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Plastic Surgery/Skin under chin

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Question
Hi,


I am a 65 year old man, somewhat overweight, but it doesn't show in my face or neck.

However, in the area between the chin and top of the neck there is too much skin. If I squeeze it between thumb and forefinger there's about two inches.

How big a deal is surgery to get rid of this?

Many thanks,

John

Answer
from Dr. Alan Engler
www.bodysculpture.com

Hi John,

Well, it depends how you look at it; it is neither the biggest nor the smallest procedure.

In order to tighten up that skin and remove the excess while leaving barely visible incisions, the skin really needs to be pulled up and back.  That will allow the incisions to be placed just in front of and behind the ears - and that procedure is essentially a facelift (versions are called mini, lower, etc., but that's the concept).  

The other possibility is if there is even a little fat underneath the chin within that "two inches" of tissue, then even removing that small amount of fat can allow the skin to contract surprisingly well (obviously can't say for sure over the Internet).  There are some photos of the results of this procedure at my site, www.bodysculpture.com on the facelifts and liposuction of the neck page (within Surgical Procedures).

Exactly which procedure is likely to be most beneficial to you is hard for me to say.  Your best bet, of course, is to read about these choices of procedures, and then go visit a few plastic surgeons in your area to get an idea of what would specifically be appropriate for you.  You can get a list of surgeons at surgery.org.

I hope that this helps, and good luck,

Dr. Alan Engler
www.bodysculpture.com

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Alan M. Engler, MD, FACS

Expertise

Dr. Engler has answered over 3100 questions as a volunteer expert for AllExperts. His expertise includes breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts, skin cancers, cysts, etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), and the Dr. Keith Ablow Show. Videos of his appearances are available on YouTube (search for "DR. ENGLER"), and his discussion of breast implants, also on YouTube is "How to Choose a Breast Implant." His website is www.bodysculpture.com. Thanks for "Likiing" Dr. Engler on Facebook - http://www.facebook.com/pages/New-York-NY/Alan-M-Engler-MD-New-York-Plastic-Surgery-and-Aesthetics/107206405967267?ref=ts&__a=8

Experience

Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, etc.

Education/Credentials
Dr. Engler graduated from Yale University (BA, Russian Studies) and the Columbia University College of Physicians and Surgeons (MD). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York, and is a Special Lecturer in the Department of Dermatology at Columbia University in New York. He has admitting privileges at Beth Israel Medical Center and Montefiore Medical Center, both in New York.

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