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Potomac Plastic Surgery Blog

Neck liposuction vs. Kybella® for treatment of submental fullness from fat

Neck fat unfortunately develops with age and is somewhat resistant to improvement with diet and exercise. Excess neck fat is one of the factors that leads to submental fullness. Other factors that contribute to the appearance of a “fat” neck include a small chin bone, sagging neck skin, loose neck muscle (platysmal bands), and droopy glands. Neck liposuction was the traditional method used to improve the cosmetic appearance of a fatty neck. Liposuction works by immediate fat reduction, followed by some skin tightening that naturally occurs over the next few months. Neck liposuction can be combined with a facelift, neck lift, or … Continue reading »

How tight is the skin pulled in a face lift?

Cosmetic facial surgery has evolved over the years, but generally still involves tissue (i.e. skin, muscle, fat) repositioning, tightening, and/or reduction. A face lift rejuvenates the lower face, neck, and jawline by modifying skin, muscle, and fat via incisions that are hidden in natural curves and crevices around the ear and hairline. “The deeper fat and muscle layer, rather than the skin, is the secret to face lift surgery.” – Houtan Chaboki, MD Historically, early face lifts only pulled on the the skin. Plastic surgeons at the time only had a basic understanding of facial anatomy and physiology. The results of … Continue reading »

Rhinoplasty swelling months and years after plastic surgery

Swelling after plastic surgery is a concern for many patients. “When will I look normal?” is often asked by Washington DC area patients who want to get back to work without drawing unnecessary attention. A previous blog post reviewed some methods to help reduce swelling after facial cosmetic surgery, such as avoiding excess salt, using arnica montana tablets, and keeping the head elevated. Rhinoplasty swelling lasts for several months, even up to a year or longer. Fortunately, a majority of the swelling resolves soon after surgery. The nose may swell a little bit before shrinking back down after the nasal cast comes … Continue reading »

Kybella®, a new option for non-surgical neck fat reduction

Having a double-chin is troublesome for many patients. We previously discussed some treatment options for a double-chin, otherwise known as submental fullness. Submental fullness is due to a combination of factors: skin, muscle, fat, bone, and salivary glands. Kybella®, a new treatment to reduce neck fat, is now available in cosmetic surgery offices. Kybella® (deoxycholic acid), from the makers of Botox®, is the first and only FDA approved injectable drug that improves the appearance of submental fullness. Kybella® works by destroying fat cells in the area injected. Once destroyed, the fat is not anticipated in returning. Deoxycholic acid naturally occurs … Continue reading »

Face lift incision healing over time: week, month, and year after cosmetic surgery

For patients with submental fullness, a mini lift for the lower face and neck is a plastic surgery option with minimal downtime. Other treatment options for submental fullness include neck liposuction, chin augmentation, and  non-surgical injections (ex. Botox®, Juvederm®, Kybella®, etc). But for patients with sagging or excess neck and jowl skin and muscle, a facelift may be the best option. Facelift surgery for reduction of excess neck skin and sagging muscle has not yet been replaced by non-surgical treatments. Plastic surgeons offer a variety of facelift surgery options for the neck and face, such as s-lift, mini lift, short … Continue reading »

    Houtan Chaboki, M.D.