Neck, Jaw, and Chin

Neck and Decolletage

The skin of the neck and décolletage (upper chest) is one of the first areas to show aging and sun damage.  Even babies have horizontal lines on their necks, but as support under the skin surface weakens with age, the skin of the neck begins to appear loose, crêpey and finely wrinkled.  Sun exposure further damages the skin, and both redness and dark spots appear on the neck and upper chest. A thin layer of structural fat under the skin of the neck and décolletage restores support and over time will improve the texture, tone and  quality of the skin and reduce the appearance of sun damage.

Before (left) and six years after last fat injection to entire surface of neck. Note obliteration of neck creases.

3 years after a thin layer of fat was transplanted under the skin of the neck, the patient returns with improved quality of the skin, more even pigmentation, softened wrinkles and less obvious creases.

Chin and Jaw Line

One of the hallmarks of youth and beauty for both men and women is a contoured jaw line. As we lose fat underneath the skin with age, the jaw line and chin area become weaker and less defined.  There is evidence that we also lose some volume in the facial bones themselves as we age, only adding to the problem. Those who had strong jaw lines when younger will notice a subtle “waviness” to the chin and less of a demarcation between the neck and back of the jaw.  Some patients never had sharp chins or jaw lines even in youth, but both of these conditions can be corrected with the addition of structural fat.  An aging, soft jaw line can be strengthened and sharpened, a receding chin can be enhanced without artificial implant surgery, and a jaw line that was never prominent can be made so.  The advantage of using fat to enhance the chin is, of course, that it is totally natural, and also that we can place fat exactly where we want it, and are not limited by the size or shape of implants.  And of course the fat grafts are long-lasting.  We can “custom fit” your chin.  In the same vein, we can shape your jaw line without breaking any bones and doing major reconstructive surgery.

The ability of fat grafting to create a stronger, straighter jawline is demonstrated in this one-year follow-up (right). The jawline is straightened by creating structure in front of and behind the jowl.

The ability of fat grafting to restore a normal jaw line after aging and facelift is demonstrated in this one year follow-up (right). Note the straightening of the jaw line by placing fat both in front of and behind the jowls

This patient returns three years and six months after one fat grafting procedure with placement of fat over almost every area of her face: her forehead, temples, upper eyelids, lower eyelids, cheeks, jawline, chin and lips. Please observe the remarkable improvement in the quality of the skin: color, pigmentation and wrinkling have all improved.

Five years after placement of fat into her forehead, temples, upper eyelids, lower eyelids, cheeks, lips, chin and jawline. Patient had a remarkably long-lasting rejuvenation with small amounts of fat into most areas of her face.

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Zeltiq Device Now Available in the Office of Sydney Coleman in New York City, NY

October 21, 2009

Dr. Syd Coleman was the lead author in a paper that demonstrated that cryolipolysis treatment can cause substantial reductions in subcutaneous fat volume and changes in the contour of the treated love handle without damage to the skin or underlying...

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Tribeca Plastic Surgery

44 Hudson Street
New York, NY 10013
Tel: 212.571.5200


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