I have what I've seen referred to as a forward trachea. If you look at the picture, on the left would be a normal person and on the right would be me. The blue is the angle of my throat and the orange shows how the skin makes a curved slope from my chin to my neck, unlike the other picture. Is there any type of surgery to fix this? If there is it seems like it would be dangerous since it's dealing with the throat. Thanks in advance.
Answer: Are there any procedures that can fix a "forward trachea" and if so, how dangerous are they? If the issue is skin laxity or a weak jaw this can be remedied either with chin/ jaw augmentation, liposuction or necklift procedure. If your trachea/ hyoid are truly positioned low and forward, there isn't a procedure to reposition those structures. In many cases, it is possible to improve the neck is someone with that type of neck anatomy but it is very important to be given realistic expectations about what surgery can achieve. Seek a consultation with a facelift expert for more specific advice.
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Answer: Are there any procedures that can fix a "forward trachea" and if so, how dangerous are they? If the issue is skin laxity or a weak jaw this can be remedied either with chin/ jaw augmentation, liposuction or necklift procedure. If your trachea/ hyoid are truly positioned low and forward, there isn't a procedure to reposition those structures. In many cases, it is possible to improve the neck is someone with that type of neck anatomy but it is very important to be given realistic expectations about what surgery can achieve. Seek a consultation with a facelift expert for more specific advice.
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December 16, 2014
Answer: Obliquity in the neck The diagram on the right shows an individual with an oblique cervicomental angle, or angle formed between the chin and neck. This can be associated with excess fat, skin laxity, platysmal laxity, or what is described as a low hyoid. The hyoid is a bone to which muscles of the tongue and neck attach. The trachea is much farther down and represents the airway below the larynx. Addressing an oblique cervicomental angle can be very safely accomplished in a healthy well informed adult with appropriate expectations. I recommend that you see a board certified facial plastic surgeon in your area.
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December 16, 2014
Answer: Obliquity in the neck The diagram on the right shows an individual with an oblique cervicomental angle, or angle formed between the chin and neck. This can be associated with excess fat, skin laxity, platysmal laxity, or what is described as a low hyoid. The hyoid is a bone to which muscles of the tongue and neck attach. The trachea is much farther down and represents the airway below the larynx. Addressing an oblique cervicomental angle can be very safely accomplished in a healthy well informed adult with appropriate expectations. I recommend that you see a board certified facial plastic surgeon in your area.
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December 16, 2014
Answer: Based on your illustration, the problem with your neck may be due to issues other than than your trachea. Without an actual profile photo to examine, it is not possible to provide specific advice for you. Your drawing seems to show an obtuse cervico-mental angle. Sometimes this is from a "forward hyoid bone" which is the very top of your airway, above your Adam's apple, larynx and trachea. If this is the case, you are correct that there would be no feasible surgeries to move your airway backwards. Depending on your condition, a chin implant or neck liposuction may be helpful.Since your anonymity is important, consider consulting several reputable facial plastic surgeons so you could see what might be best for you. Wishing you well.Dr. Joseph
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December 16, 2014
Answer: Based on your illustration, the problem with your neck may be due to issues other than than your trachea. Without an actual profile photo to examine, it is not possible to provide specific advice for you. Your drawing seems to show an obtuse cervico-mental angle. Sometimes this is from a "forward hyoid bone" which is the very top of your airway, above your Adam's apple, larynx and trachea. If this is the case, you are correct that there would be no feasible surgeries to move your airway backwards. Depending on your condition, a chin implant or neck liposuction may be helpful.Since your anonymity is important, consider consulting several reputable facial plastic surgeons so you could see what might be best for you. Wishing you well.Dr. Joseph
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December 17, 2014
Answer: Forward Trachea You are astute in picking up that your neck structures are likely "forward". What this means is that because of the location of the larynx /"adam's apple", you don't have as good of a neck-jaw (cervical-mental) relationship than might be ideal. However, depending on your situation, this can often be improved with surgery (e.g. chin augmentation, liposuction, cervicoplasty, etc.). Good luck to you.
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December 17, 2014
Answer: Forward Trachea You are astute in picking up that your neck structures are likely "forward". What this means is that because of the location of the larynx /"adam's apple", you don't have as good of a neck-jaw (cervical-mental) relationship than might be ideal. However, depending on your situation, this can often be improved with surgery (e.g. chin augmentation, liposuction, cervicoplasty, etc.). Good luck to you.
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December 17, 2014
Answer: Cervicomental Angle Enhancement It is not clear based on your description and diagram that you really mean 'trachea' as we think of it. A prominent trachea lies below the level of the cervicomental angle which is what you are demonstrating. What you are desirous of is a sharper cervicomental angle. Since it appears you are young this can likely be achieved through a submentoplasty procedure where the subplatysmal fat is removed and the neck muscles tightened.
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December 17, 2014
Answer: Cervicomental Angle Enhancement It is not clear based on your description and diagram that you really mean 'trachea' as we think of it. A prominent trachea lies below the level of the cervicomental angle which is what you are demonstrating. What you are desirous of is a sharper cervicomental angle. Since it appears you are young this can likely be achieved through a submentoplasty procedure where the subplatysmal fat is removed and the neck muscles tightened.
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