Pelican Neck Lift with Chin Augmentation

After middle age, facial aging is often accompanied by sagging neck skin, vertical wrinkles, and band-like wrinkles caused by the platysma muscle.

In addition, when loss of chin volume and sagging are also present, the facial contour becomes less defined and the lower face can look less three-dimensional.

This case involves performing a pelican neck lift and chin augmentation at the same time to improve this complex pattern of aging.

• Vertical and band-like neck wrinkles in a woman in her late 50s -

Late-50s neck lift. Neck wrinkles. Vertical neck wrinkles. Band-like neck wrinkles. Platysma bands. This is a partially disclosed model with consent for publication.

• Neck issues: sagging skin, vertical wrinkles, and band-like wrinkles caused by the platysma

• Lower-face issues: insufficient chin volume and chin sagging

Accordingly,

• the neck wrinkles and sagging were improved through a pelican neck lift,

• while a silicone implant was inserted in the chin and the surrounding muscles were lifted at the same time,

• with the surgical plan focused on restoring the lower-face contour and facial definition simultaneously.

• What is a pelican neck lift? -

A pelican neck lift is performed by making an incision under the chin and approaching the area through that incision.

• It removes excess sagging skin and fat,
• brings together the separated platysma muscles,
• and improves both vertical neck wrinkles and band-like wrinkles at the same time.

In particular, for middle-aged and older patients, one advantage is that it improves band-like and vertical neck wrinkles, making the neck contour look clearer from both the front and the side.

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• Why chin implant insertion or correction of a "witch's chin" was performed together -

Among middle-aged and older patients who need anti-aging treatment, the problem is often not just neck wrinkles alone,

• loss of chin volume

• sagging of the soft tissue in the chin

• a long, downward-extended "witch's chin" shape

can also be present together.

In such cases, a chin implant is not always necessary.

• If the chin lacks volume, support can be reinforced by inserting a silicone implant.
• If the chin has a downward sagging "witch's chin" shape, meaningful improvement can also be achieved with correction surgery alone, by lifting and fixing the sagging soft tissue and muscles upward.

Depending on the condition, the two procedures can be performed together, or correction of the witch's chin can be done alone, allowing you to:

• shorten the appearance of the chin,
• make the chin–neck boundary clearer, and
• improve the lower-face contour for a younger and neater impression.

A combined surgery performed through a single incision

Another advantage of this surgery is that it was performed without a separate intraoral incision.

• Through a single incision under the chin for the pelican neck lift,
• neck wrinkle correction and
• chin implant insertion

can be performed at the same time,

allowing efficient anti-aging results while minimizing incisions.

• Before-and-after changes from the witch's chin surgery performed with the pelican neck lift -

Before and after neck wrinkle surgery. Review of neck wrinkle surgery. Before and after neck lift surgery. This is a partially disclosed model with consent for publication.

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Before surgery,

• the neck wrinkles were prominent,
• the lower face looked longer because of insufficient chin volume or sagging,
• and from the side, the chin–neck boundary looked blurred and flat,

but after surgery,

• the neck line became smoother,
• the chin was lifted into better position and the chin–neck boundary became clearer,
• and the side silhouette showed a much more compact facial structure.

In particular, when comparing the side views in the before-and-after photos,

• the lower face appears shorter,
• the lines connecting the chin, lips, and nose flow together naturally,
• and the overall facial definition and balance are clearly improved.

This change was achieved not simply by smoothing wrinkles, but by re-establishing the neck and chin as a single structural unit.

Pelican neck lift is more than a simple neck wrinkle improvement procedure; it can have a strong synergistic effect when performed together with chin augmentation.

When the neck and chin are treated as one structural unit and corrected together, a more natural and balanced anti-aging result can be expected.

Because the surgical plan may differ depending on each person's anatomical structure and pattern of aging, it is important to choose the method that is right for you through a thorough consultation.

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