CPT® Code 15838

1. Indications

The excision of excessive skin and subcutaneous tissue, specifically for the submental fat pad, is indicated for patients who present with the following conditions:

• Excessive submental fat accumulation This condition may result from significant weight loss, genetic predisposition, or aging, leading to a prominent double chin appearance.
• Skin-related issues Patients may experience skin problems such as rashes, infections, or irritation due to the presence of excess skin folds in the submental area.
• Functional impairments Excessive skin and fat can interfere with movement or create discomfort, prompting the need for surgical intervention.

2. Procedure

The procedure for excising excessive skin and subcutaneous tissue from the submental area involves several key steps:

• Step 1: Anesthesia administration The procedure typically begins with the administration of local anesthesia to ensure patient comfort during the surgery. In some cases, general anesthesia may be used depending on the extent of the procedure and patient preference.
• Step 2: Incision creation A carefully planned incision is made beneath the chin, allowing access to the submental fat pad. The incision is designed to minimize visible scarring and is placed in a natural skin fold whenever possible.
• Step 3: Removal of excess tissue The surgeon meticulously dissects and removes the excess skin and subcutaneous fat. This may involve the use of a cannula, a long hollow needle, to dislodge and suction out fat from beneath the skin, ensuring a smooth contour.
• Step 4: Skin closure Once the desired amount of tissue has been excised, the remaining skin is brought together and closed using sutures. The closure technique is chosen to optimize healing and minimize scarring.
• Step 5: Drain placement A drain may be inserted to prevent fluid accumulation in the surgical area, facilitating proper healing. The drain is typically left in place for a specified period, as determined by the surgeon.

3. Post-Procedure

After the excision of excessive skin and subcutaneous tissue from the submental area, patients can expect a recovery period that may involve some swelling, bruising, and discomfort. Post-operative care instructions typically include keeping the surgical site clean and dry, managing pain with prescribed medications, and attending follow-up appointments to monitor healing. Patients are advised to avoid strenuous activities and heavy lifting for a specified duration to ensure optimal recovery. The drain, if placed, will be monitored and removed by the healthcare provider once it is no longer needed. Full recovery and final aesthetic results may take several weeks, during which patients should adhere to their surgeon's recommendations for care and activity restrictions.