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How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case

21성형외과의원 · 21 PLASTIC SURGERY · March 24, 2026

Hello. I am Lee Won, the representative director of 21 Plastic Surgery. Many people consider facelift surgery to improve neck wrinkles and sagging along the jawline. However, whe...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 21성형외과의원

Original post date: March 24, 2026

Translated at: April 19, 2026 at 8:16 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 1

Hello.

I am Lee Won, the representative director of 21 Plastic Surgery.

Many people consider facelift surgery

to improve neck wrinkles and sagging along the jawline.

However, when consultations are actually conducted,

there are also many cases where facelift surgery alone is not enough.

In particular, when there is fat under the chin and loosened muscle together,

simply pulling the skin and SMAS

may not sufficiently refine the central neck line.

So in cases like this,

it is necessary to take an approach that refines the jawline and neck line together

by combining a facelift with double chin liposuction and muscle binding.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 2

Before surgery, the analysis showed that

the skin sagging in the lower face and neck area had progressed,

and the fat under the chin and the loosened platysma muscle

were making the central neck line look heavy.

In a structure like this,

if only a facelift is performed,

the side profile may improve,

but the central neck line may not be sufficiently refined.

On the other hand,

if only double chin liposuction and muscle binding are performed,

the central neck line may improve,

but there are limitations to improving lower-face skin sagging at the same time.

So the surgical plan was decided as follows.

[Operation Plan]

Facelift + double chin liposuction + double chin muscle binding

  • salivary gland binding + skin excision

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 3

One week after surgery,

although swelling and bruising were still present,

you can already see the change in the refined boundary between the jawline and neck line.

Before surgery, the volume under the chin gathered downward,

making the border between the chin and neck look blurred,

but through fat removal, muscle refinement, and lifting,

the structure under the chin was organized upward,

and the line began to form.

At this stage, there is still a lot of swelling,

so rather than being the final result,

it can be seen as the stage where the direction of the line is being established.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 4

After 2 weeks,

as the major swelling decreases,

the boundary between the jawline and neck line becomes much clearer.

As the central neck line is refined,

the chin and neck begin to look separated,

and the lower face appears lighter.

When facelift surgery and muscle binding are performed together,

changes in the angle of the neck line begin to stand out from this stage onward.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 5

7 months after surgery,

the tissues stabilize,

and the angle of the jawline and neck line naturally settles into place.

The heavy line under the chin is refined,

and as the boundary between the chin and neck flows smoothly together,

you can see a change into a much younger and more refined overall impression.

This change is not simply the result of pulling the skin,

but can be seen as a change that appears because the skin, SMAS, fat, and muscle structures were refined together.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 6

A facelift is

not simply a surgery that pulls the skin,

but a procedure that rearranges the facial and neck structure

by refining the SMAS layer and ligaments.

When double chin liposuction and muscle binding are performed together,

the central neck line is refined,

and the boundary between the jawline and neck line becomes even clearer.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 7

The important thing is not to choose one surgery,

but to choose the surgical combination

that fits each person’s facial structure.

At 21 Plastic Surgery,

neck wrinkles and sagging along the jawline are not viewed as simple skin sagging,

but are analyzed together with the SMAS, fat, and muscle structures

to establish the most appropriate surgical plan.

Thank you.

How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 8 How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 9 How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 10 How to Maximize the Effects of Facelift Surgery: Facelift + Muscle Binding Case image 11

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