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Richard P. Rand, MD answers: How can I get rid of a double chin and neck flab?

I am looking for a non-surgical, long term solution to slim down and tighten my chin and neck.  Any ideas?


Richard P. Rand, MD
11 months ago

If you really have fat under the chin and an excess of skin in the neck, the ONLY hope you have for a NON-SURGICAL solution is to be young, have great skin elasticity and lose weight and get into phenomenal physical shape hoping the fat will melt and the skin will tighten.

So, unless this describes you, you really need a surgical procedure to give you any long term benefit in this area. Depending on your starting point, this can be liposuction plus/minus a chin implant, a neck lift, or a facelift.

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A: There are many options, such as losing weight

Philip Young, MD
6 months ago

There are many options such as losing weight. This can reduce the fatty deposits in your neck. However, depending on someone's age, some of the double chin can be due to the muscles relaxing. 

You have a neck muscle called the platysma that covers your neck from your chest to your face. This muscle during youth is tightly adherent to the underlying neck structures. When you age, the muscle eventually comes away from the neck's deeper structures, contributing to the neck laxity and double chin appearance. 

The main way to improve this is to do a neck lift along with a lower facelift. Liposuction is a very minimally invasive technique to slim down the neck and tighten the skin as well. But sometimes, the results you get with liposuction is limited, and more advanced techniques are needed to make your neck more shapely.

Augmentation of your chin can help create a greater disparity between your face, chin and neck region. Chin implants can help improve the angles of your chin with your neck. Other options that are less invasive include volumizing your lower face. This can have a tremendous impact on pulling the loose tissues up towards the area under your chin and also create more of a covering effect for the contents below your jawline.

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A: Advice for double chin improvement

Richard Baxter, MD
6 days ago

Of course you would have to be seen in consultation in order to make any sort of recommendation, but here are a few things to go on: For a younger patient, liposuction alone might suffice. This is of course surgery but can usually be done under local anesthesia. For someone a bit older with skin tone not as tight (say in their 40's to early 50's) then lipo plus immediate Thermage is sometimes a good option. (See photos on my profile page at Real Self). An older patient usually needs a facelift, so don't be sold on anything without a proven track record. I can't tell you how many patients I have seen who have had mesotherapy injections, or various laser procedures for neck fat with NO results.

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