Tensioning Device :: Double Chin Muscle Tying, Facial Liposuction, Non-Surgical Post-Op Care

Hello, this is Mary Plastic Surgery Clinic, glad to meet you.

Recently, many people have been visiting us with concerns about a thick, bulging double chin, like a toad.

I’d like to talk about how to care for the area after liposuction and muscle-tying surgery, including the so-called “tensioning device.”

Before reading the text, you can also watch the video first.

Double chin muscle tying is all about the tensioning device - YouTube

Why is it hard to get rid of a double chin with exercise?

I’ve also tried exercising and losing weight, but even if you lose weight through exercise,

unless the existing skin and muscles return to their pre-weight-gain positions, they will still remain there.

In particular, due to the structure of the human body, there is nothing below the chin to support it.

Only the tongue is there~ so the skin and muscles just sag.

This is why people say it won’t go away even with exercise or even if you lose weight.

Unless the stretched state, like an expanded pouch, is forcibly restored, a double chin naturally forms.

What is double chin muscle-tying surgery?

It is a procedure that tightens and reties the sagging muscles that have formed for exactly this reason.

The platysma muscle is attached on both sides of the neck, and by tightening that muscle, the lower area is also tightened and supported.

Even if it is tied tightly like this, you may wonder whether it can come loose later.

Based on follow-up observations of many patients after surgery,

unless there is really severe stimulation, it is not easy for it to come undone,

and it is treated so that even if one or two of the tied areas loosen, there is no problem.

This is the part of the surgery that takes the most time, and depending on the patient, as many as ten areas may be tied, so

perhaps that is why we have never heard of it coming undone, and everyone has maintained their results well.

Is it good to use the “tensioning device” after muscle-tying surgery?

The key point when wearing the tensioning device is to make sure the surgical area is pressed well.

During liposuction, fat is removed and an empty space is created, and the skin needs to adhere tightly for the desired contour to form.

Now I’ll tell you the application method for the tensioning device that many of you are most curious about.

First, position the chin, then secure the front fastening device near the top of the head.

However, if you have had fat grafting or fillers in the chin tip, it is better to avoid that area.

In cases like these, it is most effective to apply it all the way to the chin.

Those who diligently wear the tensioning device definitely get better results.

The surgery is important, but the recovery process afterward is, in any case, about care.

Some people say, “I wore it all the time except when eating,” and for those people, the shape really does turn out very well.

Then, how many days should the tensioning device be worn?

Especially during the first 1 to 2 weeks, it is best to wear it as often as possible, and I recommend wearing it for at least about a month.

No matter how difficult it is, I recommend wearing it as much as possible whenever you are at home!!

Care for better results

You may be wondering whether there are additional things to manage besides the tensioning device.

When surgery is performed, a wound forms and the body begins to release a biobond (biological adhesive) substance.

Because of this, the area will become firm and start to feel a bit uneven.

This phenomenon usually becomes most noticeable around one to two months after surgery.

So, gently pressing on it—like a cat kneading with its paws—can help.

Warm compresses are also good!

You can understand this as part of the normal healing process, where biobond forms and the wound recovers.

What should you do about sagging skin even after the recovery period is over?

You know the saying “rapid gain, rapid loss,” right? Sometimes after gaining weight rapidly and then losing it, a lot of skin remains.

In such cases, I usually supplement the procedure with thread lifting along with surgery.

I mentioned that the skin and muscles separate once, and then there is a process of being reattached after injury, right?

During recovery, the skin is not simply left to reattach while sagging like that,

but rather, thread lifting is used to pull the skin so that biobond forms while it is in a lifted position.

If thread lifting is done together with surgery, the biobond that forms afterward helps the adhesion become even better.

So it lifts much more than with ordinary thread lifting.

For those with a lot of stretched skin, I would especially recommend having thread lifting done together!

Then, if you are not satisfied with the results after muscle tying, is revision surgery possible?

Once some time has passed after surgery, revision surgery can of course be done,

and additionally, there is room to make further adjustments by tying the muscles more extensively or removing a bit more fat.

Honestly, it’s best if it doesn’t sag from the beginning

Do mewing exercises whenever you have time!!!

This has been Mary Plastic Surgery Clinic, glad to meet you.