I'm really skinny, but I've always had a really prominent double chin. It isn't fat, I've had aqualyx treatments and the fat has been almost entirely reduced, but the ugly bulge is still there. It's definitely muscular. I noticed that it changes size significantly when I move my face, if I press my tongue very hard to the roof of my mouth it goes away- but this covers my nasal passages, makes it hard to breathe and impossible to talk. I need something permanent and sustainable
February 9, 2022
Answer: Mild double chin problems There are a lot of tissue structures that contribute to this part of the face. The most important is the size and shape of the mandible. Those who have a small mandible tend to develop a platysma muscle the drapes the neck in the more oblique fashion what those who have a projecting long Mandible tend to have more of a right angle neck. The submental region also has salivary glands that contribute to the double chin. Somethings in life we just have to except the fate that we were given and learn to appreciate that. Maybe writing gratitude lists can help you develop some gratitude for what you do have. If you really want to deal with this properly then you need to consult with the oral surgeons or plastic surgeons with a cranial facial surgery background or at least those who have experience with a sliding genioplasty. Extending the tip of the mandible forward doesn’t change the origin of the platysma muscle but can at least balance projecting bone structure which may help. Chemical fat destruction is not the best way but if you say the fat was removed with the process then removing more fat may not be in your favor. You can always schedule consultations. In your case consider meeting with both oral surgeons and plastic surgeons. Expect to hear different opinions because that always happens when things are poorly understood. The relationship between bone structure and hollow skeletal structure affect soft tissue covering is one of those topics that is not well understood in this part of the body. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
February 9, 2022
Answer: Mild double chin problems There are a lot of tissue structures that contribute to this part of the face. The most important is the size and shape of the mandible. Those who have a small mandible tend to develop a platysma muscle the drapes the neck in the more oblique fashion what those who have a projecting long Mandible tend to have more of a right angle neck. The submental region also has salivary glands that contribute to the double chin. Somethings in life we just have to except the fate that we were given and learn to appreciate that. Maybe writing gratitude lists can help you develop some gratitude for what you do have. If you really want to deal with this properly then you need to consult with the oral surgeons or plastic surgeons with a cranial facial surgery background or at least those who have experience with a sliding genioplasty. Extending the tip of the mandible forward doesn’t change the origin of the platysma muscle but can at least balance projecting bone structure which may help. Chemical fat destruction is not the best way but if you say the fat was removed with the process then removing more fat may not be in your favor. You can always schedule consultations. In your case consider meeting with both oral surgeons and plastic surgeons. Expect to hear different opinions because that always happens when things are poorly understood. The relationship between bone structure and hollow skeletal structure affect soft tissue covering is one of those topics that is not well understood in this part of the body. Best, Mats Hagstrom MD
Helpful 1 person found this helpful