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The Cadogan Clinic is currently offering a reduced service in light of the government's January lockdown guidelines.

All of our services will be delivered in line with the UK government's social distancing measures and fully compliant with all PPE guidance from Public Health England and NHS England.

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Double Chin 

A double chin is, we all know, is due to extra fat under the chin, submental fat. This is not the whole story.

The condition occurs when an extra layer of fat is formed beneath your chin. The most common cause of a double chin is massive weight gain. Having a diet with unhealthy fats and high calories contributes to the development of a double chin. It is often associated with obesity. The condition is also caused by ageing and genetics.

The skin loses elasticity in the course of ageing, this leads to the development of extra loose skin. Heredity also has a role to play in the development of a double chin. You are more likely to develop a double chin if your family has a history of having double or elastic chins. A combination of these factors will lead to the development of a double chin condition.

There is an inherited distribution of increased fat in the pocket under the skin and at deeper level under the platysma muscle of the neck. Weight gain and increasing laxity of skin with age and sunshine will make it more apparent.

There is another equally important factor and that is anatomical level of the insertion of the muscles of the floor of the mouth into the Hyoid bone, which supports the windpipe (trachea) at the level of the vocal cords. If this level is high, we can expect a sharp angle between the chin and the neck. If it is low, then the angle disappears and however much fat is removed there will never be the desired definition.

Treatment is directed towards reduction of the fat together with tightening of the skin in an older person.

Cellulite has the appearance of lumpy, dimpled skin and commonly forms in areas with the least amount of blood circulation such as hips, thighs and buttocks. Many factors influence the on-set of cellulite, which can appear around puberty, including genetics, hormones, diet, exercise and metabolic change.

If we consider that fat is arranged like ice cubes in a freezing tray, the dividers are fibrous bands or septae. As the fat expands it bulges out, restrained by septae like quilting. Strengthening the skin or releasing the septae can be expected to improve the appearance.

There are three different levels of cellulite, which doctors base on how noticeable it is. The cellulite level of a patient determines which treatments will be the most effective to address it.

+ Level 1: can only be seen when flexing muscles in the affected area.
+ Level 2: can be seen when muscles are at rest.
Level 3: the skin has dents, cobblestones, and hills that are visible at all times on multiple occasions and causes much swelling and does not tighten the skin. We do not recommend it at the Cadogan Clinic.

The nonsurgical fat reduction by Laser (Sculpsure) is preferred to freezing (CoolSculpting). It does not tighten the skin.

The most certain and effective technique is liposuction, which is certain and just as quick with 1 treatment under local anaesthesia. Skin tightening is excellent as it draws the skin up into the angle of the neck. We use several different liposuction techniques at the Cadogan Clinic, choosing the most suitable.

Older patients may have predominantly more loose skin than extra fat. This is the Turkey neck.

Liposuction may help and be part of the treatment, but greater attention is paid to skin tightening.

Threads can be tried, but this is not their best use. We advocate the Cadogan Swan neck procedure as a simple direct and guaranteed effective operation, usually under local anaesthesia, excess skin is removed and importantly the underlying Platysma muscle diverted to hold up the chin

You might become self-conscious because of the double chin condition. Many patients have undergone cosmetic treatments to permanently remove this condition. The most popular treatments are liposuction, neck lift and facelift.

Fat is removed beneath your skin during liposuction and the chin is sculpted to have better contours. The facelift is usually a full transformation whereby the surgeon will remove excess fat and loose skin around your chin and neck region. The double chin will then disappear. In the case of a neck lift, extra skin around the chin is removed and the neck muscles are tightened to give you a better facial appearance and eliminate the double chin.

You may require one or a combination of these procedures to achieve the exact desired results. A consultation with one of the surgeons at the Cadogan Clinic will enable you to choose the most suitable option for you.

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Of course, we use the very latest technology. But our real skill is in knowing how and when to use it to suit each individual patient.


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