submental-liposuction
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작성자 Mahalia 작성일26-06-22 16:21 조회6회 댓글0건관련링크
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Chin & Neck Liposuction
Submental liposuction removes localised fat beneath the chin and along the jawline to sharpen the cervicomental angle and improve jawline definition — most effective in patients with good skin elasticity, and commonly combined with chin augmentation for comprehensive lower-face improvement.
Chin & Neck Liposuction in London
Chin and neck liposuction — clinically known as submental liposuction — removes excess fat from beneath the chin and along the anterior neck to improve the jaw-neck angle and reduce the appearance of a double chin. Unlike neck lift surgery, it doesn’t address the platysma muscle or significant skin laxity — it’s a targeted fat-reduction procedure for the right candidate.
The procedure is most effective for patients with good skin elasticity whose main concern is submental fat rather than loose skin or platysmal banding. For those patients, chin and neck liposuction produces reliable, long-lasting improvement through one or two tiny incisions with a short recovery period. For patients with significant skin laxity or platysmal banding, liposuction alone will undercorrect — a or is the right procedure.
At Centre for Surgery, chin and neck liposuction is performed by consultant plastic surgeons on the GMC Specialist Register and members of BAPRAS and ISAPS, at our CQC-regulated private hospital on Baker Street. We use MicroAire® power-assisted liposuction cannulas which reduce operating time, swelling, and bruising compared with older manual technique. The procedure can be performed under TIVA (Total Intravenous Anaesthesia) or local anaesthetic with sedation depending on the extent of work and your preference. A two-week cooling-off period after your consultation is standard.
Alternative names this procedure is known by: submental liposuction, neck liposuction, double chin liposuction, neck contouring, chin sculpting, submental fat removal, jawline contouring, neck rejuvenation.
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Chin & Neck Liposuction Before & After Photos


Chin and neck liposuction result showing targeted fat reduction and restored jaw-neck angle. The side view (second image) is typically where liposuction correction is most visible — removing the submental fat pad allows the underlying jaw-neck angle to emerge.


Younger patient with good skin elasticity and submental fat as the main concern — the ideal candidate profile for chin liposuction alone. Skin retracts over the new contours without any need for skin tightening or neck lift.


Submental liposuction focused on removing the fat pad beneath the chin. A cleaner jawline emerges once the fat is removed. Results are permanent provided weight remains stable — liposuction permanently removes fat cells from the treated area.


Chin and neck liposuction addressing both submental fat and lateral neck fullness. The combination of MicroAire®-powered liposuction and meticulous contouring produces a defined jaw-neck angle with minimal bruising compared with older manual technique.

Side view showing neck liposuction result. Side profiles typically show the most dramatic change because the improvement in jaw-neck angle is most visible from this angle.

Further example of neck liposuction producing defined jaw-neck angle and reduced submental fullness. Results like these require good underlying skin elasticity — older patients with loose skin may need a neck lift or FaceTite added for skin tightening.
All patients consented to their images being used for educational purposes. A wider gallery of chin and neck liposuction results is available to review at your in-person consultation. Results vary between patients depending on starting anatomy, skin quality, amount of fat removed, and weight stability after surgery. You can also view results across our full range of procedures on the main .
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What is chin and neck liposuction?
Chin and neck liposuction is a cosmetic surgical procedure that removes excess fat from beneath the chin (submental region) and along the anterior neck through small incisions — typically one under the chin in the natural crease, sometimes with one or two additional incisions behind each earlobe. The surgeon uses a fine cannula to aspirate the targeted fat, reducing the volume of the submental fat pad and any lateral neck fullness.
Non-surgical fat reduction treatments (such as fat-dissolving injections) can produce modest improvements in small fat pads but typically require several treatments over months and produce less predictable results than surgical liposuction. For most patients with meaningful submental fat, liposuction produces better, more reliable, and longer-lasting results in a single procedure. Chin liposuction permanently removes fat cells from the treated area — the fat doesn’t "come back" provided weight remains stable.
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Benefits of chin and neck liposuction
Chin and neck liposuction produces specific anatomical improvements for the right candidate. These are what patients see:
The sharp transition between jawline and anterior neck is one of the strongest markers of a youthful face. Submental fat blurs this angle regardless of overall weight. Removing the fat allows the underlying jaw-neck angle to emerge.
Liposuction permanently removes fat cells from the treated area. Provided weight remains stable, the improvement is long-lasting — potentially permanent. If you gain significant weight after surgery, the remaining fat cells in the treatment area can still enlarge, but typically not to the same extent as before.
Submental fat is often genetically determined and doesn’t respond proportionately to diet and exercise. Many patients with chin and neck liposuction are not overweight — they have a localised fat distribution that liposuction addresses directly.
Incisions are typically 3–5 mm — small enough to close with 1–2 fine sutures. The main incision sits in the natural crease under the chin where it falls in shadow and is virtually invisible. Additional incisions behind the earlobes (if used) heal as fine lines hidden by the ear.
Most patients return to desk work in 3–7 days. Visible swelling and bruising resolve significantly by day 10–14. Final settling takes 2–3 months but visible downtime is short.
We use MicroAire® power-assisted liposuction cannulas which provide more controlled, gentler fat removal than older manual technique. The result is less bruising, less swelling, shorter operating time, and more refined contouring.
Chin and neck liposuction can be performed alone or combined with a facelift, neck lift, mini neck lift, chin augmentation, or FaceTite (for patients who need mild skin tightening alongside fat removal).
Many standalone chin and neck liposuction procedures can be performed under local anaesthetic with sedation, avoiding general anaesthesia and allowing faster discharge.
Who is a good candidate for chin and neck liposuction?
Chin and neck liposuction has the widest age range of any procedure in this family because its main indication — localised submental fat — occurs across a broad demographic. The ideal candidate meets most of the following:
Patients whose primary concern is a double chin, fullness under the jawline, or loss of jaw-neck angle from fat accumulation. If the main problem is loose skin rather than fat, liposuction isn’t the right procedure.
This is the single most important factor. Liposuction removes fat but relies on the skin retracting over the new, smaller contour. Patients with good skin elasticity (typically younger patients, or older patients with genetically good skin quality) achieve clean, refined results. Patients with overstretched or lax skin risk ending up with loose, hanging skin after fat removal — in those cases, a or is the right procedure.
Younger patients (25–40) with genetic submental fullness typically have excellent skin elasticity and do well with liposuction alone. Middle-aged patients (40–55) with localised submental fat and good skin quality also do well. Patients 55+ with significant fat and laxity usually need liposuction combined with neck lift or FaceTite for skin tightening.
Chin and neck liposuction isn’t a weight-loss tool. It works best for patients who are at or near their ideal weight and have a specific localised fat deposit that doesn’t respond to diet and exercise. Overweight patients with generalised neck fullness may see less dramatic results and are better served by weight loss followed by reassessment.
If you have visible vertical cords on your anterior neck (platysmal banding), liposuction alone won’t correct them. You need platysmaplasty (part of a neck lift or mini neck lift).
Non-smokers or willing to stop for 2–4 weeks before and after surgery. No uncontrolled medical conditions. No active skin infections in the treatment area.
Chin and neck liposuction produces refined, measured improvement. It won’t transform a heavy face into a thin one or create a chiselled jawline where the underlying bone structure doesn’t support one. Patients expecting dramatic celebrity-style jaw definition often need chin augmentation alongside liposuction or are looking for surgery that wasn’t designed to achieve that result.
When chin and neck liposuction is not the right answer
Chin and neck liposuction is often marketed as a quick-fix for any double chin. Honest assessment matters. We regularly advise against liposuction alone in the following situations:
If we think a different procedure would serve you better — whether neck lift, mini neck lift, chin augmentation, FaceTite, or simply weight loss followed by reassessment — we’ll tell you honestly. Declining the wrong procedure matters just as much as doing the right one.
How to prepare for chin and neck liposuction
After your initial consultation, a two-week cooling-off period is standard before your surgery date is confirmed. Once your date is booked, our pre-operative assessment team will be in touch to confirm medical fitness and provide detailed pre- and post-operative instructions.
Fasting guidance depends on the anaesthetic type agreed at consultation. If you are having TIVA (Total Intravenous Anaesthesia): no food for 6 hours before, clear fluids (water only) up to 2 hours before your procedure. If your procedure is under local anaesthetic with sedation: lighter fasting may apply and your anaesthetist will confirm at the pre-operative check.
A responsible adult must pick you up from the clinic and stay with you for the first 24 hours regardless of anaesthetic type. You’ll be given 24/7 surgeon-led clinical access for the first 48 hours via a direct emergency contact number if any concerns arise.
What happens during chin and neck liposuction
Chin and neck liposuction at Centre for Surgery can be performed under TIVA (Total Intravenous Anaesthesia) or local anaesthetic with sedation. For standalone cases, local anaesthetic with sedation is often the most appropriate choice — you remain awake but comfortable, recovery is faster, and anaesthesia costs are lower. For combined procedures (liposuction with neck lift, facelift, or multiple procedures), TIVA is typically used. TIVA is the safest form of general anaesthesia for day-case facial surgery, using only intravenous agents with no inhaled gases. Your surgeon and anaesthetist will recommend the appropriate approach at consultation.
Most of our chin and neck liposuction procedures use the MicroAire® power-assisted liposuction system, which provides controlled, gentler fat removal than older manual technique — resulting in less bruising, less swelling, and more refined contouring.
Standalone chin and neck liposuction typically takes around 1 hour of operating time. Combined procedures (liposuction with neck lift or facelift) take longer — depending on the specific combination. Most patients are discharged the same day after a period of monitored recovery in our suite. A responsible adult must pick you up and stay with you for the first 24 hours.
Chin and neck liposuction is often combined with:
For patients 45+ or those with moderate skin laxity, the surgeon often combines liposuction with a neck lift or FaceTite to address both fat and skin in one procedure. Your surgeon will recommend the appropriate combination at consultation.
Chin and neck liposuction recovery timeline
Recovery from chin and neck liposuction is faster than from neck lift or facelift because it’s a smaller, more targeted procedure. Here’s what to expect at each stage.
Compression garment worn continuously (face and neck wrap). Mild-to-moderate swelling, some bruising. Discomfort typically well-controlled with paracetamol. Sleep elevated on two pillows. Keep activity light.
Peak swelling settles from day 3–4. Bruising starts to fade and becomes yellow-green before resolving. Sutures are typically removed at day 5–7. Most patients feel well enough to be up and about at home but may not yet feel socially presentable. Compression garment continues day and night for the first week.
Bruising largely resolved or easily covered with concealer. Most patients return to desk work around day 7–10. Compression garment can usually be reduced to night-time only. No strenuous exercise yet.
Residual swelling continues to resolve. Gentle cardio from week 2; full exercise including weight training from week 4. Final scars (if any) continue to mature but are usually barely visible by this point.
Most of the final result becomes visible as remaining swelling settles. Skin continues to retract over the new contour.
Full settling. Final contour and scar maturation complete. Results are long-lasting provided weight remains stable.
Chin and neck liposuction incisions are typically 3–5 mm — among the smallest of any facial surgery. They’re placed in discreet locations: the main incision sits in the natural crease under the chin (falls in shadow, virtually invisible once healed); additional incisions (if used) sit behind each earlobe where they’re hidden by the ear itself. Most scars become barely detectable within a few months. A minority of patients develop hypertrophic (thickened) scars that can be treated with steroid injections.
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Risks of chin and neck liposuction
Chin and neck liposuction is among the safer facial surgeries when performed by an experienced specialist, but no surgery is risk-free. Understanding the possibilities in advance lets you make an informed decision.
Expected for the first 1–2 weeks, not complications. MicroAire® power-assisted liposuction produces significantly less bruising and swelling than older manual technique.
Numbness or altered sensation under the chin and along the anterior neck is common in the first few weeks as small sensory nerves recover from the procedure. Usually resolves within 2–3 months.
Collection of blood beneath the skin. Uncommon with liposuction (less dissection than open surgery). Most small haematomas resolve on their own; larger ones may need drainage.
Uncommon — the small incisions and limited tissue dissection make infection less likely than with larger procedures. When it occurs, typically responds to oral antibiotics.
Uneven fat removal can leave small areas of residual fullness or, less commonly, over-correction (a depression). Minor irregularities usually settle with time and massage. More significant irregularities occasionally need touch-up liposuction or fat grafting — rare with MicroAire®-powered technique and experienced hands.
The marginal mandibular branch of the facial nerve runs near the dissection area — injury is rare but can cause temporary or, very rarely, permanent weakness of the lower lip. Careful surgical technique minimises this risk.
If the skin doesn’t retract fully over the new contour, residual looseness can occur. This is the main reason careful patient selection matters — patients with poor skin elasticity need skin tightening (FaceTite) or a neck lift rather than liposuction alone.
The 3–5 mm incisions usually heal as barely visible fine lines. A small minority of patients develop hypertrophic (thickened) scars that can be treated with steroid injections.
Liposuction permanently removes fat cells from the treated area. If you gain significant weight after surgery, remaining fat cells can enlarge but typically not to the same extent as before. Stable weight preserves the result.
TIVA and local anaesthetic with sedation are both safe approaches for chin and neck liposuction when administered by experienced consultant anaesthetists. Serious anaesthetic complications are rare in properly assessed, healthy patients. For patients concerned about general anaesthesia, the ability to perform standalone chin liposuction under local with sedation is a significant advantage.
Most patients are satisfied, but outcome depends heavily on candidate selection. Patients with significant skin laxity or platysmal banding who have liposuction alone will undercorrect and be disappointed. The most important factor is having the right procedure for your anatomy — which sometimes means liposuction, sometimes means neck lift, sometimes means combining procedures, and occasionally means declining surgery altogether.
Our postoperative support programme was described as ‘outstanding’ by the CQC. Follow all pre- and post-operative instructions carefully to minimise your risk of complications.
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Procedures commonly combined with chin and neck liposuction
Chin and neck liposuction is performed alone or combined with other facial procedures depending on what your anatomy needs. Common combinations:
For patients with significant skin laxity or platysmal banding alongside submental fat. Neck lift addresses what liposuction can’t — muscle bands and skin that won’t retract.
For patients in the late 30s to early 50s with early platysmal banding plus modest fat. Liposuction through the same submental incision used for the mini neck lift.
Chin liposuction is often added to facelift surgery because a clean neck complements a rejuvenated face. Facelift addresses jowling and mid-face descent; liposuction addresses submental fat.
For patients whose apparent "double chin" is really a recessed or weak chin. A chin implant improves projection and enhances the effect of fat removal. Often combined in the same operation.
Radiofrequency-assisted skin tightening performed through tiny probes — useful for patients with mild-to-moderate skin laxity alongside submental fat who aren’t yet candidates for a neck lift. Often combined with liposuction in the same procedure.
Volume restoration to the mid-face can enhance the overall facial rejuvenation when combined with lower-face work.
At consultation, your surgeon will assess your face and neck as a whole and recommend which combination (or whether liposuction alone) fits your specific anatomy. The aim is never to add procedures for their own sake — only to address what actually needs addressing.
How much does chin and neck liposuction cost in London?
At Centre for Surgery, a standalone chin and neck liposuction procedure typically costs £3,000–£4,500. The final figure depends on the extent of work required, whether the procedure is combined with other surgery, and whether the anaesthesia is TIVA or local with sedation.
This procedure has the shortest operating time (around 1 hour for standalone), often uses local anaesthetic with sedation which has lower anaesthesia costs than TIVA, and has a shorter recovery period requiring less aftercare than larger facial procedures.
Chin and neck liposuction is often combined with other facial procedures:
0% APR finance is available through Chrysalis Finance, our specialist medical finance partner. Monthly payments typically from £85–£130/month depending on the procedure and term selected.
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Price shouldn’t be the determining factor when choosing a surgeon for chin and neck liposuction. Make sure whoever you choose is on the GMC Specialist Register for plastic surgery, is a member of BAPRAS or BAAPS, and can show you consistent before-and-after results. Call to speak with a patient coordinator for an indicative price before your consultation.
A chin and neck liposuction procedure is cosmetic and not covered by insurance or the NHS. Patients are responsible for the full cost.
Is chin and neck liposuction worth it?
Whether chin and neck liposuction is "worth it" depends entirely on whether it’s the right procedure for your anatomy. For well-selected candidates — patients with localised submental fat, good skin elasticity, realistic expectations, and stable weight — the procedure delivers reliably: a cleaner jaw-neck angle, reduced double chin appearance, and results that last indefinitely provided weight stays stable.
Chin and neck liposuction doesn’t tighten loose skin, doesn’t correct platysmal banding, doesn’t build chin projection where the bone doesn’t support it, and doesn’t produce dramatic jawline definition in patients whose bone structure is naturally rounded. Patients seeking these outcomes from liposuction alone are often disappointed — not because the procedure has failed, but because it was the wrong operation for their anatomy.
Satisfaction with chin and neck liposuction correlates strongly with honest preoperative case selection. Patients who are good candidates — localised fat, good skin, realistic expectations — are typically happy with their results. Patients whose real issue was skin laxity, platysmal banding, or chin projection often feel their liposuction didn’t "do enough" — the procedure was never designed to address those problems.
The most important factor in a successful chin and neck liposuction outcome isn’t the surgeon’s technique (though that matters too) — it’s whether the right procedure was chosen for your specific anatomy. At consultation we’ll tell you honestly whether liposuction is the right answer or whether something else (or nothing at all) would serve you better.
Why choose Centre for Surgery for chin and neck liposuction
Chin and neck liposuction looks simple but results depend on careful case selection, refined technique, and proper aftercare. At Centre for Surgery:
All chin and neck liposuction at Centre for Surgery is performed exclusively by consultant plastic surgeons on the GMC Specialist Register for plastic surgery — the highest qualification available in the UK. Our surgeons are members of BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons) and ISAPS (International Society of Aesthetic Plastic Surgery). We don’t use cosmetic doctors or non-specialist surgeons for facial or neck surgery.
Our purpose-built private hospital at 95–97 Baker Street, Marylebone is independently regulated and inspected by the Care Quality Commission, which awarded us a "Good" rating — a standard very few cosmetic surgery facilities in the UK achieve.
We use MicroAire® power-assisted liposuction cannulas as standard. This technology provides more controlled, gentler fat removal than older manual technique — resulting in less bruising, less swelling, shorter operating time, and more refined contouring.
Chin and neck liposuction can be performed under TIVA (the safest form of general anaesthesia for day-case facial surgery) or local anaesthetic with sedation. For standalone cases, local with sedation is often the most appropriate choice. Your surgeon and anaesthetist will recommend the right approach for your case.
We only recommend chin liposuction when it’s actually the right procedure. If your anatomy needs neck lift, chin augmentation, FaceTite, or something else, we’ll tell you. If non-surgical options would serve you better, we’ll tell you. If the honest answer is weight loss and reassessment, we’ll tell you that too. Declining the wrong procedure matters as much as performing the right one.
Because we offer the full range of face and neck procedures — chin liposuction, FaceTite, mini neck lift, full neck lift, mini through deep plane facelift, chin augmentation — we can recommend the approach that fits your specific anatomy rather than defaulting to a single option.
Our surgeons take a deliberately conservative approach — refinement rather than transformation. For chin liposuction, this means aiming for a clean, refined jaw-neck angle that looks naturally defined rather than obviously operated.
Standard practice between consultation and surgery. This gives you proper time to reflect before booking.
Our postoperative support programme was described as ‘outstanding’ by the CQC. This includes 24/7 surgeon-led clinical access for the first 48 hours, a dedicated patient coordinator, regular phone and face-to-face checks, and full aftercare through the 6-month mark.
Useful preparation:
Your initial in-person consultation is £100, redeemable against the cost of surgery if you proceed. Consultation lines are open Monday–Saturday, 9am–6pm.

FAQs
What To Expect
Your journey begins with a face-to-face consultation with one of our consultant plastic surgeons at Baker Street. The consultation typically lasts around 30–45 minutes. Your surgeon will examine the neck and chin area clinically and assess three separate things: the volume of submental fat, the elasticity and quality of your skin, and the condition of the platysma muscle. This assessment determines whether chin liposuction alone is the right procedure or whether you'd be better served by combining with FaceTite (for mild skin laxity), a mini neck lift (for early platysmal banding), a full neck lift (for significant skin laxity or pronounced platysmal bands), or chin augmentation (if your apparent "double chin" is partly a recessed chin). If non-surgical options (fat-dissolving injections, FaceTite) would serve you better, we'll tell you honestly. Clinical photography is taken for surgical planning and before/after comparison. Your surgeon will discuss the potential risks, what to expect in recovery, and review all medications including any that affect bleeding (aspirin, anti-inflammatories, certain supplements) that will need to be stopped before surgery. A two-week cooling-off period between your consultation and surgery date is standard practice at Centre for Surgery and is not optional. If you want to return for further consultation during that period — or at any point before surgery — you are welcome to do so at no additional cost.
Once you have decided to proceed with chin and neck liposuction and the two-week cooling-off period has passed, our pre-operative assessment team will be in touch to confirm medical fitness for surgery. This includes a full medical review and any pre-operative tests required. In the weeks before surgery: - Stop any aspirin-containing medicines, ibuprofen, or other anti-inflammatories at least 2 weeks before surgery (these increase bleeding risk) - If you smoke, stop at least 2–4 weeks before surgery — smoking delays healing and increases complication risk - Avoid alcohol for at least 48 hours before surgery - Review all supplements with your surgeon — vitamin E, fish oil, ginkgo, garlic supplements, and some herbal products affect bleeding and need to be stopped On the day of surgery, fasting guidance depends on the anaesthetic agreed at consultation. If you are having TIVA (Total Intravenous Anaesthesia): no food for 6 hours prior, clear fluids (water only) up to 2 hours before your procedure. If your procedure is under local anaesthetic with sedation: lighter fasting guidance may apply and your anaesthetist will confirm at the pre-operative check. Arrange for a responsible adult to collect you from the clinic and stay with you for the first 24 hours after surgery — this is mandatory regardless of anaesthetic type.
Arrive on time for your admission appointment — this allows the admission process, pre-operative checks, and anaesthetic preparation to proceed without delay. One of our admission nurses will complete the formal admission, including checking your identification, consent documentation, and that your post-operative medications have been dispensed. Your vital signs (blood pressure, heart rate, temperature) are recorded as a baseline. The anaesthetist will meet you to perform a pre-operative assessment and review your medical history in detail. Your surgeon will then see you, confirm the operative plan, obtain final written consent, and mark the surgical areas — this includes planned incision locations and the areas where fat will be contoured. Photography may be taken at this final stage for surgical reference. Chin and neck liposuction at Centre for Surgery is performed under either TIVA (Total Intravenous Anaesthesia) or local anaesthetic with sedation, depending on the extent of work and agreed at consultation. TIVA is a form of general anaesthesia that uses only intravenous agents (no inhaled gases) and is the safest general anaesthetic approach for day-case facial surgery — faster emergence, less postoperative nausea, quicker discharge. For standalone chin liposuction, local anaesthetic with sedation is often the most appropriate choice — you remain awake but comfortable throughout. The procedure itself typically takes around 1 hour. Through a small 3–5 mm incision under the chin (and sometimes additional tiny incisions behind the earlobes), the surgeon uses MicroAire® power-assisted liposuction to aspirate the targeted fat. This technology produces less bruising and more refined contouring than older manual technique. Incisions are closed with 1–2 fine sutures and a compression garment is applied. After surgery you will recover in our dedicated recovery suite, typically for 1–3 hours. You will be discharged once you meet all discharge criteria — cardiovascular stability, adequate pain control, ability to tolerate fluids, and safe mobility. A responsible adult must collect you and stay with you for the first 24 hours.
Once you are safely home, you have 24/7 surgeon-led clinical support for the first 48 hours. You will be given a direct emergency contact number to reach your surgeon if needed. Our post-operative team will be in regular phone contact during the first two weeks to monitor your recovery and flag any concerns early. Days 1–2: mild-to-moderate swelling and some bruising are normal. Discomfort is typically well-controlled with paracetamol — most patients don't need strong painkillers. Sleep elevated on two pillows. Wear the compression garment continuously as instructed. Days 3–7: peak swelling settles from day 3–4. Sutures are typically removed at day 5–7. Bruising fades. Continue wearing the compression garment as directed. Week 2: bruising largely resolved or easily covered with concealer. Most patients return to desk work around day 7–10. Compression garment can usually be reduced to night-time only. No strenuous exercise yet. Weeks 3–4: residual swelling continues to resolve. Gentle cardio from week 2; full exercise including weight training from week 4. Follow-up appointments: face-to-face clinical review with our post-operative nursing team at 7–10 days (suture removal if non-absorbable sutures used, wound check, scar management advice). A surgeon-led review at 6 weeks to assess healing and confirm results are tracking as expected. Further reviews scheduled as needed. Our postoperative support programme was described as 'outstanding' by the CQC. If you have any concern at any stage of recovery, contact the clinic — we'd much rather hear from you

