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Dr. Naderi - I am a thin 45 year-old woman with hi
Posted in on Mon, 05/21/2007 - 16:40
Question:

Dr. Naderi - I am a thin 45 year-old woman with high cheekbones, a nice jawline (no jowls) and until a few months ago, a nice neck and chin (no sign of a double chin).  I now have what is either loose skin or a muscle band going from under the center of my chin down the center of my throat.  My dermatologist thinks that it is a muscle band and gave me a Botox injections a few weeks ago.  While the rest of my neck looks fine, I haven't noticed much improvement in the line/fold down my chin and part of my throat (and there isn't any improvement in the angle where the chin/neck meet).  How can I tell if it is a muscle band or if it is loose skin?  And if it is loose skin, what are the surgical options to eliminate it?  I don't want to have to go through a facelift and I'm not certain that I would be a candidate for one.  I am not certain if I would even be a candidate for a neck lift given that the rest of my neck and my jawline is still nice.  Would laser treatments or Thermage help?  Thank you very much.  Lilly

Answer:

It definitely does not sound like you need a neck lift or a facelift. 

The way to tell if what you are seeing is muscle or just loose skin is to contract your neck muscles (platysma) and look to see if that band gets more pronounced or tighter.  If the answer is 'yes' then you most likely do have platysmal banding.  Botox should improve it but that is not always the case. 

Whether what you see is loose skin or the medial border of the platysma muscle, the surgical treatment in someone like you would be ""Submentoplasty.""  You can read more about this procedure in the website.  It is a 45 minute operation done through a very small ""T"" shaped incision under the chin with wuick recovery and fantastic results in someone who is in good shape otherwise.

Tags: Aging FaceLoose skinNeckPlatysmal Bands

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Dr. Shervin Naderi is a leading Virginia facial plastic surgeon who specializes in Rhinoplasty in Virginia as well as Revision Rhinoplasty in Maryland to correct botched nose jobs or nasal breathing problems.  His offices are conveniently located in Herndon, Virginia and Chevy Chase, Maryland and service the entire, DC Metro Area.

If you are unhappy with the appearance of your ears, you might consider an Otoplasty in DC which is ear-pinning surgery to adjust how much the ears protrude.  Dr. Naderi offers this surgery as well as other facial procedures such as facelift as well as neck lift

In addition to facelift and neck lifts, Dr. Naderi performs Blepharoplasty which is eyelid surgery in Maryland as well as in Virginia.  Dr. Naderi also offers chin implants and fat injections to smooth out the face and create a more youthful appearance.  Many patients opt to have Virginia neck liposuction in order to reduce the fat and wrinkles on their necks and look slimmer.  You might consider enhancing the fullness and overall appearance of your lips with a lip augmentation in Virginia or our other office in Chevy Chase, MD.

If you have scar which resulted from acne, Dr. Naderi is able to excise it using scar revision techniques which may be performed at a hospital or his offices.  He ensures that any unsightly scars are reduced as much as possible.  Dr. Naderi understands that self-esteem and self-confidence can be bolstered with acne scar reduction surgical or non-surgical procedure such as Dermabrasion or the non-inavasive Chemical peels.

Many men and women would like to look and feel younger.  As a result, the use of Botox injections in DC as well Dysport has increased significantly.  It is important to only have these shots administered by a skilled, Board Certified, surgeon or physician.  Dr. Naderi offers these filler injections as well as Restylane and the popular Juvederm and injections such as Radiesse.

Dr. Naderi offers a host of non-surgical cosmetic procedures such as the liquid midface lift using fillers such as Radiesse and Juvederm.  They are temporary solutions unlike permanent, plastic surgery procedures. Another such procedure is the non-surgical nose job which also uses fillers or injections to reshape the nose.

Our offices offer various laser procedures such as Erbium laser and CO2 laser to improve the skin as well as Fraxel laser.  Another dermatological procedure offered by Dr. Naderi is microdermabrasion in Chevy Chase.  Pulsed light can also enhance the skin’s appearance which is why the Naderi Center offers IPL Photorejuvenation to combat spider veins as well as sun spots.  Finally, we offer Obagi which is a facial peel that tightens the skin.

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