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Am I a Better Candidate for Chin Liposuction or Thermage?

I am a 30 yr old woman who is an average weight. Even at my skinniest (size zero) I've always had a double chin but I notice it's bigger when I'm heavier. My doctor advised against liposuction, saying the problem was excess tissue, not fat. Thermage was recommended instead. I'm hesitant to try Thermage because many reviews say it was expensive and didn't work. Judging from the photo I've attached would I be a good candidate for chin liposuction or Thermage? Thanks!

Doctor Answers (22)

Better candidate for liposuction of the neck


The key to liposuction is the quality of the skin and not the amount of fat removed.  If the skin of the neck is tight it will recoil and redrape after liposuction. If the skin is lax then you will just get saggy skin.  You would seem to be a good candidate for liposuction of the neck and submental area.

Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

Chin Liposuction


I would rule out Thermage as you have noted, the results are not consistent.  Have an evaluation by a Board Certified Plastic Surgeon for other options available to you.

Web reference:

Danville Plastic Surgeon
5.0 out of 5 stars 9 reviews

Liposuction Candidate?


Thank you for the question.

Although difficult to give you good advice without direct examination, based on your picture and your age you will  probably be better off with liposuction surgery.

I would suggest in person consultation with well experienced board-certified plastic surgeons.

Best wishes.

Web reference:

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Neck Liposuction versus Thermage


I suspect that the increase in size in your “double-chin” with your weight gain is fat, and not just “excess tissue”, but “excess fat”.  Patients hear me say all the time, regardless of the procedure they’re having, “the procedure and results will depend greatly on skin tone and elasticity.  I suspect strongly that you would be best served via liposculpture but this is difficult to determine without direct examination.  

Palm Beach Plastic Surgeon
5.0 out of 5 stars 4 reviews

Lipo or thermage? What about lipo AND thermage??


Thermage tightens the skin over a few months.  Liposuction removes fat and encourages adhesions that make the skin look tighter.  If you can afford it, get both.  Have thermage followed immediately or in a delayed fashion by submental liposuction.  The results can be life changing.

Beverly Hills Plastic Surgeon
4.5 out of 5 stars 7 reviews

Lipo vs. Thermage for Double Chin


For a young patient with good skin elasticity, neck lipo may offer dramatic results without removing very much fat.  However, it is important that you are evaluated by a board-certified physician trained in the area of neck liposuction to properly evaluate your neck anatomy.  Low lying glands and the position of your hyoid bone in your neck may preclude simple neck liposuction from achieving superior results. 

If you are a good candidate, the simple act of doing neck liposuction creates a tremendous amount of skin retraction in patients with good skin elasticity.  This often is far superior to radiofrequency treatment such as Thermage. 

San Diego Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

Chin liposuction provides much better results than thermage for most people.


Chin liposuction provides much better results than thermage for most people. If there is fat present, removing fat is more effective than simply tightening skin, although the two can be combined in select patients for even better results (see further information below).

Metairie Dermatologic Surgeon
3.5 out of 5 stars 2 reviews

Neck liposuction has proven results


Neck contouring where fatty deposits reside has proven the test of time, and even when a very small amount of fat is removed the results can be striking. Thermage has been tried in many practices and the results we have seen have been discouraging. In comparison liposuction would get our vote.

Best of luck,


Web reference:

Chicago Plastic Surgeon
4.0 out of 5 stars 25 reviews

Chin liposuction vs thermage


If you have excess fatty deposits in the submental area (chin) which does not respond to weight loss then you may be a great candidate for liposuction. Since you are young your skin will contract rather nicely in this area.  Thermage uses high frequency radio waves to tighten skin/collagen, it will not remove excess fat.

A board certified plastic surgeon can examine you and determine if you are a good candidate.

Best wishes,


Web reference:

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 121 reviews

Liposuction is for you


Thermage is rarely going to make you happy but probably the doctor you saw is an owner of the machine and not a true plastic surgeon who can offer you all options.  A conservative liposuction could help you because the problem is fat, not "tissue" (whatever that means).

Seattle Plastic Surgeon
5.0 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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