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The Larrabee Center for Facial Plastic Surgery
CALL US TODAY (206) 386-3550

Submental Rejuvenation

Submental Rejuvenation

A common concern of patients is the contour of the submental area. Patients desire a strong jaw line and angle between the neck and chin that is about 105-120 degrees. Poor contour of the submental area can be due to any number of anatomical variations including submental fat, recessive chin, lax skin, dehiscent platysma muscle (banding), forwardly placed hyoid bone and more.  Traditionally a surgeon’s main tools to deal with an obtuse cervical mental angle have been liposuction or some more complex surgical procedure. We now have additional nonsurgical procedures such as Kybella, Cool Sculpting, Profound, and Ulthera.

The first step to make the optimal recommendation for a specific patient is an examination that includes analysis of the underlying anatomy.  A significant amount of excess skin would make a surgical recommendation more likely as would an older patient with inelastic skin. Smaller amounts of excess skin and more elastic skin would make Ulthera or Profound potentially excellent treatments. Patients with a “platysma banding” are best served with surgical tightening. On the other hand, excess fat deposits can be well treated with Kybella injections or Cool Sculpting.  Both can provide permanent fat reduction with one or more treatments. 

It is important that those evaluating the patient have experience in the many procedures available- surgical and non-surgical -to make the best recommendations.  The Larrabee Center has the single largest plastic surgery experience with CoolSculpting in our area and one of the largest Ulthera experiences in the nation. Our surgical expertise with face and necklifts can be summarized by the title of Dr. Larrabee’s most recent lecture in Europe- “My Experience with 5,000 Facelifts.”

The possibilities for submental rejuvenation are many and combinations are frequently the best option.  For example one can remove the localized submental fat with CoolSculpting and then “fine tune” the neck contour with Kybella or tighten the skin with Ulthera.

We can discuss all of these options and combinations as needed in a consultation.

Before and after CoolSculpting and Ultherapy

Important Notice

WE ARE OPEN! Masks required for all appointments 

Covid-19 Updates:

 Below you will find actions we have taken to ensure that you are protected and that we maintain Suite 385 as a Non-Covid Care (NCC) Zone:

Washington State Department of Health (DOH), World Health Organization (WHO) and Centers for Disease Control (CDC) share information about COVID-19 at:


The health and well-being of our patients and staff are so important to us. Our providers and support staff appreciate all your love and support for them during this time. We thank you and look forward to seeing you soon! 

Please reach out with any additional questions! Call or text us at 206-386-3550 or email info@larrabeecenter.com

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