How to tighten the face oval? The best cosmetic and surgical procedures

Home massage or facial exercises are good at preventing the appearance of a second chin. But if the oval of the face is already “floating”, these methods are not able to turn back time and give a lifting effect. Then it’s worth looking into cosmetology or surgery. In what situations do injection and hardware procedures cope, and in what situations should you seek help from a surgeon?

cosmetic procedures

One of the most common causes of the appearance of a second chin is age-related changes. This becomes especially noticeable after 35 years, when the synthesis of collagen and elastin decreases. And these are only proteins that are responsible for the elasticity and firmness of the skin. But the appearance of a second chin is not always associated with age-related changes. Therefore, when choosing one or another cosmetic procedure, you need to focus on the indications.

Ekaterina Vasilyeva, PhD, dermatovenerologist, beautician, founder and chief physician of Artleo Clinic

The second chin can occur for a variety of reasons.

– Due to spinal deformity (including the habit of carrying a bag on one shoulder) or malocclusion. Therefore, the patient may be referred for consultation with an orthodontist or orthopedist. Oddly enough, even ordinary orthopedic insoles can prevent the formation of a second chin.

– Due to the strong strands of the platysma – the neck muscles, which literally drag the skin with it. In this case, the fix is ​​simple: just inject botulinum toxin to alleviate muscle hypertonia and the problem will be resolved.

– Due to oil deposits. When solving this problem, a combination of ultrasonic lifting and lipolytic injections (which, of course, is approved for use in the face area) works well.

— Due to the fine-wrinkled aging type. Often their owners have thin, dry skin with a weak layer of subcutaneous fat. In this case, supplementation with hyaluronic or polylactic acid helps to create an elastic framework.

In general, the best treatment is prevention. You can perform an ultrasonic lifting or microneedle RF lifting procedure once a year to avoid sagging skin – the doctor will select the appropriate technique, focusing on the skin type. And supplement preventive care with injections of polylactic acid.

Surgical procedures

If the platysma does not loosen over time and the condition of the face oval is left to chance for many years, the only way out may be to go to the surgeon.

Georgy Chemyanov, PhD, plastic surgeon, founder of the Chemyanov Medical Lounge aesthetic medicine clinic

If we talk about a radical method of solving the problem, this is, of course, plastic surgery to lift the lower two-thirds of the face and neck – SMAS-lifting. It is considered the world standard. The elevator takes place on two levels. First, the neck muscles are deeply stretched, which creates a supportive framework. The second layer tightens the skin. If there is a fat fold under the chin, liposuction may accompany the operation.

Liposuction is the best option if age-related changes are not very pronounced and only fat tissue is responsible for the appearance of the second chin. True, its capabilities are very limited, so it is suitable only for teenagers or girls with good skin tone: after removing fat, it simply “sticks”.

For men, liposuction under the chin area is particularly good because the skin is denser and becomes less saggy with age. And if the decrease in skin tone has just begun, the same cosmetic techniques help. For example, microneedle RF lift or Fotona laser device that can gently shrink and tighten the skin.