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Four Seasons EVENT
Female model lifting her head to reveal her jawline and neckline

DOUBLE CHIN

Double Chin Liposuction

A heavy double chin — now is the time to reduce it for good

Double Chin Causes

It may not be just a matter of fat.

A double chin can develop for a variety of reasons.

That is why, alongside liposuction, the loosened platysma needs to be tightened directly, and the deep fat layer that is only exposed by opening the platysma needs to be removed as well.

  • Cause 01
    Excess fat layer
  • Cause 02
    Platysma laxity
  • Cause 03
    Clusters of tiny fat cells around the platysma
Cross-section illustration beneath the chin — yellow fat above the platysma and green fat in the deep layer below it
Close-up photo of grape-cluster-shaped fat granules actually pulled from the muscle layer
Actual grape-cluster fat granules extracted

Thorough removal, down to the fat granules

Removing Muscle-Layer Fat Granules,
Why Does It Matter?

After the fat is removed through a cannula, a second step pulls out the fat granules attached to the muscle layer. This removes them thoroughly without damaging the tissue, creating a smooth jawline.

Solution 1

Double Chin Liposuction + Bellodi II Lifting

3D cross-section illustration of a cannula inserted into the fat layer under the chin to suction out fat
Liposuction

Removes unwanted double chin and cheek fat for a sleeker V-line

Bellodi II radiofrequency lifting device
Bellodi II

Energy is delivered to the dermis of skin loosened after liposuction, for a firming and lifting effect

Bellodi II Lifting Effect

Lifting that restores skin elasticity with radiofrequency energy and creates a firm facial contour

  1. Cross-section illustration of the epidermis before treatment, with a deeply sunken surface
    Before treatment
    Cross-section illustration of the epidermis after treatment, with the surface smoothed and pulled outward
    After treatment

    Firm skin through
    high-quality collagen regeneration

    Energy is delivered to the dermis of skin loosened after liposuction, for a firming and lifting effect

  2. Illustration of thin, wavy, sagging dermal collagen fibers before treatment
    Before treatment
    Illustration of thick, straightened dermal collagen fibers after treatment
    After treatment

    Sagging collagen becomes
    thick and firm

  3. Illustration of the deep dermis before treatment, with sparsely scattered fibers
    Before treatment
    Illustration of the deep dermis after treatment, densely and evenly filled with fibers
    After treatment

    Collagen is produced and
    arranged uniformly

    The dermis, which determines skin elasticity, becomes thicker

Double Chin Liposuction Before & After

We provide a customized solution made only for you. These are before-and-after photos of patients who actually had double chin liposuction at Four Seasons Plastic Surgery.

01Double Chin Liposuction
Side view before double chin liposuction — fullness under the chin Before
Side view 3 months after double chin liposuction — jawline defined 3 months after
02Double Chin Liposuction
Side view before double chin liposuction — blurred boundary between the chin and neck Before
Side view 3 months after double chin liposuction — boundary between the chin and neck restored 3 months after

※ Bleeding, infection, and inflammation may occur after surgery or procedures, so careful attention is required.

※ The before-and-after photos above are of the same person.

Solution 2

Double Chin Muscle Plication

Anatomical illustration of the platysma spreading broadly across both sides of the front of the neck
Platysma on both sides

A double chin is not caused by fat alone. Fat under the chin and a loosened platysma work together, which can blur the jawline.

Neck muscle illustration with both platysma muscles gathered to the center and sutured
Strengthening the platysma with muscle plication

Therefore, by clearing away unnecessary fat while gathering and firmly securing the loosened platysma through muscle plication, you can expect a more defined, smoother jawline.

Double Chin Liposuction Candidates

  • CASE 01 When the jawline has collapsed and the boundary between face and neck is unclear
  • CASE 02 Even when dieting, facial fat does not go away
  • CASE 03 When the facial contour is uneven
  • CASE 04 When, relative to your body, there is excess facial fat

If you have these symptoms, you may need it!

Double Chin Muscle Plication
Self-Assessment: Are You a Candidate?

When surgery is needed
Side profile with a blurred boundary between the chin and neck 1 Side profile with a blurred boundary between the chin and neck 2

Unclear boundary between the chin and neck

When surgery is not needed
Side profile with a clearly angled jawline and neckline 1 Side profile with a clearly angled jawline and neckline 2

Clear neckline and jawline

Unclear boundary between the chin and neck
Chin–Neck
Boundary
Clear neckline and jawline

When excess fat is distributed throughout the face, a double chin can make the neck look short and heavy, and in severe cases the boundary of the chin becomes indistinct, making the chin appear to recede.

Double Chin Muscle Plication Surgical Process

Through a minimal incision under the chin (2~3cm), the subcutaneous fat between and beneath both muscles is suctioned, and the platysma on both sides is pulled to the center and tied together. Fat, muscle, and loose skin are all tightened, which helps prevent sagging, addresses the root cause, and provides a
lifting effect.

Illustration of marking the incision line under the chin and applying the scalpel
Skin incision under the chin
STEP 01

After assessing sagging under the chin and chin length, a minimal incision is made under the chin (2~3cm)

Illustration of incising both platysma muscles and suctioning the yellow subcutaneous fat between them with a cannula
Platysma incision and liposuction
STEP 02

Between and beneath both muscles: subcutaneous fat liposuction

Illustration of the platysma muscles on both sides being pulled to the center and sutured together
Platysma Plication (Platysma Strengthening)
STEP 03

Gathering both platysma muscles to the center for muscle plication

Double Chin Liposuction & Muscle Plication Before & After

We provide a customized solution made just for you.These are before-and-after photos of real patients who had double chin liposuction & muscle plication at Four Seasons Plastic Surgery.

01Double Chin Liposuction & Muscle Plication
Side profile before the procedure, with fullness under the chin Before treatment
Side profile after the procedure, with a defined jawline and neckline After treatment
02Double Chin Liposuction & Muscle Plication
Side profile before the procedure, with a blurred boundary between the chin and neck Before treatment
Side profile after the procedure, with a neatly refined area under the chin After treatment
03Double Chin Liposuction & Muscle Plication
Side profile before the procedure, with fat folding under the chin Before treatment
Side profile after the procedure, with a slimmer neckline After treatment

※ Bleeding, infection, and inflammation may occur after surgery or procedures, so careful attention is required.

※ The before-and-after photos above are of the same person.

What makes Four Seasons' double chin muscle plication special

  1. Female model raising her head with a hand at her chin, showing her jawline and neckline
    Minimal scarring with a micro-incision
    01

    With an incision of only about 2–3 cm under the chin, scarring is kept to a minimum. The scar is placed on the inner side of the chin, so it is barely visible unless you tilt your head back.

  2. Neck muscle illustration with both platysma muscles gathered to the center and sutured
    Strengthening the platysma with muscle plication
    02

    We delicately remove only the excess fat cells, then resect and tie the platysma muscle that supports the area under the chin, addressing the root cause of a double chin.

  3. Medical staff consulting with a patient holding a hand mirror about facial contours in an exam room
    Personalized 1:1 design
    03

    We analyze the various causes of a double chin and create a slim facial contour with a customized design that takes each person's muscle, fat volume, and elasticity into account.

Double Chin Liposuction & Muscle Plication
Post-Surgery Precautions

The surgical procedure is important, but aftercare is just as crucial to achieving a more satisfying result.

  1. 01 To prevent infection, you must abstain from alcohol and smoking for 4 weeks.
  2. 02 Swelling is greatest for the first 2 days after surgery and then gradually subsides over the following 2–4 weeks.
  3. 03 After surgery, sit upright as much as possible and use a high pillow when sleeping to help reduce swelling.
  4. 04 For 2–3 days after surgery, apply a cold compress over thin gauze. After the stitches are removed, a warm compress is recommended.
  5. 05 Stitches are removed on day 7. For 2 days after removal, take care not to let water touch the wound.
  6. 06 Avoid positions that tilt your neck back or bend it forward excessively for 2 months.
  7. 07 Avoid strenuous exercise for 2 months. Light exercise is possible from 2 weeks after surgery.

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Main Phone

051-806-7979

Hours

Weekdays
10:00 - 19:00
Saturday
10:00 - 17:00
Lunch Break
13:00 - 14:00

Directions

8F, Judis Taehwa Main Building, 694 Jungang-daero, Busanjin-gu, Busan
(Parking at the Judis Taehwa Annex)
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