A woman in her early 60’s who is bothered by the appearance of her neck. Evaluation shows that she has hypogenia, a “weak chin”. An easy way to tell is to look at an imaginary line that connects the upper and lower lips. If the chin falls behind this it is “weak”. A weak chin especially influences the result of a facelift or a rhinoplasty, and is frequently corrected at the same time. In her case, she elected for a chin implant combined with a face lift using a “lateral smasectomy” tightening of the deep tissues of the face, and an incision hidden in the front of the sideburn, to avoid over elevation of the side burn that would look unnatural. She is shown just 3 months after her procedure. A natural improvement of the neck line and jowls are seen. She did not choose to have fat grafting to the area of volume loss in her cheeks, wishing instead to focus only on her neckline. The scars that go in front and in back of the ear are already hidden. The sideburn scar is still red at 3 months and is seen on close inspection, but will continue to fade over the next year, and is designed to allow the new hairs at the edge to grow up through the scar and camouflage it further.
Our patient is shown again at 6 months. She has maintained her elegant neck and jawline achieved at surgery. Her scars have faded nicely. She has volume loss of her face that we typically see with aging, but did not wish to have fat grafting at the time of surgery. Facial fillers could be added later in the office is she wished, but she is thrilled with her improvement after surgery, and does not feel the need to replace her volume loss.
She is seen again at 12 months. Scars have faded and she has maintained a beautiful neckline after her surgery. She has a natural appearance after her surgery. Her acquaintances do not suspect that she has had surgery- but she likes feeling more confident about her appearance.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat- Jonathan D. Hall, MD, FACS
members of my own family."