A Fatty Flap Taken From the Double Chin for Chin Enhancement: a New Surgical Technique

NCT05515016 | Completed

• 1 other identifier: Maamouri Teaching hospital
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

The double chin is a troublesome component of the lower third of the face. It gives an embarrassing and unpleasant facial appearance to both men and women leading them to ask for liposuction. Moreover, a "receding chin" causes blunting of the cervico-mental angle, a fleshy appearing neck, a disproportion in the profile line of the face with a prominent looking nose, and an irregular mandibular border. This study is about an innovative surgical procedure: Instead of doing liposuction of the double chin, the investigators used the fat of this area as a flap to improve a "receding chin". hence both the double chin and the receding chin are treated.

Conditions

Adiposity; Micrognathism

Keywords

Retrognathia; Mandibular advancement; Adipose tissue; Cervicoplasty

Outcome Measures

Primary Outcomes (5)

• Chin advancement measure

  For the objective evaluation: Chin advancement was evaluated by measuring, with a Vernier caliper, the distance between the submental crease and the soft tissue at the pogonion. This distance was taken before and after the surgical procedure. The advancement of the chin ranged from 3,5 to 12 millimeters (mm). This measurement was taken by the investigator during the follow-up appointments. For the subjective evaluation: The results were evaluated on patient reviews and photographic studies (before and after surgery).

  The change of chin projection at 6 months after the surgical procedure

• Chin advancement measure

  For the objective evaluation: Chin advancement was evaluated by measuring, with a Vernier caliper, the distance between the submental crease and the soft tissue at the pogonion. This distance was taken before and after the surgical procedure. The advancement of the chin ranged from 3,5 to 12 millimeters (mm). This measurement was taken by the investigator during the follow-up appointments. For the subjective evaluation: The results were evaluated on patient reviews and photographic studies (before and after surgery).

  The change of chin projection at 12 months after the surgical procedure

• Chin advancement measure assessing the stability of the result

  For the objective evaluation: Chin advancement was evaluated by measuring, with a Vernier caliper, the distance between the submental crease and the soft tissue at the pogonion. This distance was taken before and after the surgical procedure. The advancement of the chin ranged from 3,5 to 12 millimeters (mm). This measurement was taken by the investigator during the follow-up appointments. For the subjective evaluation: The results were evaluated on patient reviews and photographic studies (before and after surgery).

  The change of chin projection at 24 months after the surgical procedure

• Fat deposits removal in the submental region

  This outcome was evaluated on photos (face and profile) before and after surgery. A questionnaire including three levels of satisfaction (not satisfied, satisfied, very satisfied) was completed by the participants concerning the surgical outcomes including the submental change and the chin advancement.

  At 6 months after the surgical procedure

• Fat deposits removal in the submental region

  This outcome was evaluated on photos (face and profile) before and after surgery. A questionnaire including three levels of satisfaction (not satisfied, satisfied, very satisfied) was completed by the participants concerning the surgical outcomes including the submental change and the chin advancement.

  At 12 months after the surgical procedure

Secondary Outcomes (2)

• The evaluation of the surgical scar

  At 6 months after the surgical procedure

• The evaluation of the surgical scar

  At 12 months after the surgical procedure

Study Arms (1)

A surgical technique for double chin treatment and chin advancement

OTHER

the same surgical technique was performed on 10 participants with their consent. Subplatysmal fat, of the submental region, was dissected from the subcutaneous plan and the platysma muscle, then elevated as a flap to be plicated and turned, then fixed on the muscular layer of the chin. This technique provides both double chin treatment and chin advancement. It improves the profile of the face.

Procedure: chin enhancement with a fatty flap sculpted from the double chin

Interventions

chin enhancement with a fatty flap sculpted from the double chin PROCEDURE

Under general anesthesia, an incision was made behind the submental crease followed by the excision of the skin excess. The preplatysmal fatty compartment was individualized through a subcutaneous dissection. Then, the lower part of the preplatysmal fat was cut to start its separation from the platysma muscle, thus obtaining a real vascularized fatty flap. This flap could be folded on itself, then easily turned over to be fixed on the muscular layer of the chin.

Also known as: submental fatty flap treating the double chin and correcting the micrognathia

A surgical technique for double chin treatment and chin advancement

Eligibility Criteria

• Age: 45 Years - 52 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• the presence of a "double chin" with slightly redundant skin and a "receding chin" causing a fleshy appearing neck, and a disproportion in the face profile

You may not qualify if:

• any history of a precedent surgery on the neck, the presence of a traumatic or a burn scar on the cervical region.

Sponsors & Collaborators

• Mohamed Tahar Maamouri University Hospital: lead

Related Publications (2)

• Shamban AT. Noninvasive Submental Fat Compartment Treatment. Plast Reconstr Surg Glob Open. 2016 Dec 14;4(12 Suppl Anatomy and Safety in Cosmetic Medicine: Cosmetic Bootcamp):e1155. doi: 10.1097/GOX.0000000000001155. eCollection 2016 Dec.

  PMID: 28018773 RESULT

• Strauss RA, Abubaker AO. Genioplasty: a case for advancement osteotomy. J Oral Maxillofac Surg. 2000 Jul;58(7):783-7. doi: 10.1053/joms.2000.7266.

  PMID: 10883694 RESULT

Related Links

• Noninvasive Submental Fat Compartment Treatment
• Genioplasty: a case for advancement osteotomy

MeSH Terms

Conditions

Obesity; Micrognathism; Retrognathia

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Jaw Abnormalities; Jaw Diseases; Musculoskeletal Diseases; Maxillofacial Abnormalities; Craniofacial Abnormalities; Musculoskeletal Abnormalities; Stomatognathic Diseases; Stomatognathic System Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Mandibular Diseases

Study Officials

• IMEN T MEHRI TURKI, Dr

  Teaching hospital Mohamed Tahar Maamouri, nabeul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: The same surgical procedure was performed on 10 participants. These participants had a double chin with skin redundancy and a receding chin. The result was evaluated with photos and chin advancement was measured with a Vernier caliper.

Study Record Dates

• First Submitted: August 18, 2022
• First Posted: August 25, 2022
• Study Start: July 1, 2015
• Primary Completion: October 1, 2017
• Study Completion: October 1, 2019
• Last Updated: August 25, 2022

Record last verified: 2022-08