2026-05-25
Can Forehead and Neck Lifts Really Make This Much of a Difference?
A transformation story of a woman in her 30s who achieved a refreshed look and a sharp jawline through an endoscopic forehead lift and neck muscle tightening.
* Basic Information
# Female in her 30s
# Eyes
- Narrow space between eyebrows and eyes with a bulging appearance
- Had previous double eyelid surgery, but the folds have completely unraveled. Desires large, clear double eyelids!
# Jawline
- Persistent double chin fat that remains despite consistent dieting
- Stressed by a blunt jawline from the side profile, making the neck look short and giving a ‘turtle neck’ appearance
* Consultation
# Eyes
- The patient wanted to improve the narrow space between the eyebrows and eyes, which created a stuffy and harsh impression.
- To address the narrow gap and bulging eyelids, we planned an endoscopic forehead lift. To correct weak eye-opening strength and create a clear line, an incisional ptosis correction was scheduled. Additionally, a ‘Full Mango’ canthoplasty (epicanthoplasty, lateral, and lower canthoplasty) was planned to make the eyes appear larger.
- The forehead and eyes cannot be considered separately. An ideal eye shape is only possible when these two areas are in harmony!
# Jawline
A. Fat
1. Procedures commonly known as ‘Lipo-sound’ liposuction target the subcutaneous fat layer.
2. However, fat also exists beneath the platysma muscle (wide neck muscle), such as subplatysma and interplatysma fat. Since this is deep fat located under the muscle, it can never be reduced through liposuction alone. This is why some people still look bulging or blunt even after liposuction. This fat must be removed by making an incision in the muscle and visualizing it directly!
B. Muscle
1. In some cases, the platysma muscle itself is sagging. This can be congenital or a result of the natural aging process. In such cases, the muscle must be tightened firmly, much like wearing a ‘corset,’ to create a tight line. This procedure is often called ‘double chin muscle tying.’
Since this method has long been used in neck lifts, you can trust its proven effectiveness and safety.
2. Therefore, for a patient like this who has both a significant amount of fat and a jawline that has become blunt with age, ‘double chin muscle tying’ must be performed alongside liposuction to achieve a satisfying neck line.
* Surgical Plan
# Fix-up Eye Correction
- Endoscopic Forehead Lift
- Incisional Ptosis Correction (Revision)
- Mango Canthoplasty (Front, Lateral, and Lower)
# Jawline
- Ultrasonic Liposuction (Lipo-sound)
- Double Chin Muscle Tying (Neck Lift)
* Post-operative Progress
1. What is the first change you notice? Even though the double eyelids look natural, the upper eyelids don’t look bulging at all. This is because the forehead lift secured enough space between the eyebrows and eyes! A very refreshed line has been created.
2. A beautiful forehead is a bonus! The uneven forehead caused by the habit of lifting the brows has improved significantly, gaining a voluminous contour. Simply releasing the muscles that grip the eyebrows tightly can enhance the forehead’s silhouette.
3. The bluntness has disappeared thanks to the double chin muscle tying and jawline liposuction. One of the most significant effects of muscle tying is that it prevents the double chin from folding even when looking down! It’s almost like a ‘Galaxy Flip’ phone folding cleanly. Haha.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from extensive experience.
Dr. Yoo Young-moon, 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 depending on the individual, so caution is required.
Frequently Asked Questions
When is a forehead lift necessary?
A forehead lift can be considered if the space between the eyebrows and eyes is narrow, making the eyes appear stuffy, or if the eyelids are puffy, or if deep forehead wrinkles are present due to a habit of raising the eyebrows. It helps improve the eye shape and gently smooths the forehead contour.
What are the effects of a double chin muscle tie?
A double chin muscle tie is effective in tightening the jawline and, in particular, improving the appearance of a double chin when the head is tilted down. If the platysma muscle is sagging, tightening the muscle itself can create a satisfying neckline.
Are there cases where double chin liposuction alone is not enough for improvement?
Yes, that's correct. Deep fat located under the platysma muscle, in addition to the subcutaneous fat layer, is difficult to remove with general liposuction. In such cases, the muscle must be incised and the fat directly removed, so if a dullness remains after liposuction, other methods should be considered.
How does a forehead lift change the eye shape?
A forehead lift secures the space between the eyebrows and eyes, improving the puffiness of the eyelids and alleviating a stuffy impression. This helps the double eyelid line appear more natural and defined, contributing to a refreshed eye shape.
Is double chin muscle tying a safe method for a neck lift?
Yes, double chin muscle tying is a surgical method that has been used in neck lifts for a long time, and its effectiveness and safety have been proven. It helps create a tight jawline by tightening the sagging muscles like a corset.
Why is Mango Trimming performed along with revision blepharoplasty?
Revision blepharoplasty corrects the power to open the eyes and creates a clear line, while Mango Trimming (epicanthoplasty, lateral canthoplasty, and lower canthoplasty) makes the eyes appear larger by opening up the blocked areas, completing an overall cool and harmonious eye shape. Combined with a forehead lift, an even more ideal eye shape can be expected.