Tuesday, October 19, 2010

What to do with a double chin or turkey neck?

Orange County Face Lift Surgeon:

A turkey neck or double chin in young people is most commonly treated by liposuction. The results from neck liposuction are significantly influenced by the quality of the overlying skin. In younger patients with good taut or thick skin will respond by shrinking and adapting upward to a less obtuse neck-jaw angle. Loose or wobbly skin may shrink somewhat but it will be irregular with band and cords apparent to the eye. When neck skin is loose, the liposuction procedure must be combined with some type of neck lifting or neck tightening procedure called platysmaplasty. One often overlooked consideration in neck liposuction is that of the chin. Should the chin be brought forward or is its projection adequate where it is currently? In the spirit of what one is trying to achieve by removing fat from the neck…a more evident jaw and neck line…the chin should not be forgotten. In some cases, it can be a good complement to the look that liposuction creates.

One effect that neck liposuction does create is the illusion that the chin is a little more prominent. As the neck-jaw angle become less full and positioned back somewhat, it can look like the chin is more prominent. That is easy to understand as the chin may look more forward because the neck has moved back. In some cases, changing the shape of the neck may be all that is needed to improve what one thinks is a short chin.
In other cases, neck liposuction should really be combined with a chin implant. The problem is not just too much fat in the neck but the chin is really short as well. This is a much more prevalent issue in men than it is in women. Men should have a more prominent chin than women. A combined neck liposuction-chin implant procedure is a wonderful facial procedure that can create a better overall effect on lower face than either one alone.
The shape and appearance of the neck is partially influenced by the forward position of the chin. In many ways, the chin is an extension of the horizontal vector of the neck. As with any neck reshaping procedure, the chin should not be forgotten in surgical consideration and planning. These procedures can be performed under local anesthesia with oral sedation in a office setting.

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