Face Liposuction: Achieving a Slim V-Line Face with CT scans and Ultrasound
- atopglobal0601
- Apr 17
- 5 min read
Hello, today we are going to look into detail about face liposuction,
a procedure that many people are interested in.
Specifically, we will focus on the latest technology, the ultrasound fat dissolving (LSSA) method, and provide detailed information about the procedure, results, and recovery process.

What is Facial Liposuction?
Facial Liposuction is a procedure that removes fat from the face to make it smaller and more V-Line. It primarily targets the fat in areas like the cheeks, jawline, and double chin to create a V-line and define facial contours.
Unlike traditional surgeries such as chin surgery or cheekbone reduction, facial liposuction only removes fat without altering the bone structure, which results in a more natural outcome. Additionally, it has a short recovery period, allowing for a quick return to daily activities.
Methods of Facial Liposuction
There are two main methods of facial liposuction:
Traditional Facial Liposuction
Uses a 2.0mm cannula
Physically aspirates the fat
Ultrasound Fat Breakdown Method (LSSA: Liposuction with ultra–Sound Surgical Aspiration)
Uses ultrasound (Ultrasound Lipolysis) to first break down fat cells
The softened fat is then suctioned using a 2.0mm cannula
Selectively breaks down fat cells, minimizing damage to surrounding tissues
Particularly effective for patients with previous surgeries or adhesions
Customized Procedures Using Facial CT scan
The most significant feature of facial liposuction is the precise diagnosis through facial CT scans. With a CT scan, the following can be accurately assessed:
The structure and shape of the facial bones
The thickness and position of the muscle layer
The thickness of the subcutaneous fat layer
The thickness of the buccal fat
The thickness of the fat in the double chin area
Based on this precise diagnosis, a customized treatment plan is created for each patient. The procedure is not just about removing fat but also takes into consideration the overall balance and proportion of the face.
Facial Liposuction Process
Pre-Surgery Process:
Identify the patient's needs and expectations
Take facial photographs
Conduct a facial CT scan
Determine the liposuction areas based on the CT scan results
If necessary, consult about additional procedures (Botox, thread lifting, chin filler, lip filler, fat grafting)
Surgery Process:
Administer sleeping anesthesia
Disinfect the face
Apply local anesthesia to the liposuction areas
Inject tumescent solution (fat anesthesia solution)
Wait for 15-20 minutes
Use LSSA (Ultrasound Fat Breakdown) equipment to break down fat cells for 1 minute and 30 seconds per area
Perform liposuction with a 2mm cannula and a 10cc syringe
Important Point: Feel the position of the cannula with the left hand and evenly suction the fat.
Apply compression tape to the surgery areas
Discharge patient after waking up from anesthesia
The entire procedure takes approximately 1 hour.
Treatment Effects
Frontal View Effects:
Slimmer face with a V-line shape
Reduced bulging of the cheeks when smiling
Improvement of the "peanut-shaped face" where the area below the cheekbones appears hollow
Profile View Effects:
Removal of double chin, creating a slimmer neck line
Reduction of fat below the jawline, forming a clearer jawline
Overall smaller appearance of the face silhouette
Duration and Results
Facial liposuction removes fat cells themselves, so permanent results can be expected. If no diet is followed, the remaining fat cells may enlarge again.
However, the remaining fat cells tend to continue shrinking after the procedure, allowing the face to become slimmer over the next 6 months.
Suitable Candidates:
Individuals with excess fat on the face
Those with a blunt jawline or a square-shaped face
Those who desire a slim V-line face
Individuals who want to improve a double chin
Those who want a more defined jawline

Limitations
There are no specific limits, but the effects may decrease in the following cases:
Adhesion of the subcutaneous fat layer due to multiple surgeries
Presence of many scars
Very thick skin
However, the latest LSSA ultrasound technology has the advantage of being effective even for patients who require revision surgery due to adhesions.
Side Effects and Precautions
Common Side Effects
Bruising and swelling
Small scars at the injection site
Pigmentation
Temporary numbness
Temporary unnatural lip movement
Uneven texture that may develop over time (usually resolves naturally)
Uncommon Side Effects
Post liposuction fibrosis: A condition where blood, fat, and other substances clump together, causing fibrosis and resulting in a hardened area under the chin
Can improve with high-frequency treatments or warm compresses.
Post-Procedure Care Instructions
Wear Compression Band
First week: Wear 24 hours a day
After the first week: Wear only during sleep for one month
Fibrosis Management
About one month after the procedure, the treated area may become hard
Maintain soft tissue with high-frequency laser or warm compresses.
Long-term Care
Maintain a slim face line with Botox, fillers, thread lifting, skin boosters, etc.
Activities to Avoid
Alcohol and smoking: Avoid for 3 weeks
Sauna: Avoid for a month.
Return to Daily Life
Facial liposuction has a quick recovery time, allowing you to return to work as early as the day after the procedure. Swelling and bruising vary by individual but generally subside within 1-2 weeks, with full results visible after about 3 months.
Non-Surgical Alternatives
In addition to facial liposuction, the following non-surgical methods are available:
HIFU (High-Intensity Focused Ultrasound)
A popular treatment is Ultherapy.
Stimulates the SMAS layer to reduce thickness and improve elasticity
Thread Lifting
Convenient for creating a slimmer face
The effect diminishes as the threads dissolve over time
Fat-Dissolving Injections
Effective but lacks long-lasting results
Requires multiple treatments
Specialist's Conference Activities
Facial liposuction is a field that continues to see ongoing research and technological advancements. In the past three years, the main topics presented at domestic and international conferences have included:
Facial liposuction and contouring using facial CT scans
Application of facial liposuction for a smoother facial line
Combined treatments of various filler techniques and facial liposuction
Frequently Asked Questions
Q: Can fat return after facial liposuction?
A: Since fat cells are removed, the effect is permanent. However, with significant weight gain, the remaining fat cells may enlarge.
Q: Can it be combined with other procedures?
A: Yes, it can be combined with various procedures such as Botox, thread lifting, chin fillers, lip fillers, fat grafting, and more.
Q: How long is the recovery period?
A: You can resume daily activities the day after the procedure, with swelling and bruising decreasing within 1-2 weeks. The final results can be assessed after about 3 months.
Q: What are the advantages of the LSSA ultrasound method?
A: It minimizes damage to surrounding tissues, selectively removes fat, and is effective even for patients with adhesions or those requiring revision surgery.
Q: Why is a facial CT scan necessary?
A: It helps accurately assess the thickness and location of the bones, muscles, and fat layers in the face, enabling the creation of a customized treatment plan.

Facial liposuction has evolved beyond simply removing fat; it now involves precise procedures using CT scans and ultrasound technology.
If you're aiming for a natural V-line and defined jawline, consult with a professional consultant to create a personalized treatment plan customized to your needs.
To consult with ATOP, feel free to contact to our whatapp +82-10-4997-0801.
Thank you very much!

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