After losing around 16 kilos, presenter Ratinho revealed that he underwent surgery to correct the excess skin in the jowl area. In a joking tone, he said that he looked like “a Nelore ox”, referring to the discomfort caused by the flaccidity that remained even after losing weight. The situation is more common than it seems and usually affects people who experience major weight loss, as well as those who face the natural changes of aging.

Although many people associate double chins solely with excess fat, it can have different causes, such as sagging skin, muscle weakening and structural changes in the face. Therefore, treatment is not always limited to removing fat and, in some cases, surgery is the most effective alternative to restore the contour between the face and neck.

Below, check out some points about the double chin and the surgery to remove it.

1. Losing weight does not always eliminate double chin

Many people believe that double chin disappears automatically after weight loss. However, when there is excess skin or a significant loss of skin elasticity, the volume may remain, even after treatment. weight loss. This happens because the skin is not always able to retract completely after large changes in weight.

“The jowl region usually undergoes important changes after major weight loss and also with advancing age. In these cases, when there is excess skin and sagging, surgery may be the most suitable alternative to restore the contour between the face and neck. The procedure is planned according to the needs of each patient and may involve the removal of excess skin, the treatment of localized fat and the repositioning of the cervical muscles, when necessary”, explains facial surgeon Dr. Fernando Molina.

2. Not all double chins have the same cause

Before carrying out any treatment, it is necessary to understand why the double chin appeared. “Before surgical indication, a careful evaluation is essential to identify the main cause of the double chin, as it can result from the accumulation of fat, loss of elasticity skin, muscle flaccidity or a combination of these factors. The objective is to promote a proportional, natural result that is compatible with each person’s anatomy”, highlights the specialist.

3. Surgery may involve more than one technique

As with other facial procedures, double chin treatment does not always depend on a single intervention. In selected patients, the combination of techniques can offer more natural and balanced results, as long as there is clinical indication.

According to facial plastic surgeon and otorhinolaryngologist Dr. André Baraldo, the association of procedures does not mean exaggeration, but more complete planning. “Combined procedures are indicated when there are real benefits in treating different structures of the face in an integrated manner. The objective is not to increase the intervention, but to optimize the result with balance and safety”, he emphasizes.

4. Individual planning makes all the difference

Although there are several techniques for treating double chins, there is no single protocol that works for all patients. The decision depends on the anatomy facialskin quality, age, amount of sagging and expectations regarding the result.

“Surgical planning must be completely individualized. Considering facial proportions, patient expectations, skin quality and degree of aging before deciding whether there is a need to combine techniques”, explains Dr. André Baraldo.

5. Larger surgery does not always mean a better result

With the evolution of facial surgery, the current trend is to seek discreet and natural results, avoiding exaggerated changes. “Often, a single well-indicated procedure is enough to bring about a significant change. Excessive interventions can compromise the naturalnesswhich is one of the main objectives of modern facial surgery”, says Dr. André Baraldo.

6. Safety comes before aesthetic results

When there is an indication to combine facial procedures, the decision also considers important factors to ensure patient safety. “The decision needs to consider anesthetic safety, surgery time and recovery capacity. It is not always recommended to concentrate everything in a single surgical moment”, highlights Dr. André Baraldo.

7. The objective is to recover the facial contour, without losing its natural appearance

More than eliminating the double chin, the surgery seeks to restore the balance between face and neck, preserving the patient’s identity. “The ideal result is one in which the patient recognizes themselves in the mirror, but with more harmony and facial balance. The surgery should value individual characteristics, not standardize faces”, concludes Dr. André Baraldo.

By Sarah Carvalho