💆‍♀️ Case Study: Improving Double Chin and Sagging Jawline in a Woman in Her 50s (1. LipoSound Liposuction & Muscle Tying 2. Mint Lift & Silhouette Soft Combined Lifting) by Dr. Young-moon Yoo, VIBE Plastic Surgery

👩‍🦳 ‘My jawline has disappeared, and my face looks heavy...’

This patient, a woman in her 50s, visited our clinic with the concern that ‘I haven’t gained weight, but my face is sagging and my jawline looks collapsed, making me feel frustrated.’

The primary issues were:

• Fat in the double chin area and sagging skin
• A blurred jawline caused by sagging submental muscles
• A heavy impression due to drooping cheeks

In such cases, simply removing fat is not enough. To achieve natural and long-lasting results, the fat, muscle, and skin layers must be corrected together.

🩺 Surgical Plan

1️⃣ LipoSound Ultrasonic Liposuction

Unlike conventional liposuction, **LipoSound** uses ultrasonic energy to gently separate fat cells before suctioning them. This offers several advantages:

• Less bleeding
• Faster recovery
• Minimized damage to skin elasticity

It is particularly suitable for areas with thin skin and many nerves, such as the double chin and submental area. By delicately removing unnecessary fat using LipoSound, the submental line became much lighter, and the overall facial contour was refined.

2️⃣ Double Chin Muscle Tying (Platysma Plication)

If you only remove fat, the area may look slim temporarily, but if the muscle layer is sagging, the double chin can recur. Therefore, we performed muscle fixation (platysma plication) to tie the submental muscles (platysma) at the center.

Through this process, we were able to:

• Tighten the submental line by pulling up sagging muscles
• Prevent the recurrence of a double chin

In essence, this provided a structural lifting effect rather than just simple fat removal.

3️⃣ Improving Facial Sagging – Mint Lift + Silhouette Soft Combined Lifting

Even after addressing fat and muscle, the remaining issue is skin sagging. To resolve this, I used a combination of Mint Lift and Silhouette Soft threads.

💎 Advantages of Mint Lift

Made of PDO (Polydioxanone), these threads are absorbed by the body over time while inducing collagen production. They are characterized by strong fixation and traction, making them excellent for immediately pulling up areas with weak elasticity, such as sagging cheeks or jawlines. Due to the firm fixation, the lifting effect is noticeably visible right after the procedure.

💎 Advantages of Silhouette Soft

Made of PLLA (Poly-L-lactic acid), this material has high biocompatibility and excellent collagen regeneration effects. Because it uses a fine ‘cone’ structure to gently pull the skin, it provides a more natural and long-term lifting effect than Mint Lift. It keeps the skin texture smooth and allows for natural facial expressions.

⚖️ Synergy of Using Both Threads Together

Mint Lift and Silhouette Soft are threads with different purposes and characteristics.

By combining these two, you can achieve immediate pulling and line correction with Mint Lift, while simultaneously gaining collagen regeneration and long-term elasticity maintenance with Silhouette Soft. This combined lifting method ensures both immediate and lasting results, leading to high satisfaction among middle-aged patients with double chins or blurred jawlines.

🌸 Post-Surgical Changes

After the surgery, the patient experienced:

• Disappearance of submental bulging and a clearly defined jawline.
• A lighter lower face with a contour closer to a V-line.
• Tightened skin texture and improved sagging around the mouth, resulting in a natural lifting effect.

Most importantly, the tension was not excessive, allowing for soft and natural facial expressions. The patient was highly satisfied, saying, ‘I didn’t know the area under my chin could become this clean. The angles in my photos have changed.’

💬 Dr. Young-moon Yoo’s Approach to Lifting

At VIBE Plastic Surgery, we don’t just ‘pull sagging skin.’ We perform a complex correction of the fat, muscle, and skin layers according to each patient’s condition.

1. Refine fat with LipoSound.
2. Shape the structure by tying the muscles.
3. Complete a three-dimensional, natural lift by pulling the skin with Mint Lift and Silhouette Soft.

Thanks to this approach, we can achieve subtle yet definitive changes and long-lasting elasticity simultaneously.

Consult with a board-certified plastic surgeon for your surgery!

VIBE that comes from rich experience.

Dr. Young-moon Yoo, Representative Director of VIBE Plastic Surgery

VIBE Plastic Surgery complies with 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 after surgery depending on the individual, so caution is required.