Some people as they gain weight tend to collect fat in the upper part of the neck. It is a very commonly requested for procedure and is often added on when doing other procedures.
Even with old age there can be a collection of fat and loosening of skin in the upper part of neck behind the chin. This shows up as what is commonly referred to as a Double chin.
There are two components to this deformity. It could be an isolated collection of fat alone as seen in younger individuals or could be because of lax musculature also, along with the fat deposition.
In younger individuals, a liposuction alone should be enough but older patients may require a tightening of the skin and/or muscle along with a liposuction, to give good results. If only liposuction is done no significant scarring is seen but, in the case where muscle tightening has to be done, there is a 2 inch scar just behind the chin in the upper neck.
In recent years instead of skin resection to correct the excess and to prevent scarring, we use Thread lifts as a minimally invasive procedure to address the excess skin. This leaves no scars and gives pretty decent results lasting for 4-5 years. Instead of thread we could use barbed ribbons called the Ribbon Lift which promises longer lasting results.
Post operatively, the patient is required to wear a chin strap (a pressure garment). This will help the skin shrink and give the necessary tightness to the skin to give a nice angle between the jaw and the neck.
No significant problems are expected except maybe the scar and the skin remaining loose if proper pressure garments are not used. Rarely some nerve injuries may occur but these recover in a few weeks time.
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Dr. Surindher is a graduate from G.R.Medical College in Gwalior. He completed his Medical undergraduate studies and then his Post Graduation in Surgery. Visit Website »
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