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Am I a Better Candidate for Chin Liposuction or Thermage?

asked 1 year ago by Los Angeles5338 in Los Angeles, CA
Latest answer by Vivek Bansal, MD
Question viewed 1,300 times
Tags: age 25-34, female, double chin

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!

21 answers to Am I a Better Candidate for Chin Liposuction or Thermage?

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, Dr.Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon

www.williambrunomd.com

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.

Vivek Bansal, MD
Danville Plastic Surgeon

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.

Tom J. Pousti, MD
San Diego Plastic Surgeon

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. more

Jonathan Berman, MD
Palm Beach Plastic Surgeon

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.

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

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... more

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

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).

William Coleman III, MD
Metairie Dermatologic Surgeon

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, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

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).

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Liposuction for Correction of the "Double Chin"

After careful examination of your photo, I feel that conservative liposuction in the submentum (area under chin) will help to greatly improve your profile. Submental fat is many times a difficult area to improve even with successful weight loss. From your profile picture, it appears that you have some submental fat producing a fullness in the neck. By removing this fat conservatively, you should be able to achieve a much sharper neck angle. A key factor plays a role in... more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

Proper diagnosis will lead to better chin correction.

I am not a fan of Thermage. I think the effects of Thermage are all too often disappointing to patients. It just does not seem very effective for many patients , but of course some have had some limited benefit. It does not get rid of excess fat deposit of a chin lipodisproportion. If a little skin is the main problem I suppose Thermage could be tried if you wish to avoid surgery. If skin alone is the problem liposuction may have little... more

George Commons, MD
Palo Alto Plastic Surgeon

www.pacfps.com

Liposuction, Yes, what about a chin implant?

Thermage would do nothing for you. Don't do it. Despite the fact that you are not a heavy person, conservative liposuction with a small cannula and tumescence should make a nice improvement. Liposuction would help give more definition to your jawline and help refine the angle underneath your chin (cervico-mental angle). Remember there are certain limitations, and in your case, the height of your voice box (hyoid bone) will limit the amount of refinement you... more

John Bitner, MD
Salt Lake City Facial Plastic Surgeon

Liposuction versus thermage for neck

For a young person with good elasticity, some conservative liposuction can make a terrific improvement in the profile. You should be examined by an experienced facial plastic surgeon to determine your degree of improvement.

Roy A. David, MD
San Diego Facial Plastic Surgeon

Lipo or Thermage?

I say lipo-why? Liposuction has a longer track record, and performed properly can give you an excellent result, assuming that there is fat to be removed and you are a candidate. Thermage on the other hand, has had very variable results, and in my opinion cannot compare to liposuction. Best of luck, Dr Siegel

Michel Siegel, MD
Houston Facial Plastic Surgeon

Chin liposuction or thermage - that is the question!

It appears that you are young, not overweight, have good skin tone and have a small contour problem that bothers you. Thermage and other external skin tightening devices would likely achieve little or disappointing improvements to area under your chin. The best treatment will depend on a thorough consultation, a diagnosis and a discussion of the benefits and risks associated with treatments. Board Certified Plastic Surgeon's who offer all... more

Mathew C. Mosher, MD
Vancouver Plastic Surgeon

Chin liposuction

It's difficult to give you an answer without seeing you in person - but in general, for a young 30 y/o with good skin (like you appear to have) if you have fat in your chin/neck area, liposuction should give you a good result because young skin tends to tighten well after surgery. However, it's not uncommon to need a combination of the two treatments - liposuction to remove the fat and a laser to tighten the skin. However, it appears (in this picture) that you have a... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Thermage will not tighten your neck skin significantly

Your neck looks good in the Photo. I would need to examine you to determine whether Liposuction would be of benefit. In my experience over many years Thermage and other external skin tightening machines produce very disappointing results. Most patients have to be shown a before and after photo to see results. Be sure to consult a Board Certified Plastic Surgeon who in fact is able to do Liposuction. Avoid the "If your only tool is a hammer (Thermage Machine) the whole world... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Candidate for chin lipo

Absolutely, using fine touch cannulas and perhaps plication of the platysma muscle. Dr. Malouf

Peter Malouf, DO
Dallas Dermatologist

mytotalskincare.com

Chin liposuction vs. Themage--Here's a better option!

From your photograph, you have very youthful features, and require absolute finesse in any surgical procedure to avoid dimples, irregularities, or ridges that would be devastating to your appearance. Thermage, in my humble opinion, works so minimally that you will spend whatever you spend and then be dissatisfied. Even if it were "Free", I suspect that you would be underwhelmed with the result, and still feel "double-chinned!" Then you would be looking for a solution... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Am I a Better Candidate for Chin Liposuction or Thermage?

To answer your question directly, Smart Lipo 12 watts of the chin better treatment than THERMAGE. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Best Treatment for Double Chin

Yours is a complex problem that is more related to your anatomy than excess fat. Although you may get some improvement from Thermage or chin liposuction, your best option is to consider augmentation of the jaw. Why this is the case is a bit complicated for this forum, but find someone in LA that specializes in mandibular implants and they should be able to explain. You'll be much more satisfied in the end.