You can lose that double chin…
If you are bothered by extra fullness under your chin (submental triangle), a double chin, sagging skin under your chin and do not otherwise need a face lift or full necklift, you may be a candidate for a submental platysmaplasty or just some liposuction in this area.
*Each patient is unique and individual results may vary.
A submental platysmaplasty is a mini lift of the area of the neck just under the chin (the submental triangle). It is done through about a 1-1.5 inch incisioin in the crease just under your chin. No skin is removed. This brief procedure (30-45 minutes) tightens the muscles in this area and is frequently combined with liposuction to the area and a chin or pre-jowl implant. This procedure is very popular with patients in their 30’s. Over the age of 45, it becomes more likely that the skin will not tighten down smoothly as it heals without removing some skin. Hence, over 45 you may more likely need a complete necklift. Liposuction as a separate procedure in this area can also be quite successful in flattening the area, usually in patients under 40.
Dr. Bentkover will carefully evaluate your neck and discuss with you how to best achieve you goals. His objective is to create a natural appearance that is pleasing to you. He will also take some digital photos of you and simulate various types of lifts with our imaging software. If a submental platysmaplasty will achieve your goals, he will be happy to recommend that procedure for you. If he thinks you need a full neck lift or full face lift instead of a mini lift, he will tell you so.
Our staff will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and medications. If you smoke, he will ask you to quit for at least two weeks before and after your surgery, since smoking may have an effect on how well you heal. You must stop all anticoagulant medications or herbal preparations such as aspirin, ibuprofen, vitamin E, gingko, garlic or ginseng 2 weeks prior to surgery. You may be required to take antibiotics to prevent infection. You should shampoo your hair the night before surgery.
As with other mini lifts, this procedure is frequently performed in conjunction with a blepharoplasty (eyelid surgery), forehead lift, chin augmentation, and/or liposuction, to create an overall rejuvenation of the face. The submental platysmaplasty is most commonly performed in the Same Day Surgery Unit of Saint Vincent Hospital at the Worcester Medical Center. General anesthesia or local anesthesia with intravenous sedation is required. The submental platysmaplasty is performed through a small incision under your chin that hides very nicely.
Recovery: What to Expect
You will be given explicit pre- and post-operative instructions. By following these instructions you will minimize potential problems. It is necessary to have someone drive you home and stay with you for the first 24 hours. Your face will be wrapped to help the skin under your chin heal smoothly. We recommend that you avoid the sun after surgery.
Complications are rare. These may include bleeding, infection, loss of skin near the ears, facial nerve injury, discoloration of the skin, numbness, asymmetry and excessive scarring. Infection is rare due to the rich blood supply to the face. The risk of bleeding is greater if you take aspirin or blood thinners within 10 days of the surgery. The risk of wound complications is higher in smokers, diabetics, persons with a history of radiation and autoimmune or collagen diseases.
The healing process is gradual, so you may not appreciate the final result for a few months. Most patients who have had this procedure are pleased with their new, more youthful appearance.
Also called a submental platysmaplasty, it is a procedure that tightens the tissues under your chin.
You will ususally be back at work in 10 days. The swelling goes away slowly over about 6 weeks, but most is gone in 2-3 weeks.
If you have had a short chin all your life, it shortens the distance from your chin to your voice box (larynx). As you age and the skin in this area sags, the short jawline makes the situaion look worse. Lengthening the distance from your larynx to your chin adds another factor that improves the appearance of this area. Tightening the area under your chin will often make you look better without a chin augmentation, but you may look much better with a chin augmentation.