Fat above or below the platisma?

Farhad Rafizadeh, MD answers: Removing fat from double chin

Was wondering *how* by looking or feeling, a Dr. knows if the fat is above or below the platysma muscle? Doctors here said it was dangerous to do liposuction on the fat "below" the platysma, can you clarify this?

 


Farhad Rafizadeh, MD
1 month ago

 Contracting the platisma reveals the position of the sub mental fat. Usually there is very little fat below the platisma and in otherwise good candidate for liposuction one can get a lot of improvement removing the fat above the platisma. In open cases the subplatismal fat can be removed and the muscle bands plicated. In general liposuction work in younger patients with good skin tone.

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