Rebeauty

2026-05-25

Full Face & Neck Lift (High SMAS Lifting & Double Chin Muscle Tightening)

A comprehensive rejuvenation case for a patient in her 60s using High SMAS lifting and neck muscle tightening to address jowls, marionette lines, and a sagging jawline.

Full Face & Neck Lift (High SMAS Lifting & Double Chin Muscle Tightening)

* Basic Information

# Female in her 60s

# Concerned about sagging jowls and marionette lines around the mouth.

# Wishes to improve the sagging and loose appearance of the jawline.

* Consultation

# While thread or mini lifts can yield satisfactory results when skin sagging is not severe, they have limitations for middle-aged patients or older (60s+) who have significant skin laxity and fine wrinkles.

# In such cases, a more definitive lifting effect can be achieved by performing a robust lift of the SMAS (Superficial Musculoaponeurotic System), which serves as the skin’s support layer, while simultaneously addressing the sagging of the loose skin.

# Let’s look at the following diagram to explain the double chin lift.

A. Fat

1. Procedures commonly known as Lipo-sound liposuction target the subcutaneous fat layer.

2. However, as seen in the diagram, fat also exists beneath the platysma muscle. This includes subplatysma fat, interplatysma fat, etc. Since this is deep fat located under the muscle, it can never be reduced through liposuction alone. This is often why the area still looks bulging or blunt even after liposuction. This fat must be removed by making an incision in the muscle and directly visualizing it!

B. Muscle

In some cases, the platysma muscle itself may be sagging. This can be congenital or a result of the natural aging process. In these instances, the muscle must be tightened firmly, much like wearing a ‘corset’, to create a tight line! This procedure is commonly referred to as ‘double chin muscle tightening’.

Since this method has long been used in neck lifts, you can consider its effectiveness and safety well-proven.

* Plan

Incisional Face Lift (High SMAS lifting)

Neck Lift (Double chin muscle tightening)


Front View (Before / 3 Months Post-Op)
Left 45-degree View (Before / 3 Months Post-Op)
Left Side View (Before / 3 Months Post-Op)
Right 45-degree View (Before / 3 Months Post-Op)
Right Side View (Before / 3 Months Post-Op)

* Post-operative Progress

# A satisfying lifting effect is achieved by removing the sagging SMAS layer and excess skin through an incision that extends from the temples, around the sideburns, and behind the ears toward the neck. By following the hairline and the natural contours in front of the ear, scarring can be minimized.

# A definitive lifting effect is felt only after sufficient dissection of the retaining ligaments, followed by firmly pulling and fixing the most sagging parts of the SMAS layer.

# Can you see how much the blunt jawline has improved through double chin muscle tightening and liposuction? This was a case where a natural yet definitive transformation was achieved.


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

The VIBE that comes from rich experience.

Vibe Plastic Surgery, Chief Director Young-moon Yoo

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 depending on the individual, and caution is required.
Vibe Plastic Surgery Clinic 8th Floor, Urban Hive, 476 Gangnam-daero, Gangnam-gu, Seoul Check-in at this blog
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