2026-05-24
Double Chin Surgery (Liposuction and Muscle Tying): Amazing Results! Creating the Perfect V-Line!
Learn how combining Liposound liposuction with platysma muscle tying can eliminate stubborn double chin fat and sagging for a sharp, defined jawline.
* Basic Information
# Female in her 30s
# Stubborn double chin fat that persists despite consistent dieting
# Stressed by a blunt, undefined jawline when viewed from the side
* Consultation
# The double chin area is composed of various layers as shown in the following diagram. Let’s look at each component in more detail:
A. Fat
1. The procedure commonly known as ‘Liposound Liposuction’ targets the subcutaneous fat layer.
2. However, as you can see 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. Therefore, if the area still looks bulged or blunt after liposuction, it is likely due to this deep fat. 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 such cases, the muscle must be tightened firmly, much like wearing a ‘corset,’ to create a tight line! This procedure is commonly called ‘double chin muscle tying.’ Since this method has long been used in neck lifts, you can trust its proven effectiveness and safety.
# Therefore, for patients like this individual who have both a significant amount of fat and a jawline that has become blunt with age, a combination of ‘liposuction and muscle tying for sagging muscles’ is necessary to achieve a satisfying neck line.
# Using Liposound allows us to break down subcutaneous fat into fine particles (turning ‘orange pulp’ into something like ‘orange juice’). This makes it possible to squeeze the fat out through small openings or remove it effectively using only a small cannula.
# If you are curious about how liposuction is performed at VIBE Plastic Surgery, please watch the YouTube video below first.
* Plan
# Ultrasonic Liposuction (Liposound)
# Double Chin Muscle Tying (Neck Lifting)
* Post-operative Progress
# The blunt appearance has vanished thanks to the double chin muscle tying and jawline liposuction! One of the most significant effects of muscle tying is that it creates a jawline that doesn’t fold even when you tuck your chin—almost like a folding phone! Haha.
# ‘Liposound’ is a device that uses ultrasound to emulsify fat. It liquefies fat particles, which are normally like orange pulp, into a juice-like state.
1. It allows fat to be squeezed out like water without applying much force and can be suctioned through a very small cannula. This results in less irritation, leading to faster recovery from bruising and swelling, and significantly less ‘bio-bond’ (post-operative adhesions).
2. Because ultrasound is emitted beneath the dermis, there is less skin sagging after the procedure, and you can gain additional skin elasticity and tightening effects.
# You may experience some discomfort due to bio-bond formation starting about two weeks after surgery. Applying warm compresses and stretching will help it resolve faster. We also provide injections to help break down adhesions during the one-month follow-up, so please keep that in mind!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE comes from rich experience.
Dr. Yeong-mun 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 depending on the individual, so caution is advised.
Frequently Asked Questions
In what cases is double chin surgery necessary?
Double chin surgery can be considered if you have a double chin that doesn't go away easily with diet, or if your jawline appears dull when viewed from the side. It is particularly effective when there is a large amount of fat and the neck line itself is sagging.
Is double chin liposuction alone sufficient?
No, it is not always sufficient. A double chin can be caused not only by subcutaneous fat but also by deep fat located under the platysma muscle or by sagging muscles. Therefore, if liposuction alone is not enough, muscle tightening must be performed concurrently to achieve satisfactory results.
What are the effects of double chin muscle tightening?
Double chin muscle tightening tightens the sagging platysma muscle like a corset, creating a tight jawline. It has the important effect of preventing the double chin from folding when you lower your chin, and its effectiveness and safety have been proven as it is a method used in neck lift surgery.
What is the difference between Liposound liposuction and general liposuction?
Liposound uses ultrasound to liquefy and remove fat particles. This allows for smoother fat removal and the use of smaller cannulas, resulting in less irritation and faster recovery from bruising and swelling. Additionally, there is less skin sagging after the procedure and an improvement in elasticity.
How should I manage after surgery?
About two weeks after surgery, bio-bonds (adhesions) may form, causing discomfort. At this time, warm compresses and stretching help to resolve them quickly, and an injection to release them can be given at the one-month follow-up.