What are the reasons why a double chin remains after facial contouring surgery, and how can it be resolved?

 

hello, 3D Plastic Surgery at Youthful plastic surgery doing Director Heo Jae-won, a board-certified plastic surgeon no see.

 

 

facial contouring surgery I refined my jawline and facial contours through this,

When you actually look at your reflection in the mirror My jawline isn't as defined as I thought. or I still have a double chin. There are cases where you feel that way.

You might be more surprised when the actual result differs from your expectations, even though the bone lines looked nicely defined on the CT scan.
This This is because simply making the 'bones' pretty does not complete the overall facial contour. no see.
today The reason why a double chin remains even after facial contouring surgery , and I will explain how the correction is performed.

 

1. Why can a double chin remain even after facial contouring surgery? yo. this?

This is because just because the bone is reduced does not mean the tissues above it shrink along with it. .

 

facial contouring surgery Dealt with in Chin and square jaw It is the deepest layer of the face, that is, the 'bone structure'.
However, on top of that, there are layers of soft tissue, including skin, fat, muscle, connective tissue, and salivary glands.

 

Therefore, even if the bone is reduced, if the tissue above it does not shrink at the same rate, the expected changes may not be visible, or the double chin may actually appear more prominent.

 

especially,

• Square jaw reduction

• Masseter muscle resection

• cortical bone resection

• Chin T-osteotomy / S-osteotomy / Chin reduction, etc.
  As most of the process is proceeding in the direction of 'reduction,' For those with thick soft tissue, the relative volume may be more prominent. There is.🔹

In other words, facial contouring surgery is a 'bone-shaping operation,' and a double chin can only be fully corrected by considering 'soft tissue issues' as well.

 

 

2. What are the main causes of a double chin developing or worsening after facial contouring surgery?

🎯Typically, three structural factors are at play. all.

 

1. Loss of the digastric muscle

Chin reduction process In some surgical procedures, the digastric muscle may be separated from the bone.
In this case, the muscles may sag and bunch up, making it look like a double chin.
Therefore, in the case of revision surgery Re-fixing the digastric muscle + fat adjustment This is considered together.

 

2. Submandibular gland protrusion

After square jaw surgery , The salivary glands, which were previously covered by the jawbone, may become exposed and reveal their outer contours.
So, it looks smooth on the CT scan, but it may appear bumpy in the mirror.

In this case, correction may be difficult with simple Botox treatment alone, and Situations requiring actual surgical reduction or partial resection This may occur.
(A specialist's evaluation is mandatory to determine the treatment method.)

 

3. Subplatysmal fat accumulation

If you reduce the jawbone The space shrinks, and the fat underneath may appear compressed and clumped together.
This fat cannot be resolved with conventional liposuction alone, and Removal after precise layer separation via submandibular access It is important.

 

(Removed submandibular gland, digastric muscle, internal fat)

 

3. How can these problems be solved?

🎯 Multi-layer access is possible with only a 2–3cm incision under the chin. .

 

Fortunately, most problems like the above Correction is possible with only a 2-3cm incision under the chin. do.

With a single incision,
✔ Removal of submuscular fat
✔ Re-fixation of the digastric muscle
✔ Submandibular gland reduction
You can proceed with both simultaneously.

 

Surgery that addresses problems that cannot be solved by simple liposuction, like this, is 'Submental rejuvenation' perspective Access is required from.

 

thus Double chin surgery You must also consider the following structure.

• fat under the muscle

• Digastric muscle

• axillary sinus

These three elements must be accurately assessed and included in the treatment plan. The “beautiful jawline” seen in the CT scan is naturally realized on the actual face.

 

 

4. What is the recovery process like? ?

• 1~2 weeks : Swelling, tightness, discomfort

• 1~3 months : Organizational stabilization phase

• 3~6 months : Final outline refinement stage

Although there are individual differences, initial discomfort tends to subside relatively quickly, and The final line takes a sufficient recovery period to settle naturally.

 

FAQ ❓

Q1. How long does the recovery take?
A1. Initial swelling and discomfort usually subside within a few weeks, and tissue stabilization proceeds over several months, although this varies from person to person.

 

Q2. Are there possible side effects from double chin surgery?
A2. Since sensory changes, changes in saliva secretion, persistent swelling, inflammation, and nerve-related discomfort may occur, it is essential to consult a specialist and undergo a preliminary evaluation.

 

Q3. What is the difference from a neck lift?
A3. Neck lifts focus on improving overall neck sagging and wrinkles, and double chin surgery is Center for improving the central area below the chin and the jawline There is a difference in that. Which method is suitable Identifying the cause is the most important thing.

 

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Conclusion 🧾

Contouring surgery is a powerful bone correction method, but, If soft tissue issues are not addressed when completing the contours, it may leave something to be desired.

 

Reasons why a double chin remains visible after facial contouring surgery is not simple fat,
✔ Muscle
✔ Salivary glands
✔ Fat under the muscle
This is because various factors interact in a complex way.

 

The important thing is, It is an “accurate diagnosis of why this phenomenon occurred,” and
Selecting the appropriate treatment method based on the results is the safest and most effective approach.

If the discomfort persists, consult thoroughly with a medical professional. I recommend that you accurately check the current status.

 

 

 

 

3D Plastic Surgery

Director Heo Jae-won

 

Graduated from Yonsei University College of Medicine

Master of Medicine, Yonsei University Graduate School

Severance Hospital Plastic Surgeon

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Korean Society of Aesthetic Plastic Surgery

Regular member of the Korean Society of Craniofacial Plastic Surgery

Regular member of the Oculoplastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Rhinoplasty Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Anti-Aging Plastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Liposuction Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Laser Plastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Botox, Filler, and Thread Lifting Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Current Director of Ipse Plastic Surgery Clinic

10 years of experience specializing in lifting procedures