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Hello, everyone.

I am Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.

 

Have you ever looked at a candid photo of your profile and been shocked by the sagging under your chin or your double chin?

People tend to think that "fat is the cause of sagging under the chin," but it's actually not always just fat.

Today, I'll discuss how to solve those "double chin concerns" through pelican surgery and facelifts.

 

 

Is sagging under the chin always caused by fat?

The main reasons for noticeable sagging under the chin are subcutaneous fat and skin laxity.

In many cases, liposuction or tightening treatments (using energy devices) can improve the appearance, but for some individuals, these alone may not provide a sufficiently refined result.

Because the area under the chin is

 

Skin → Subcutaneous fat → Platysma muscle → Adipose layer → Digastric muscle

 

It consists of multiple layers, and only "subcutaneous fat" can be removed through liposuction.

 

In cases where excess fat layers or skin are the underlying cause, a "pelican surgery" may be appropriate.

 

 

What kind of surgery is a pelvic surgery?

The Pelican Lift is a procedure that involves making a 3cm incision under the chin to remove excess skin and underlying fat, then suturing the platysma muscle to tighten it.

The appeal lies in its ability to effectively contour the face, but the downside is that even a small incision will leave a scar.

For those who feel "no matter what I do, my jawline just won't slim down..." this could be one option.

 

 

A natural, refined look for sagging under the chin with a facelift

 

For those who want to improve sagging across the entire face, Bianca Clinic recommends a facelift.

Particular attention is being paid to the "deep plane facelift." This lift not only moves the skin but also the fascia (SMAS) and fat layer together, resulting in a more natural and youthful appearance compared to traditional methods.

 

Bianca Clinic is home to Dr. Takashi Nakao, a plastic surgeon specializing in deep plane facelifts.

Dr. Nakao's "Composite Neck Lift" is a technique that applies the deep plane concept to the neck.

Its key feature is the ability to beautifully contour the jawline with strong traction, without requiring liposuction or pelican surgery.

Since no additional procedures are performed, downtime and costs can sometimes be reduced.

 

Let me share a bit about Professor Nakao here.

 

According to Dr. Nakao, there are various methods for neck lifts.

Traditional SMAS techniques like lateral traction and the Hamra method have been used, but they all had the drawback of causing the platysma to become taut like a tent.

To cover that weakness, the current mainstream solution emerged.Jacono-style Extended Deep Plane Facelift。

With this method, even individuals with significant sagging in the neck or under the jaw can often achieve a defined contour without needing liposuction or a pelican neck lift. The facial line remains stable even when looking downward.

The key point is that it allows you to achieve a flawless finish, even from the side profile.

 

It's really deep!Deep(Since it's a plain facelift)

 

 

 

Summary｜Treatment for under-chin sagging varies depending on the cause

✔ Causes of double chin: subcutaneous fat or mild sagging → Liposuction or tightening

✔ Excess skin and deep fat → Pelican surgery

✔ Want to improve overall facial sagging too → Deep Plane Facelift

 

That troublesome double chin—treatment actually varies depending on the cause.

At Bianca Clinic, our specialists will recommend the best approach tailored to your specific concerns. If you're troubled by sagging under your chin, please schedule a consultation to discuss your options.

 

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