| A collapsed jawline, a blurred double chin... Is a facelift really the only answer? |

Hello.
I am Director Lee Seong-jun of Seoul Liting Plastic Surgery.
When you look in the mirror and suddenly think,
“Why does my jawline look like this?”
“Has my double chin gotten this bad?”
have you ever had that moment?
Especially for people in their 40s to 60s,
one of the concerns mentioned most often during this stage of life
is a collapsed jawline and a double chin.
Even though you have not gained weight,
the facial lines no longer look the same,
and the area under the chin seems to have layers of fat.
It can feel as if the lower face has sagged,
almost like a pouty expression...
At times like this,
more and more people consider a facelift,
wondering, ‘Isn’t there a way to lift it naturally?’
However, the causes of a double chin are diverse.

(This image was created with AI to help understanding.)
It may be due to fat,
or due to sagging skin or the SMAS layer,
or because the retaining ligaments that support the face have weakened.
That is why making a quick surgical decision without an accurate diagnosis of the cause
should be avoided.
The face is a structure where overall balance and harmony are important.

When people hear the term “facelift,”
they often imagine lifting the entire face all at once.
But the perspective of the specialists at Seoul Liting Plastic Surgery
is a little different.
The forehead, around the eyes, cheeks, jawline, and neck...
Sagging in each area has different causes and patterns.
So if surgery is performed on only one area,
other areas may stand out even more.
For example, if only the jawline is lifted,
the sagging in the cheeks or around the eyes may become more noticeable.

That is why, during consultation,
a plan that considers the overall harmony is necessary.
At Seoul Liting Plastic Surgery,
we believe that solutions should be proposed according to each individual,
based on the balance of the entire face.
Solid from within,
Understanding skin structure

Simply pulling the outer skin slightly
makes it difficult to achieve a result that looks natural and lasts long.
One reason is the tissue called the SMAS layer beneath the skin
and the retaining ligaments that firmly anchor the skin to the bone.
The SMAS layer is a thin, firm membrane located just beneath the skin,
positioned above the facial muscles that create facial expressions.
It plays an important role in maintaining facial contours and firmness.
Retaining ligaments, simply put,
act like strings that connect the skin and bone.
Over time,
these strings can gradually stretch or loosen.
When that happens, you experience changes in which the skin sags downward.
At Seoul Liting Plastic Surgery,
based on this anatomical structure,
we examine the SMAS layer and also consider the position and condition of the retaining ligaments,
and we guide patients that only the necessary areas should be addressed.
A facelift surgery
needs a ‘plan.’

(This image was created with AI to help understanding.)
In actual consultations,
there are often people who come in saying,
“Please just lift the double chin!”
and then ask,
“Why are the eyes unchanged?” “What about the neck?”
When only the double chin is treated, the cheeks become a concern,
and when the cheeks are lifted, the forehead or the eye area becomes more noticeable.

That is why, during consultation,
we make sure to ask,
“How far do you want the result to go?”
Depending on the answer, we determine the scope of surgery,
and if necessary, methods such as liposuction or fat grafting can be combined.
If surgery feels burdensome,
you can also start step by step with relatively simpler procedures.
For improving a double chin,
J lifting can also be considered.

If a facelift feels too burdensome,
you may consider J lifting among the Liting Signature Lifts.

J lifting refers to an incision shaped like the letter J,
and involves incisions from the sideburn area to just behind the earlobe,
focusing on removing double chin fat and refining the jawline.
It can help to more naturally tidy the skin and tissue under the chin.

For people concerned about a double chin but reluctant to undergo major surgery,
this is a procedure that can be tried relatively simply.
However, if there is a large amount of fat, it may be performed together with liposuction,
and depending on the need, better contours may be expected through procedures that supplement volume.
Worrying about anesthesia
may not be necessary.

Facelifts are usually considered by
middle-aged and older patients,
and many of them also feel a heavy burden regarding anesthesia.
Sedation anesthesia should be administered very slowly,
only as much as needed,
intermittently repeating a state of wakefulness in between
to minimize the overall amount of medication used.
There may be differences in postoperative recovery speed,
but this approach can be one way to reduce the burden relatively.
Points to know before surgery

All lifting procedures
require a plan that considers the individual’s anatomical structure and skin condition.
Simply pulling more does not necessarily lead to a better result,
and considering the harmony of the entire face is the key.
In addition, the results before and after surgery and the speed of recovery
can vary depending on the individual’s skin condition,
the extent of surgery,
and lifestyle habits.
Therefore, you must make your choice only after 충분한 consultation,
and select the method that is right for you.
Postoperative care

Initial bruising and swelling vary from person to person,
and recovery is needed for a certain period of time.
You must strictly follow the postoperative care instructions provided by the medical team.
It is important to visit the clinic at the scheduled times
to check the progress.

A facelift is not simply about looking younger,
but a process of creating a harmonious face and impression.
It is important to propose a customized lifting solution
tailored to each patient’s concerns and condition.
All surgeries should be decided after sufficient consultation,
and the effects and recovery may vary from person to person.
I hope you become more naturally youthful
tomorrow than today,
and today than yesterday.
This was Director Lee Seong-jun of Seoul Liting Plastic Surgery.
This article is
content intended to provide general information about
double chin removal surgery.
Whether or not the surgery is actually performed
should be determined according to the individual’s health condition and purpose,
and should be judged through consultation with a medical professional.
If you would like more details,
please check the more detailed information at the YouTube link below.
https://youtu.be/uVT-Mwubbik?si=mQP19n6VBFTHkqS2




