Clinic of Aesthetic Medicine of Medical Doctor Edward Yurshevich

Estētiskā ķirurģija|Эстетическая хирургия|Aesthetic surgery
eng » Beauty services » Aesthetic surgery » For Women » Change of the face proportions » Strengthening of Chin Tissues (Mentoplasty)

Strengthening of Chin Tissues (Mentoplasty)

The majority of women make an inexcusable mistake – quiveringly caring for their face they forget about its oval. The neck skin is much drier than on the face, it quickly loses its elasticity, humidity and flexibility. The tone of cervical muscles is low – they start weakening early. A slightest surplus of fat tissue here is allocated irregularly – "a second chin" appears. High cheekbones and slightly protruding chin – are attributes of a balanced and proportional face. The second chin spoils the life of many women, and not only in mature, but even in an early age. There are a lot of ways to salve this problem. The most effective one is a surgical correction of chin tissues.

What is your problem?

  1. Surplus of soft tissues in the chin area.
  2. Hollow cheeks.
  3. Convex cheeks ("bulldog's flews"). The skin on the cheeks grows heavy and falls below the line of the malar arch.
  4. Genetic predisposition to the second chin.
  5. Excess weight (the second chin as an attribute of adiposity).

What age is good for operation?

Appearance of the second chin is caused by the three factors: fatty adjournment, anatomic peculiarities and ruthless time. Not many know that the first wrinkles appear not near the eyes but on the neck. The skin on the neck and on the lower part of the face is subject to early withering. As a rule, the second chin is formed after 25 years. More often it appears with women after 35 years when the body hormonal changes occur and signs of skin ageing become evident. Today there are many girls with hormonal problems, who have a second chin at 16. After 38 years almost all women have it. To delay the occurrence of the problem one can be recommended to exercise weight control. More often surgical correction of the second chin is made after 30–35 years.


Serious cardiovascular and infectious diseases, uncontrollable high blood pressure, oncological diseases, problems with blood coagulability, diabetes, diseases of the thyroid gland, complete loss of skin elasticity, serious damages in the chin area and in the lower third of the face.

In our clinic

Change of the face oval is made by various methods. In some cases we make only SMAS–lifting of the neck (pulling up of its muscular corset). More often the congestion of the skin–fat tissues under the chin is removed during the rejuvenating operation of SMAS–lifting of the face and neck plus correction of the chin. It is possible to make correction of the chin with lifting of the upper third of the face, of the temporal and frontal areas, with a lift of eyebrows. Face lifting is made by various techniques and enables to reduce the depth of the neck folds, sagging of the cheek tissues and to create an oval of the face, characteristic of a young age. The endoscopic lifting equipment is used for chin plastics. The deformed cervical muscle is also lifted when the liposculpture method is used and skin micro lifts (30–minute operation). Another technique: liposculpture plus full surgical lifting. If there are indications, an implant is entered under the patient's jaw disabling the occurrence of a double chin. The surgeon selects a special kind of operation for each patient.


Duration: 1–2 hours.


General combined.

Postoperative period

3–5 hours or 1 day in hospital (depending on a kind of operation). On the first days there is a small hypostasis in the operative zone. One may feel a change of sensitivity and a slight pain. Primary hypostasis dissipates in 5–8 days (cold compresses are recommended). It is possible to return to work in a week. It is necessary to limit physical activities in the first month after the operation. It is possible to estimate the result of the operation in 1–3 months.

Complications and risks

After any operation there can be bruises or hematomas (a congestion of blood in the operational cavity).

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