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Surgery of the aging chin
1Division of Plastic Surgery, University of Texas Health Science Center, Dallas.
Plastic and Reconstructive Surgery
|August 1, 1994
Summary
This surgical technique enhances the aging chin by creating a double muscle layer, improving the submental crease. It is a versatile procedure for various chin surgeries and facelifts, avoiding contour deformities.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Surgery
Background:
- Aging leads to changes in the chin and neck, affecting facial aesthetics.
- Rhytidectomy (facelift) patients often present with aging-related chin concerns.
Purpose of the Study:
- To describe a surgical technique for improving the aging chin.
- To present a versatile method applicable to rhytidectomy, chin reduction/augmentation, and ptosis correction.
Main Methods:
- Development and advancement of a mentalis-periosteal flap.
- Suturing the flap in a "vest over pants" manner over the platysma muscle.
- Closure creates a double muscle layer, obliterating the submental crease.
Main Results:
- Consistent aesthetic improvement of the aging chin.
- Obliteration of the submental crease due to the double muscle layer.
- Avoidance of contour deformities as muscle and fat are not excised.
Conclusions:
- The described technique offers reliable results for chin rejuvenation.
- It is a safe adjunct to facelift surgery with wide cervical dissection.
- The method is adaptable for various chin aesthetic procedures.