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| Submental Lipectomy - removal of double chin | Liposuction |Some of the so-called
double chins may be eliminated by a short incision in the crease
below the chin with removal of excess fat. This operation is seldom
sufficient by itself particularly in older patients and in most instances
a face lift operation is also required. The most common side effect
of this procedure carried out without face lifting, is residual skin
fullness at the lateral extent of the incision: so called "dog
ears". An alternative method to surgical excision of excessive body fat was first used in France in the 1970's. Its application in head and neck cosmetic surgery followed in the 1980's. It is particularly useful in young individuals where good elasticity of the skin allows excessive fat to be removed from the neck without creating exaggerated skin folds. The method has gained popularity because of the small incisions and little post-operative discomfort. Its main drawback is the risk of asymmetry and occasional dimpling. These can be minimized by the careful selection of candidates and various modifications in the technique. The procedure is carried out under local anaesthesia, frequently as an adjunct to other facial operations.
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