Am I a Candidate for a Platysma Neck Muscle Suspension for a Double Chin? A Plastic Surgeon Explains the Procedure and the Cases That Need It.

Hello, I’m Dr. Kim Jun-hyeon from Midline Plastic Surgery.

These days, platysma neck muscle suspension for a double chin is a hot topic.

First, I’ll explain which muscle in the double-chin area is being tightened, and then we’ll look at what kinds of cases need a platysma neck muscle suspension.

As the name suggests, platysma neck muscle suspension is surgery that tightens the muscle in the double-chin area. So what is the muscle in the double-chin area, and what does it do?

The muscle in the double-chin area is the platysma muscle, called the broad neck muscle in Korean. It is a thin, sheet-like muscle that lies superficially on the front and sides of the neck. It originates from the fascia covering the pectoralis major and deltoid muscles located in the upper chest and shoulder area.

The fibers of the broad neck muscle run upward through the anterolateral neck, attaching to the mandible and the skin and subcutaneous tissue of the lower face.

Unlike other muscles located deep beneath the subcutaneous tissue, the platysma lies within the neck’s subcutaneous tissue (the superficial layer of the cervical fascia). This muscle can be used to make facial expressions or lower the mandible, and it can create tension in the lower neck and face.

I don’t think this is something most of you reading this are especially curious about.

So, in what cases is platysma neck muscle suspension needed?

There are several reasons why the jawline can look dull. It may appear that way because the mandible is small (mandibular hypoplasia), because there is a lot of subcutaneous fat, because the broad neck muscle is thick or sagging, or because there is a lot of fat located deeper than the broad neck muscle.

In this patient’s case, the lower jaw is small, there is a lot of subcutaneous fat, and the double-chin muscle is also thick, with a lot of fat beneath it as well. For this case, chin advancement should also be performed.

In cases where there is a lot of subcutaneous fat in the double chin and jawline, I have explained that liposuction can reveal the hidden jawline.

https://blog.naver.com/creating_beauty/223968073826

However, there are some people whose jawline does not seem clear, but when you actually feel the area, the jaw is not small and there is not much subcutaneous fat. Among them, there are also quite a few people who say they had liposuction in the past.

In such cases, the fat beneath the double-chin muscle (grape-cluster fat) is what makes the jaw-neck angle look blunt.

https://plasticsurgerykey.com/deep-plane-procedures-in-the-neck/

And to remove the fat beneath this muscle (it often looks like a bunch of grapes, so people commonly call it grape-cluster fat. This is not a medical term.) a horizontal incision of about 2.5 cm is needed under the chin, through which the fat beneath the double-chin muscle is removed and the muscle is brought together.

Deep Neck Contouring through the Ages Peiyi Su-Genyk, MD1 Vito Quatela, MD1 1Quatela Center for Plastic Surgery, Rochester, New York Facial Plast Surg 2025;41:21–28.

The purple box indicates subcutaneous fat, which is removed by liposuction. The bright green box indicates the fat beneath the broad neck muscle (grape-cluster fat), which can be removed during platysma neck muscle suspension surgery.

Deep Neck Contouring through the Ages Peiyi Su-Genyk, MD1 Vito Quatela, MD1 1Quatela Center for Plastic Surgery, Rochester, New York Facial Plast Surg 2025;41:21–28.

And the separated or sagging broad neck muscle is brought to the center.

Deep Neck Contouring through the Ages Peiyi Su-Genyk, MD1 Vito Quatela, MD1 1Quatela Center for Plastic Surgery, Rochester, New York Facial Plast Surg 2025;41:21–28.

This is how the surgery is performed.

If the lower jaw is not small, but the double-chin muscle is sagging, and the fat beneath it makes the area look like a double chin, or if the jaw-neck angle looks blunt, platysma neck muscle suspension may be the answer.

Cases that need platysma neck muscle suspension This is a case where the chin is not small, but the jaw-neck angle looks blunt. In the next post, we’ll look at before-and-after results.

<If you have additional questions, please leave a private comment, and I’ll be happy to answer kindly. Thank you.^-^>