I Had Double Chin Liposuction, So Why Does It Look the Same?

Hello.

I’m Lee Won, the chief surgeon of 21 Plastic Surgery.

"I had double chin surgery at another clinic, but it didn’t work."

"Even after surgery, my double chin is still the same."

"After one failed surgery, I’m too scared and hesitant to have a revision."

These are things I hear very often in consultations.

You gathered the courage to go through surgery,

so if the result you expected does not appear,

I fully understand how disappointing and frustrating that can be.

In fact, for people who come in seeking revision double chin surgery,

it is usually not that the surgery itself was done wrong,

but that only the fat was removed without identifying the exact cause of the double chin.

The causes of a double chin are often combined, including fat, muscle sagging, and salivary gland sagging,

so it is more important than anything else to first determine exactly where the problem lies.

< Who needs revision surgery! >

✅ People who had double chin surgery but saw little to no effect

✅ People who improved right after surgery but developed a double chin again over time

✅ People who only had liposuction and did not receive muscle or salivary gland correction

✅ People whose jaw-neck border is still unclear from the side or at a 45-degree angle

✅ People who are afraid of revision surgery but want a fundamental solution

Revision surgery is not simply "removing fat one more time."

The key to revision surgery is accurately identifying what was lacking in the previous surgery

and filling in the missing parts.

The more complex the revision surgery, the more overcorrection can create bigger problems.

At 21 Plastic Surgery, our principle is to correct only the absolutely necessary parts,

and to do so precisely.

This patient had already undergone

a double chin liposuction procedure at another clinic.

Even after surgery, the double chin remained,

so they came in wondering, "Why didn’t it work for me?"

Looking at the preoperative photos, there were signs of the previous surgery,

but the line under the chin was still bulging and sagging,

and from the side, the boundary between the neck and chin was not clearly defined.

[ Surgical Plan ]

Revision double chin liposuction + muscle tightening

• salivary gland tightening + skin excision + salivary gland Botox

A careful examination made the cause clear.

In the previous surgery, only the fat had been removed,

and the sagging platysma muscle had not been corrected at all.

In other words, the cause of the double chin was not just fat.

So, along with re-liposuction of the remaining double chin fat,

we also added muscle tightening, salivary gland tightening, and skin excision.

Because this was a revision surgery, we paid even closer attention to tissue adhesion and skin condition,

and performed the operation with great precision.

After surgery, a clearly defined line was created,

with the chin and neck separated at an ideal angle!

Even though it was a revision case, the amount of superficial and deep fat removed was greater than expected,

so as the surgery progressed, I became confident that the result would be good.

When they first came in, they looked very tired and disappointed,

and I remember what they said during the visit.

"I was disappointed once at another place, but this time it really feels different."

Those words were truly rewarding for me.....!!

Were you not satisfied with the result even after having double chin surgery once?

That is not your fault...

It may be because the surgery was performed without identifying the cause accurately.

Only when we properly determine whether the issue is fat, muscle sagging, or salivary gland sagging,

and design the right method accordingly,

do truly satisfying results appear.

Do not give up after one disappointment.

21 Plastic Surgery will start again from the beginning and stay with you until the end!

Thank you~

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