[Health Column] Why does a double chin remain after contouring surgery, and how can I fix it?

 

hello, 3D plastic surgery at Plastic surgery during doing Dr. Jae-won Heo, a plastic surgeon no see.

 

 

contouring surgery I refined my jawline and facial contours through

When I actually look at myself in the mirror “My jawline isn’t as defined as I thought.” Or “I still have a double chin.” There are times when I feel that way.

You may be more confused when the bone lines look neat on the CT scan, but the actual appearance is different from what you expected.
This is Because simply making the 'bones' pretty does not complete the entire facial contour. no see.
today Why a double chin remains after contouring surgery , and we will tell you how the correction is done.

 

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

🎯 Just because the bones are reduced doesn't mean the tissues above them are also reduced. .

 

contouring surgery Covered in Chin and square jaw is the deepest layer of the face, the 'bone structure'.
But above that, there are many layers of soft tissue, including skin, fat, muscles, connective tissue, and even salivary glands.

 

So even if the bone is reduced, if the above tissue does not reduce at the same rate, the expected change may not be seen, and instead, a double chin may become more prominent.

 

especially,

• Square jaw reduction

• Masseter resection

• Cortical bone resection

• Chin T-osteotomy / S-osteotomy / Rotational cutting, etc.
  As most of it is progressing in the 'reducing direction', Those with thick soft tissue may have more prominent relative volume. There is.🔹

In other words, contouring surgery is a 'bone-refining surgery', and a double chin is completed by considering 'soft tissue issues' as well.

 

 

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

🎯There are three main structural factors at work. all.

 

1. Deletion of the digastric muscle

Chin reduction process In some procedures, the biceps femoris muscle may be separated from the bone.
In this case, the muscles may sag and bunch up, giving the appearance of a double chin.
So, when doing a second surgery The process of re-anchoring the abdominal muscles + fat adjustment These are considered together.

 

2. Submandibular gland protrusion

After square jaw surgery , The salivary glands that were previously covered by the jawbone may be exposed and revealed as an outer contour.
So, what looks smooth on CT may appear bumpy in the mirror.

In this case, it may be difficult to correct with just simple botox treatment. Situations where actual surgical reduction or partial resection is required This can happen.
(Treatment method determination requires a specialist evaluation.)

 

3. Subplatysmal fat accumulation

If you reduce the jawbone The space becomes smaller and the fat underneath becomes compressed and lumpy.
This fat cannot be resolved with just regular liposuction. Removal after precise layer separation through submandibular approach is important.

 

(Removed submandibular gland, biceps muscle, and submandibular fat)

 

3. How can these problems be solved?

🎯Multi-level approach is possible with only a 2–3cm incision below the chin. .

 

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

With one incision line,
✔ Remove submuscular fat
✔ Re-fixing the double chin
✔ Submandibular gland reduction
can be done simultaneously.

 

Surgery to address problems that cannot be solved with simple liposuction A perspective on 'submental rejuvenation' Access is required from .

 

thus double chin surgery The following structures must be considered together:

• submuscular fat

• Lee Bok-geun

• Axillary line

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

 

 

4. What is the recovery process like? ?

• 1~2 weeks : Swelling, pulling, discomfort

• 1~3 months : Organizational stabilization phase

• 3~6 months : Final outline cleaning stage

Although there are individual differences, the initial discomfort tends to be alleviated relatively quickly. The final line will naturally settle after a sufficient recovery period.

 

FAQ ❓

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

 

Q2. Are there any side effects from double chin surgery?
A2. It is important to consult a specialist and receive a prior evaluation as there may be changes in sensation, changes in saliva secretion, persistent swelling, inflammation, and nerve-related discomfort.

 

Q3. What is the difference between this and a neck lift?
A3. Neck lift surgery focuses on improving sagging and wrinkles throughout the neck, while double chin surgery focuses on improving Focus on improving the central area under the chin and jaw line There is a difference between which method is appropriate. Assessing the cause is most important

 

---

Conclusion 🧾

Contouring surgery is a powerful bone correction method, but It can be disappointing to not address soft tissue issues when completing the contour.

 

Why a Double Chin Remains After Contouring Surgery is not just fat,
✔ Muscle
✔ Salivary glands
✔ Submuscular fat
This is because many factors work together in a complex manner.

 

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

If discomfort persists, consult with a medical professional We recommend that you check the current status carefully.

 

 

 

 

3D plastic surgery

Director Heo Jae-won

 

Graduated from Yonsei University College of Medicine

Master of Medicine, Yonsei University Graduate School

Severance Hospital plastic surgery specialist

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 Korean Society of Plastic and Reconstructive Surgeons' Ophthalmic Plastic Surgery Research Group

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

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

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

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

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

Director of Hyeon Ipsae Plastic Surgery Clinic

10 years of experience focusing on lifting