Platysma Tightening

Submentoplasty is a procedure that addresses partial volume or contour concerns in the area beneath the chin through a separate incision under the chin. Loose skin or widespread sagging of the entire neck is addressed with a neck lift; consultation determines whether either procedure is performed alone or in combination.

R&Wood Plastic Surgery Submentoplasty Submentoplasty addresses localized volume and contour concerns beneath the chin and does not replace treatment for loose skin or widespread sagging of the entire neck. It is distinct from a neck lift, and either procedure may be performed alone or both may be planned together.

Recommended For

· Those concerned about partial volume or contour beneath the chin · Those in good overall health with realistic goals

Why R&Wood Submentoplasty Is Special

Point 1. Planned Separately from a Neck Lift

Localized volume and contour concerns beneath the chin are addressed with submentoplasty, while loose skin and sagging of the entire neck are addressed with a neck lift.

Point 2. Clearly Defined Procedure Scope Through a Written Treatment Plan

When salivary gland reduction or muscle removal is necessary during submentoplasty, it is included only when specified in the written treatment plan. Procedures not specified are not performed at discretion.

Point 3. Review Incisions, Risks, and Costs in Advance During Consultation

During consultation, facial and neck anatomy, health status, medications, nicotine exposure, and prior procedures and surgical history are reviewed together, followed by guidance on the planned incision sites, risks, and costs.

Before-and-After Cases

These photographs were taken of the same patients at R&Wood Plastic Surgery. These cases involved multiple procedures, and results may vary depending on individual conditions.

Case 01 · Side View Before surgery → 1 year after surgery Combined procedures: Deep-plane facelift · neck lift · submentoplasty · Fat Grafting

Case 13 · Side View Before surgery → 1 month after surgery Combined procedures: Deep-plane facelift · neck lift · submentoplasty · Fat Grafting

Case 03 · 45-Degree View Before surgery → 14 days after surgery Combined procedures: Deep-plane facelift · neck lift · submentoplasty · Fat Grafting

Case 14 · 45-Degree View Before surgery → 20 days after surgery Combined procedures: Deep-plane facelift · neck lift · submentoplasty · Endoscopic brow lift · Stem Cell-enriched Fat Grafting

Surgical Procedure

STEP 1. Consultation and Facial/Neck Anatomical Assessment

Facial and neck anatomy, skin condition, health status, medications, nicotine exposure, and prior procedures and surgical history are reviewed to establish an individualized plan.

STEP 2. Determine Whether Submentoplasty or a Neck Lift Is Appropriate

Depending on whether the concern is localized beneath the chin or involves sagging of the entire neck, the most appropriate plan is selected: submentoplasty, a neck lift, or a combination of both.

STEP 3. Incision Beneath the Chin

A separate incision beneath the chin is used. The exact incision pattern varies according to individual anatomy and the treatment plan.

STEP 4. Treatment of Submental Soft Tissue

Submental soft tissue is refined according to the treatment plan. Salivary gland reduction or muscle removal is performed only when specified in the written plan.

STEP 5. Suturing and Compression

The incision site is sutured, and wearing a compression garment for approximately 3 days is generally recommended. Sutures are removed 7 days after surgery.

Surgical Information

| Anesthesia: Sedation anesthesia (in collaboration with a board-certified anesthesiologist) | Recovery period: 7–10 days | Suture removal: 7 days after surgery

Pre- and Postoperative Precautions

Before Surgery

· Current medications, nicotine exposure (smoking), and prior procedures and surgical history are reviewed during consultation. · Surgery may be postponed or not recommended depending on health status, medications, nicotine exposure, and other factors.

After Surgery

· Wearing a compression garment for approximately 3 days is generally recommended, although instructions may vary depending on recovery status. · Sutures are removed 7 days after surgery, and care may continue through day 10 depending on recovery progress. · For patients traveling from a distance, returning home is recommended after the medical team confirms that travel is appropriate. · Swelling and bruising may obscure results for several months, while firmness, tightness, reduced sensation, and scar changes may persist for more than 1 year.

Please Be Sure to Check

After submentoplasty, swelling, bruising, hematoma, temporary reduced sensation, contour irregularities, asymmetry, scarring, and infection may occur. If the salivary glands or salivary ducts are injured, fluid retention or saliva leakage may occur. A large hematoma in the neck after surgery may compress the airway and require emergency treatment. Because this procedure does not shave bone, it does not alter the skeletal structure itself. The surgical method and results may vary depending on individual conditions and should be determined through consultation with a specialist.