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Best Procedure for Double Chin?

I have double chin. What procedure would be best? I am considering a procedure.

Doctor Answers 13

Double Chin Procedure

Liposuction is a great less-invasive alternative to neck lifts.
Consult with your surgeon to see if this is best for the results you
wish to achieve.

 

"Dr.D"


Fayetteville Facial Plastic Surgeon
4.5 out of 5 stars 63 reviews

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Chin surgery & liposuction are often effective for the dreaded double chin

A double chin occurs when your jaw (mandible) is relatively weak compared to the amount of soft tissue under your neck.  And a double chin never looks good, you won't see many leading male or female actors with double chins.

Depending on the severity of your problem you may benefit from surgical or non-surgical chin augmentation, to strengthen you jawline.  If you have a chin implant surgery, the same incision may be used to remove any extra fat under the neck.  In severe cases, loose skin may need to be tightened.  This requires a neck lift procedure. Strengthening the jawline is often more important in reducing a double chin that removing fat under the neck.  

In summary, double chins can be best treated by making your jaw stronger and/or removing and extra fat or hanging skin.

Feel free to click on the link below to review before and after photos of my patients who have received a Chin Augmentation with Liposuction.

David Mabrie, MD
Bay Area Facial Plastic Surgeon
4.5 out of 5 stars 62 reviews

Double Chin

There are 4 components that should be looked at: 1. Is the bone structure adequate? An under projecting chin can lead to a 'double chin' appearance that presents at a young age and gets progressively worse with aging and tissue laxity. 2. Is there excess fatty tissue? In the young patient with good skin elasticity and adequate bone support, liposuction alone may help significantly. 3. Is there platysma laxity? The two sheets of muscle that support the neck can apart from each other under the chin, and loose, and be a significant component of double chin or submental fullness. 4. Is skin laxity a primary problem? This is common in older patients and may require lifting to correct. 
One or more of the following procedures may be required to correct the double chin, and, it varies patient to patient depending on the state of the aforementioned areas: liposuction; chin augmentation - I prefer genioplasty in this situation because it tightens the muscles under the chin in addition to improving bony support; platysmaplasty - tightening the platysma muscles through a submittal incision; lower face and neck lift.

P. Craig Hobar, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 19 reviews

Best procedure for double chin

 It is very difficult to give an opinion based without any pictures.  When patients have a recessive chin, a Silastic chin implant is inserted through a sub mental approach under local anesthesia.
A double chin is usually caused by fatty deposits in the neck. There are 2 locations of fatty deposits in the neck, and these are sub-mental  and sub-platysmal fat deposits. Sub-mental fat can be removed with simple liposuction, while sub-platysmal fat must be removed surgically and then a platysma-plasty is required. This is called in neck lift.
For many examples of neck lifts and chin implants for double chin improvement, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Best Procedure for Double Chin

Different procedures could be recommended, liposuction, liposuction in combination with Thermage, neck lift with tightening of the muscle underneath the chin

Jhonny Salomon, MD
Miami Plastic Surgeon
4.5 out of 5 stars 39 reviews

Neck liposuction for double chin

Liposuction is usually an amazing, less-invasive alternative to conventional neck lifting. I would advise a consultation for liposuction with or without laser to tighten the neck and jawline.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 58 reviews

Getting rid of a double chin

There are a variety of ways to treat a double chin. A consultation with a board-certified plastic surgeon will allow you to receive individualized recommendations based on your specific anatomy. To me, the best procedure to get rid of a double chin is a neck lift that usually involves tightening the skin and muscles and removing some of the fatty tissue in the area with liposuction. This procedure may or may not be combined with a facelift to give nice all-round improvement. again, a consultation with a plastic surgeon will help you determine what will give you the best result.

Deason Dunagan, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 6 reviews

Treatment for a double chin

A saggy, fatty "gobble neck" can add more years to a face than a whole head of gray hair. The neck lift is an easy way to reduce jowls, eliminate a double chin, slim the bands of muscle that form the wattle, and tighten neck skin. Typically, a sugeon will also decide to perform a lipectomy, suctioning out fat in order to resculpt the area. She or he may also insert a chin implant to create even more definition. A lipectomy is performed through an incision less than a centimeter long under the chin and a 2 mm incision in the crease of the earlobe. A cannula is then inserted and fat is liposuctioned out in order to resculpt the neckline. If a neck lift is also being performed, excess skin will be removed. This can be done under twilight sedation with local anesthesia, instead of general anesthesia.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.5 out of 5 stars 8 reviews

Treatment options for a double chin

Liposuction, neck lifts, and facelifts are the three basic ways to treat a double chin. Sometimes a chin implant is also a possibility. The choice depends on your skin elasticity which is usually closely related to your age. If your skin will shrink, a liposuction or neck lift procedure can be done but if your skin is lax, you need it removed as in a facelift.

Double Chin - treatment depends on age

The treatment for a double chin often depends on your age (as the elastic properties of skin are age related). Here are some of the typical options. As you get older or have poor skin quality, you move down the list:

  • Neck liposuction - if your double chin is strictly related to a fatty neck and your skin is elastic, just removing the fat can fix the problem
  • Neck lipo with chin implant - the chin implant is only indicated if you have a "weak" chin. If you happen to have a weak chin and add the implant, the increased projection of your jaw will "take up some slack" neck skin, and this can overcome skin with mildly poor elastic properties
  • Neck Lift - addresses the neck by removing fat, creating a tight muscular sling under your jaw that re-establishes a sharp jawline, and can remove some skin.
  • Direct Excision (T-Z plasty) - not often performed. It is best suited for older men with very poor skin quality, significant excess, and strong aversion to facelift type of scars around the ear. It gives a fairly drastic result, but has the problem of a midline scar.

I hope that helps!

Dr.B

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.