2026-05-24
Solving Receding Chin Naturally with Double Chin Muscle Tying - Dr. Young-moon Yoo, VIBE Plastic Surgery
Learn how combining ultrasonic liposuction with muscle tying can resolve a receding chin and stubborn double chin for a sharper, more defined jawline.
* Basic Information
# Male in his 20s
# Stressed by a prominent receding chin and a blunt jawline that makes the neck look short and creates a ‘turtle neck’ appearance.
* 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. Procedures commonly referred to as LipoSound liposuction target 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 suction alone. Therefore, if the area still looks bulky or blunt after liposuction, it is likely due to this type of fat. This fat must be removed by making an incision in the muscle and removing it manually while visualizing it directly!
B. Muscle
1. 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 line can only be made tight by cinching the muscle firmly, much like wearing a ‘corset.’ This procedure is commonly known as ‘double chin muscle tying.’
Since this method has long been used in neck lifts, you can consider it a proven technique in terms of both effectiveness and safety.
2. Therefore, if the neck line itself is blunt, one must undergo ‘double chin muscle tying for sagging muscles along with liposuction’ to achieve a satisfactory neck line.
* Plan
# Ultrasonic Liposuction (LipoSound)
# Double Chin Muscle Tying (Neck Lift)
* Post-operative Progress
# The blunt appearance has disappeared thanks to double chin muscle tying and jawline/double chin liposuction! One of the most significant effects of muscle tying is that it creates a jawline that doesn’t fold even when looking down, much like how a Galaxy Flip phone closes cleanly!
# ‘LipoSound’ is a device that uses ultrasound to emulsify fat. It turns fat particles, which are like orange pulp, into a liquid state like juice.
1. It allows for a much smoother process—fat can be squeezed out like water without applying great force, and it can be suctioned using only a 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 additional skin elasticity and tightening effects can be achieved.
# You may experience discomfort due to bio-bonds starting about two weeks after surgery. In such cases, applying warm compresses and stretching will help them resolve faster. Please note that we also provide injections to help soften these bonds during the one-month follow-up!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
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 depending on the individual, so caution is required.
Frequently Asked Questions
In what cases is a double chin muscle tie surgery necessary?
Yes, double chin muscle tie surgery is necessary when the platysma muscle itself is sagging. It is effective in tightening the neck line by cinching the muscle like a corset when it sags due to congenital factors or aging.
Are there cases where double chin liposuction alone is not enough?
Yes, there are. General liposuction targets the subcutaneous fat layer, but deep fat under the muscle cannot be reduced by liposuction. Therefore, if a dullness remains after liposuction, it may be due to fat under the muscle.
What is the difference between LipoSound liposuction and general liposuction?
LipoSound is a device that uses ultrasound to liquefy fat. It gently emulsifies fat, allowing it to be suctioned even with a small cannula, and causes less irritation, leading to faster recovery from bruising and swelling. It also results in less skin sagging after the procedure and has skin elasticity improvement effects.
Does the double chin not fold even when I lower my chin after double chin muscle tie surgery?
Yes, that's correct. One of the important effects of double chin muscle tie surgery is that it can create a jawline where the double chin does not fold even when you lower your chin. The dull feeling disappears, and a sharp line can be maintained.
How should I manage biobonds that occur after surgery?
Biobonds may form and cause discomfort about two weeks after surgery. At this time, warm compresses and stretching help them resolve quickly, and we may administer an injection to help them resolve at the one-month follow-up.