A facelift is a representative anti-aging procedure that lifts sagging tissue in the midface, lower face, and jawline to create a younger-looking, more defined facial contour.
Because it can improve nasolabial folds, marionette lines, and a weakened jawline, it is also a procedure considered by many people after middle age.
However, various factors determine satisfaction with the results after surgery, and individual expectations are becoming increasingly specific.
In particular, the connection between the jawline and neck in profile photos, as well as the degree of improvement in the double-chin area, can have a significant effect on the overall impression.
For this reason, many people recently undergo Pelican surgery together with a facelift to pursue more refined results.
- Causes of a Double Chin That Cannot Be Resolved with a Facelift Alone -
Many people think that a double chin is simply caused by sagging skin or subcutaneous fat. In reality, deeper anatomical structures often contribute to the formation of volume beneath the chin.
The following structures are located beneath the chin:
These structures may not be sufficiently improved by a facelift that pulls only the skin or SMAS.
In other words, even if the face has been lifted, if the area beneath the chin remains bulky, the sharp jawline expected from the side may not be achieved.
- The Role of Pelican Surgery -
Pelican surgery is a procedure that refines the deep layers beneath the chin, creating a clearer boundary between the neck and jaw.
Depending on the patient’s condition, it reduces unnecessary volume beneath the chin by
Through this process, the cervicomental angle—the angle connecting the chin and neck—becomes more defined,
and a younger, more refined facial contour can be expected when viewed from the side.

Pelican surgery method. Pelican surgery. Double-chin muscle-binding surgical method.
- Why It Enhances the Results of a Facelift -
The purpose of a facelift is not simply to pull the skin, but to restore the facial contours to a younger-looking state.
In my experience, performing Pelican surgery together with a facelift in patients with appropriate indications often results in a more refined facelift outcome.
In particular,
-
when there is a large amount of fat beneath the chin,
-
when the double chin is prominent,
-
when the side facial contour appears blunt, or
-
when the boundary between the neck and jaw is unclear,
it is possible to create a more defined jawline than with a facelift alone.

Pelican surgery trademark registration with the Korean Intellectual Property Office. Double-chin muscle-binding surgery.
- Case of a Woman in Her Mid-50s -
The patient was a woman in her mid-50s who was concerned that her jawline appeared weakened due to increased volume beneath the chin, along with facial sagging.
She underwent a facelift together with Pelican surgery. After surgery, not only was sagging in the midface and lower face improved, but the deep volume beneath the chin was also reduced, making the boundary between the jawline and neck more defined.
The changes were particularly noticeable in the profile photos rather than the front-facing photos. As the line extending from below the ear to the tip of the chin was naturally refined, she achieved a younger and more sophisticated appearance.

Facelift review. Before-and-after facelift photos. Facelift in the 50s. This is a real model who consented to the disclosure of the images.

Before-and-after facelift photos. Facelift results. Facelift review. Before-and-after Pelican surgery photos. Pelican surgery review. Before-and-after double-chin muscle-binding photos. Double-chin muscle-binding review. This is a real model who consented to the disclosure of the images.

Before-and-after double-chin surgery photos. Double-chin surgery review. Double-chin muscle binding. Double-chin fat removal. This is a real model who consented to the disclosure of the images. Facelift scars. Facelift incision.
A facelift is a highly effective procedure for improving facial sagging.
However, if you want a more defined jawline and a natural-looking neck contour, it may be necessary to consider the deeper structures beneath the chin as well.
Particularly for patients with a prominent double chin or a blunt side contour, combining Pelican surgery with a facelift can further enhance the effect of the facelift.
When the jawline and neck are designed together—not just the face lifted—a more refined facelift result can be expected.

Facelift review. Facelift in the 50s. Facelift and neck lift. Facelift and neck lift review. Double-chin muscle-binding review. This is a real model who consented to the disclosure of the images.
If you would like to learn more about the recovery process for a facelift and Pelican surgery, please refer to the blog post below.