Double Aesthetics

What is jowl aesthetics?

Double chin aesthetics is actually a broad concept and includes many components. To understand this, it is necessary to define the jowl region first. The jowl area (known in medicine as the submental area) refers to the upper region of the lower neck of the chin. There may be different situations that disturb the patient in this area. These are:

Excess fat in the jowl area,
Relaxation of the muscles that support the jowl area by wrapping it like a hammock,
Sagging due to loss of skin elasticity,Enlargement of the salivary glands under the chin,
Appearance disorders due to developmental problems of the jawbone
Correction of the above-mentioned conditions provides a late appearance and reveals the jaw line.

What are the surgical options in chin aesthetics?

Liposuction

It is necessary to plan the operation according to the person. Patients’ complaints of “I have excess fat”, often pointing to the jowl, may not be due to excess fat. In young patients, fat accumulation in the jowl area can be done by removing fat by liposuction method. Since the skin is young and elastic in this patient group, adaptation is much better.

However, liposuction alone may not be sufficient in elderly patients. Because if the skin elasticity is not enough after the fat removal process, the skin will not be able to adapt, and sagging will continue. These patients may need a neck lift.

Submental Lipectomy

If the muscle called the platysma muscle, which provides support by wrapping the neck like a hammock, is loose and the fat tissue underneath is excessive; By making an incision of approximately 2-3 cm from the chin fold, the fat tissue under this muscle is removed and the muscle is tightened.

Partial removal of salivary gland

Although patients in the neck may not realize it, the chin contour may be disturbed by the excess salivary gland under the chin. During the submental lipectomy procedure, some of these tissues are carefully removed.

Neck stretching

It can be said that neck lift surgery is a combination of the operations mentioned above. Skin sagging is performed by entering through an incision line extending from the front of the ear to the back of the scalp and/or by removing the skin tissue cut 2-3 cm under the chin, tightening the loosened muscle, and removing the sub-muscular fat tissue, if any. Neck lift patients should be looked at holistically. Most of the patients who come with only a neck lift request also have sagging facial tissues and face lift surgery is also required.

Jaw Prostheses

The jowl region comes to the fore in patients with a back chin; The angle that should be between the neck and chin widens and the patient seems to have an excessive jowl area. Just making the chin prosthesis and chin fillings allow the chin tip to appear in the front will bring the appearance of the jowl back to normal. Differential chin prostheses (silicone, medpor, etc.) are placed on the chin with the help of an incision made from the inside of the mouth or under the chin.