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Rostro · Guide

Submentoplasty

Surgeon-led submentoplasty in Turkey at CFH Istanbul. Targeted liposuction and platysma tightening planned and performed by one named surgeon, intake to twelve-month review. JCI + TEMOS accredited.

ROSTRO · CFH ISTANBUL

The area under the chin is one of the first places the face loses its edge — not dramatically, and not all at once, but gradually enough that most people can pinpoint the moment they noticed it. A soft jawline. A neck that photographs older than the rest of the face. A double chin that persists regardless of weight.

Submentoplasty addresses this directly. The procedure targets the submental zone — the area directly beneath the chin and the upper neck — using two techniques working together: targeted liposuction to remove excess fat, and platysma muscle tightening to restore the underlying structure that keeps the neck looking firm. The result is sharper chin definition and a cleaner neck angle, without operating on the full face.

At CFH, the surgeon who assesses your anatomy in the intake consultation is the same surgeon who operates and who reviews your recovery at three, six, and twelve months. That continuity is not a policy position. It is how we are organised.

§ 01

What the procedure involves

Submentoplasty at CFH is performed under local anaesthesia with sedation, typically taking between one and a half and two hours. A small incision is placed in the natural crease beneath the chin — the access point for both the liposuction cannula and the sutures used to tighten the platysma bands.

The platysma is a thin sheet of muscle that runs vertically down the front of the neck. When its two halves separate with age or weight change, the neck develops the banding and softness that patients most often describe. Suturing those bands back toward the midline restores structural support — not by pulling skin tight, but by re-anchoring the scaffold that holds everything in place.

Fat is removed only where the surgeon's assessment indicates it improves the chin-to-neck angle. The goal is a sharper angle relative to your existing face structure.

§ 02

Who is a good candidate

Submentoplasty works well when the issue is structural rather than skin-only. Good candidates typically have:

  • Excess submental fat that has not responded to weight management
  • Early to moderate platysma banding — the vertical cords visible in the neck
  • Reasonable skin elasticity, so the skin contracts naturally once the underlying fat and muscle are addressed
  • A stable weight for at least three to six months prior to surgery

If skin laxity is the primary concern — loose, hanging neck skin rather than excess fat or banding — the surgeon will discuss whether submentoplasty alone is likely to achieve what you are looking for, or whether a broader neck lift or lower facelift element should be part of the plan. That conversation happens at the planning stage, before anything is agreed.

A combined approach with chin augmentation (genioplasty or implant) is also common where a recessed chin contributes to the appearance of a heavy submental zone. When both are considered, the projection is set as a single plan — not two procedures stapled together.

§ 03

Recovery in plain terms

Most patients are comfortable within five days and return to normal daily activity within a week. The first two to three days involve some swelling and bruising in the chin and upper neck area, managed with head elevation and cold application. A compression garment is worn during this period.

The swelling that persists past day five is typically not visible to others, but the final contour — particularly the skin tightening and full definition of the chin angle — settles over nine months. The surgeon's three-month and six-month reviews are scheduled specifically to track this progress and address any questions as it happens.

Neck movement is unrestricted by week two. Exercise returns at two to three weeks depending on intensity.

Operative details at CFH:
- Duration: 1.5–2 hours
- Anaesthesia: local with sedation
- Recovery hotel: 3 nights
- Visible recovery: approximately 5 days
- Full settle: 9 months
- Price band: €3,200 – €4,800

§ 04

What could be different from what you expect

Submentoplasty is a structurally straightforward procedure, but the outcome depends heavily on your anatomy — specifically on the ratio of fat to laxity to underlying structure. A surgeon who has only seen photographs cannot reliably predict the balance.

For patients with significant skin laxity, the procedure may produce good structural definition but leave surface looseness that only a skin-excision component would address. This is not a complication — it is an anatomy-dependent outcome, and the surgeon will discuss it explicitly at the planning stage so you are not surprised by it at month three.

For patients with very little submental fat but prominent platysma banding, fat removal adds little; platysma plication alone is the effective component. The operative approach is adjusted accordingly.

The surgeon's job at intake is to give you an honest reading of your specific anatomy — and to tell you when a different procedure, or an additional element, would serve you better than what you initially requested.

§ 05

How CFH plans a submentoplasty

The intake is a 30-minute call in your language. You describe what you have noticed and what you want to address. No surgical menu is presented — the surgeon listens for intention, then looks at your photographs.

Within 48 hours, the matched surgeon signs a written plan that describes the approach, what it can and cannot achieve for your specific anatomy, and how recovery is expected to progress. That plan is yours to read, question, and take a second opinion on before you commit to anything.

On procedure day, the surgeon you spoke to is the surgeon at the table. The coordinator who managed your travel and hotel is in the building. Post-operative care follows a defined sequence of reviews — not a discharge sheet, but a structured schedule that runs to twelve months.

CFH has been in continuous practice since 1994. The facility — BHT Clinic, Istanbul — holds JCI accreditation and TEMOS certification for international patient care. Intake is available in eight languages: English, Romanian, Italian, Spanish, French, Albanian, Arabic, and Farsi.

§ 06

Frequently asked questions

Is submentoplasty the same as a neck lift?

Not exactly. A full neck lift typically includes skin excision, often with incisions behind the ears, and addresses significant skin laxity across the entire neck. Submentoplasty focuses on the submental zone — the area directly under the chin — using a single small incision, targeted fat removal, and platysma tightening. It is the right procedure when the problem is fat accumulation and early banding rather than widespread skin excess. If your anatomy suggests a broader approach, the surgeon will say so at the planning stage.

Can this be combined with other procedures?

Yes. Submentoplasty is commonly combined with chin augmentation when a recessed chin is contributing to the appearance of a heavy submental zone. It is also sometimes planned alongside facelift work when the lower face and neck are addressed together. When procedures are combined, the plan is built as a single surgical logic — not as separate items — and the recovery timeline is set accordingly.

Will the result look surgical?

The goal is sharper chin and jaw definition proportioned to your existing features — set by the surgeon who assesses your anatomy at intake, not by a categorical target. The surgeon is explicit at the planning stage about what the procedure can achieve for your specific anatomy, and the close-out review at nine months documents where you landed against that plan.

How long does the result last?

The structural changes — fat removal and platysma tightening — are permanent in the sense that fat cells removed do not return and sutured muscle does not unsew. Ageing continues, and over many years some further softening of the neck can occur. Weight changes affect the result. The nine-month settle is the point at which the final outcome is stable and the surgeon's close-out review is conducted.

Will I see the same surgeon throughout?

Yes. The surgeon who hears your intake is the surgeon who operates, who checks the wound at five days, and who conducts the three-month, six-month, and twelve-month video reviews. This is the only model CFH operates. There is no delegation to a junior at any stage.

What is the price for submentoplasty in Turkey?

The price band at CFH is €3,200 – €4,800, which includes the procedure, anaesthesia, the recovery hotel nights, and the post-operative review schedule. The written plan you receive before committing specifies what is included. Consultation carries no fee.

Do I need to speak Turkish to be treated at CFH?

No. Intake, planning, and post-operative communication are available in eight languages: English, Romanian, Italian, Spanish, French, Albanian, Arabic, and Farsi. The written plan, after-care card, and close-out note are provided in your language.

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