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 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.
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.
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