxity for more comprehensive rejuvenation.
Good candidates have neck fullness affecting jawline definition, with the specific procedure depending on whether fat, skin, or muscle laxity is the primary concern.
Incisions are small and typically placed under the chin and behind the ears, where they're well concealed.
Most patients feel comfortable returning to normal activities within 1–2 weeks, with a compression garment worn during initial healing.
Yes, it's often combined with facelift or buccal fat removal for more comprehensive facial rejuvenation.
Fat removed does not return, though the neck will continue to age naturally over subsequent years.