For nearly four decades I\u2019ve lived literally on the campus of DePaul University and every day hundreds of students walk past my house. From my bedroom window, I can look across the street into their classrooms (I imagine that the students looking back see an aging man in pajamas).<\/p>\n\n\n\n
Except for the fact that I wear earplugs when I go to bed because college students have the same sleeping hours as vampires, they\u2019re nice kids.<\/p>\n\n\n\n
One day a few weeks ago when the weather was nice, I was sitting outside on my stoop watching the gaggle walk by and noticed something troubling. Unsurprisingly, most of the students were staring into their phones, using some sort of preternatural radar to prevent collisions. What shocked me was the number of double chins. I got up and took a short stroll around campus. Yes, it was startling. The smartphones of these 18-to-25-year-olds had created double and sometimes even triple chins.<\/p>\n\n\n\n
All doctors, myself included, dream of discovering some new syndrome or illness and reporting it to their colleagues in the medical journals. I was all set to write an original description of the \u201csmartphone chin\u201d until a few minutes of research into the plastic surgery journals revealed this had been a topic among cosmetic surgeons for some time.<\/p>\n\n\n\n
The closely related text-neck has been well recognized by both orthopedic surgeons and chiropractors for years. Think about it. Your head weighs approximately ten pounds. As you tilt your head forward, this weight increasingly pulls on the muscles in the back of your neck. You can feel this yourself if you slowly lower your chin to your chest while keeping one hand on the back of your neck. Increasing the angle of tilt increases the tension. If you hear (or feel) a crunching sensation, that\u2019s arthritis.<\/p>\n\n\n\n
Pulling on your neck muscles all day long by staring into a phone, tablet, or PC can generate in them a constant and sometimes painful spasm. These muscles are also a point where we carry stress, much like the Greek god Atlas carrying the weight of the world. (That row of massage chairs you see at O\u2019Hare is intended to deal with this pain before you get on board and really begin to feel stressed.)<\/p>\n\n\n\n
In addition, a downward angling of your neck can permanently damage the cervical (neck region) discs of your spine, leading to early arthritis and a risk of painful pinched nerves. Take a look at this drawing depicting the 27 to 60 pounds of pressure staring at a phone can place on your spine.<\/p>\n\n\n\n
Those DePaul student chins had caught my attention and it hadn\u2019t been my imagination at all. In fact a new survey by the American Society of Plastic Surgeons (ASPS) revealed that chin implants, or \u201cchinplants,\u201d are the fastest growing cosmetic surgery trend. The reasons for this? First, more double chins. Second, increasing self-awareness of double chins and sagging jawlines as seen in selfie screen reflections.<\/p>\n\n\n\n
ASPS president Malcolm Z. Roth, MD, says: \u201cThe chin and jawline are among the first areas to show signs of aging. As more people see themselves on video chat technology, they may notice that their jawline is not as sharp as they want.\u201d<\/p>\n\n\n\n
Paul Woodward, MD, a British cosmetic surgeon, stated \u201cIf you sit for hours with your head bent slightly forward, staring at your iPhone or laptop screen, you may shorten the neck muscles and increase the gravitational pull on the jowl area, leading to a drooping jawline.\u201d<\/p>\n\n\n\n
Other causes include a naturally short, weak chin, weight fluctuations, and even exercise and diet.<\/p>\n\n\n\n
Time for \u201cchintervention\u201d With \u201cchinjections,\u201d the surgeon numbs an area of your sagging chin and resculpts your chin by injecting a filler (Restylane SubQ or Juvaderm Voluma) deep under the muscle to tighten it. The results are instantaneous, but need to be repeated every two to three years.<\/p>\n\n\n\n For jawline skin sag, there\u2019s a new generation of skin-tightening procedures created to avoid actual surgery. These include radiofrequency treat<\/a>m<\/a>ents<\/a> in which heat passes into the sagging subcutaneous tissue through hair-thin needles.<\/p>\n\n\n\n Pesky double and triple chins can literally be whisked away by liposuction<\/a>, but you\u2019ll need to stay home for a couple days wearing a compression bandage around your head. If you don\u2019t want cutting or needles, there\u2019s ultrasound<\/a>.<\/p>\n\n\n\n And, of course, you can always go whole-hog and get a facelift.<\/p>\n\n\n\n \u201cWait a minute,\u201d you\u2019re mumbling. \u201cThis cosmetic surgery stuff sure doesn\u2019t sound like the natural treatments I\u2019ve come to expect from WholeHealth Chicago. Is Dr. E going to start promoting facial products a la Drs. Oz and Mercola or try to sell me some crazy device from an infomercial like this one?<\/a>\u201d<\/p>\n\n\n\n No. Not at all.<\/p>\n\n\n\n But WholeHealth Chicago does offer alternatives
<\/strong>My gut feeling is that no parent forking over some $40K a year in college tuition is going to take seriously her student\u2019s plea for cosmetic surgery, but for those of you now fearful of seeing yourselves on Skype, here\u2019s some of what\u2019s currently being offered.<\/p>\n\n\n\n
<\/strong>Traditional Chinese medicine practitioner Mari Stecker has been doing facial rejuvenation therapies for years on dozens of satisfied patients. She offers classes in guasha, a Chinese facial technique<\/a>. Generally patients prefer her price ($65 per class) to those of the average cosmetic surgeon ($5,000 for radiofrequency treatments, same for facial liposuction).<\/p>\n\n\n\n