Double Chin Removal, Rid Unwanted Bulge And Sag

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Double Chin Removal, Rid Unwanted Bulge And Sag
July 25
15:53 2016

There’s that dreaded moment when you look at a picture of yourself only to have that double chin be the first thing you notice. You may have tried it all—hitting the gym, dieting and even chin exercises—but none of it has worked.

According to Dr. Cory Goldberg, a Toronto-based plastic and craniofacial surgeon, a double chin can appear from as early as adolescence up until old age, for various reasons. One cause is the formation of extra fat under the chin as a result of genetics or weight gain. Some can also be born with a retruded chin, which causes the skin to loosen. Dr. Goldberg noted that if an individual has a retruded chin, a double chin usually appears early in life.

“If their jaw bone doesn’t develop or the jaw bone is small, then the chin would be pushed back,” explained Dr. Goldberg. “While their skin may be perfectly normal and they may not have very much fat there at all, because the chin is pushed back, it ends up making the tissue underneath the chin by the neck loose, like there’s a double chin.”

Lastly, simply aging can cause neck skin to begin loosening, creating the appearance of a double chin. For a woman, a double chin can become a major concern since it can make her look heavy when she is not, said Dr. Goldberg.

Exercise can be an option to reduce a double chin, but is only effective for those who got it due to weight gain. Also a significant amount of weight will need to be lost in order for it to be noticeable on the face and chin, said Dr. Goldberg.

When looking to fix a double chin, there are a number of effective surgical options available. What type of procedure works best for you will depend on the root cause of your double chin.

According to Dr. Goldberg, the best option for someone looking to successfully remove fat from under the chin is submental liposuction. Before the surgery, the patient is placed under general anesthesia, followed by a local anesthetic that is injected into the site where fat will be removed. The surgeon then cuts a small 3 mm incision under the chin. A liposuction tube attached to a vacuum suction is inserted and the fat is then suctioned out. This can be done under just local anesthesia or with only sedation, but most patients prefer to be asleep.

Double Chin Removal, Rid Unwanted Bulge And Sag

Double Chin Removal, Rid Unwanted Bulge And Sag

Submental liposuction is considered a minimally invasive procedure and is performed in approximately 30 minutes. The scar that is left is “pretty much invisible as it is so small and hidden under the chin,” Dr. Goldberg explained. A patient can return to regular activities and work after three to five days, during which time they must keep their head elevated in bed and avoid strenuous activity. A compression dressing and chin garment will be worn for two days after the procedure, which will be removed during a follow-up appointment with the surgeon. The results are permanent, as long as weight is maintained, Dr. Goldberg noted.

For women in their 40s or older who are experiencing loose skin underneath the chin more so than fat, a neck lift may be the best option to get rid of a double chin, as it helps to tighten the excess skin around the neck.

“The neck lift requires a longer incision, which goes by the earlobe and behind the ear. And then the skin and muscle along the neck are lifted up and tightened,” said Dr. Goldberg.

Some stitching may take place inside the neck to keep muscles tighter. Extra skin around the ear is removed and the opening is then stitched closed. If there is fat under the chin, submental liposuction can be performed as part of the neck lift. It takes five to seven days to return to work after a neck lift, and requires taking the same precautions as after a submental liposuction. In addition, you should apply antibiotic ointment and clean the incision area and wounds around the ears for a week after the surgery.

According to Dr. Goldberg, with the neck lift, “the most serious risk would be injury to the structures around the neck, which could include blood vessels and nerves. This would be extremely rare for an experienced surgeon.”

While submental liposuction and a neck lift are good options for someone with a well-proportioned chin, women experiencing loose tissue under the chin caused by a retruded chin will benefit from a chin implant or a chin advancement surgery. With these surgeries, additional submental liposuction is done as well in order to remove the double chin. These are two different procedures, and which one is for you will depend on your chin’s bone structure.

Dr. Goldberg recommends a chin implant in case there is little bone in the chin area and the jaw is underdeveloped. With this implant, an incision is made under the chin and the surgeon opens a pocket near the bone where the implant is then placed.

“Some implants would require screws going into the bone to hold it in place, whereas some implants are inserted and left sort of floating and not secured to the bone,” described Dr. Goldberg.

If a chin implant is inserted, there is a risk of infection within the implant, for which a revision may be required. Antibiotics should be taken for two weeks to reduce the risk of infection.

A chin advancement (genioplasty) is considered the default procedure to fix a retruded chin if the patient has enough chin bone to advance. The chin bone is cut and shifted forward after your surgeon creates an incision inside the mouth near the gums. This does not affect the teeth.

“Plates and screws are used to fix the bone so that it doesn’t move and then the incision site is stitched closed,” said Dr. Goldberg.

Dr. Goldberg noted that the most serious risk with chin advancement is the loosening of the screws that hold the bones, resulting in the chin bone changing or going back to its original position. After a chin advancement, Dr. Goldberg advised taking antibiotics along with an antibacterial mouthwash for two weeks to prevent infection inside the mouth. Good oral hygiene is very important during healing.

Downtime after the chin advancement or implant lasts between five to seven days, during which time the head must be kept elevated in bed and cold packs may be applied to reduce swelling.

All the double chin removal procedures carry a risk of infection, bleeding, fluid collection and a negative reaction to the anesthesia.

If you feel a double chin is a concern for you, speak with a board-certified plastic surgeon, craniofacial surgeon or oromaxillary surgeon to discuss whether you’re a good candidate for surgery and which procedure will work best for you. Anyone can get a double chin, according to Dr. Goldberg, and an experienced surgeon will help you make the most appropriate decision in order to get the best and safest results.

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