‘Slim Face, but a Prominent Double Chin?’ A Case Study of a Woman in Her 20s Who Struggled with a Persistent Double Chin Despite Various Procedures

📌 Consultation Points

There are people who have a relatively slim face but suffer from a uniquely prominent double chin.

Even if the front view looks fine, the sagging fat that protrudes under the chin in the side profile can be a major source of stress.

Why is simple liposuction often not enough? It is because a double chin is a complex structural issue that goes beyond a simple ‘fat layer.’

🧬 The Composition of a Double Chin

A. Fat Layers

Standard liposuction is a surgery that removes the subcutaneous fat layer. This can be effectively removed using equipment like LipoSound.

However! Deep fat also exists beneath the wide neck muscle known as the **platysma**.

📌 Subplatysmal fat, interplatysmal fat, etc.

Because these are deep fat layers, they cannot be removed through simple suction alone.

This is often why a blunt or heavy impression remains even after undergoing liposuction.

B. Platysma (Neck Muscle)

In some cases, the muscle itself is sagging due to congenital structure or aging. In such instances, a procedure commonly referred to as ‘double chin muscle tying’ is required.

This procedure gathers and tightens the sagging muscles as if tightening a corset. It is a stable method that has been proven over a long period in traditional neck lift surgeries.

💡 Case Summary

For patients like this individual who have:

✔ A significant amount of fat

✔ Sagging of the platysma (muscle)

A truly satisfying result is possible only when “LipoSound Liposuction + Double Chin Muscle Tying” are performed together.

💎 What is LipoSound?

‘LipoSound’ is an ultrasound-based fat emulsification device. It is much more delicate and less irritating than conventional liposuction.

🧃 It emulsifies fat from ‘orange-like granules’ into a ‘juice-like’ state.

✔ Can be removed with a smaller cannula

✔ Minimizes bruising and swelling

✔ Provides a skin-tightening effect

📈 Post-Op Changes & Aftercare

: After liposuction and muscle tying, it creates a jawline that doesn’t fold even when looking down. Can you imagine a jawline that stays smooth and doesn’t crease?

🔹 Around the 2nd week post-op, you may feel discomfort due to ‘bio-bonds’ (adhesions).

→ At this stage, warm compresses and stretching are very helpful for recovery.

→ If necessary, injections to dissolve adhesions can be administered after the 1-month check-up.

: Curious about the actual LipoSound procedure?

Check out the real-life procedure videos on the VIBE Plastic Surgery YouTube channel!

🏷️ In summary, it is crucial to identify the real cause of the double chin and apply a customized surgical approach.

True transformation is only possible when each layer—subcutaneous fat, deep fat, and muscle—is meticulously addressed.

Consultations and surgeries should be performed by a board-certified plastic surgeon!

Find your own Beauty VIBE!

VIBE Plastic Surgery, Chief Surgeon Yoo Young-moon

VIBE Plastic Surgery complies with all medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur depending on the individual, so caution is advised.