Journal of Aesthetic & Reconstructive Surgery

Liposuction of Double Chin and Elastic Neck Lifting

Background: Correcting a double chin frequently requires liposuction. The desired result is a well-defined neck without fatty deposits. This result is never achieved by means of liposuction alone. Even if liposuction is combined with traditional neck lifting, the result is often modest and is never stable over time. A new elastic suture enables a new surgical technique to be implemented.

Methods: Our technique involves horizontal liposuction of the double chin through a 2 mm cannula and simultaneous implantation of an elastic suspension thread (Elasticum EP 3,5 Korpo) between the two fasciae of Loré, by means of a two-tipped needle, through an 8 mm incision behind one earlobe. This impalpable elastic thread does not cut into the tissues, and when colonized by connective cells, becomes an "integrated ligament".

Results: The result is immediately visible and permanent.

Conclusion: Horizontal liposuction and the simultaneous implantation of an elastic thread is a simple procedure that yields excellent definition of the cervicomandibular angle. In difficult cases, for example in patients with a low hyoid bone, it is possible to further improve the neck by implanting an additional thread, with minimal trauma.

Author(s): Sergio Capurro*

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