Double Chin Surgery

By admin on January 30, 2010

Doctor what can I do about my double chin? 

First your doctor must analyze why you have a double chin You may classify double chins into those that have a normal placed chin (when looking from the side) and those who have a small chin, meaning the chin is set back from the rest of the face when looking at your profile. 

Patients with small chins, called microgenia, will need a silicone chin implant or injections with a product like Sculptra, Artefill, Juvederm, etc. to bring the chin out appropriately. A chin implant is inserted through an incision just under the chin, and this procedure can be performed under local anesthesia or IV sedation. The resulting scars should be imperceptible. Chin implants are permanent, and the injections are temporary, with the exception of Artefill, which is also permanent. 

Once this is done and the patient’s profile is symmetrical, the neck fat and skin must be evaluated. If neck fat is excessive, but the skin is good without much sun damage or loss of elasticity, the neck can be liposuctioned. Liposuction of the fat in these instances is very gratifying, and it makes the person look thinner. This can be performed satisfactorily even with mild excess of skin. The liposuction takes about thirty minutes to perform and is usually done under local anesthesia. 

When the skin is wrinkled and loose, this will require either a face lift or a direct excision which leaves a scar down the front of the neck. Usually these scars are minimally noticeable, but we prefer the face lift when possible so that there is no scar on the front of the neck. Liposuction of the neck is often performed even when the skin is removed by either of the above methods.

Posted in Cosmetic Surgery of the Neck, Double chin, Liquid Facelift, Non Surgical Facial Rejuventation |