For Just Fat Under the Chin - Lipo or Face Lift?

I have excess fat hanging beneath my chin and I want it removed. Is liposuction superior to a facelift for this purpose?

Doctor Answers 32

It depends on your anatomy

Submental liposuction (liposuction underneath the chin) is a great option if:

the primary problem with your neck is excess fat
your skin quality is very good
there are no other issues that need to be addressed (jowling, poor jawline definition, etc)

A necklift is a good option if:

you have too much loose skin in your neck
your jawline is poorly defined
the muscles of your neck need to be tightened or redraped

An experienced Board Certified Plastic Surgeon can help you with this decision once he has had a chance to examine you and get your ideas as to what your goals are. Pick one who is comfortable with all aspects of facial rejuvenation so that you can get an honest assessment of your options.

Good luck!

Dr. Salemy

Seattle Plastic Surgeon
5.0 out of 5 stars 124 reviews

It's all about the skin!

The choice between liposuction and a facelift (or cheek and neck lift) depends on the nature and quality of the skin in your neck and the laxity of the muscles. Basically, most people beyond their mid-40's don't have great elasticity anymore in their necks and would be better with open surgery which removes the fat, tightens the muscles, and removes the extra skin behind the ears.

Liposuction only will work well when your skin would shrink well (good elasticity) and when the muscles aren't lax. Go to a Board Certified Plastic Surgeon for an evalutation of which kind of procedure would work best for you. make sure you don't go to a dermatologist or "cosmetic doctor" because all they can offer you is liposuction and, of course, that's what they will say you need.

Neck/Face rejuvenation option

Thanks for sharing. In general current neck rejuvenation treatments include:
  1. Surgical Neck lift* with a lower facelift would be the gold standard and gets the best results in older patients
  2. Surgical Neck lift* would be the next best procedure
  3. Neck liposuction and/or laser lipolysis if only fat removal is required, typically in a younger patient. A platysmaplasty can be added for further muscle tightening
  4. Ultherapy is an FDA approved non invasive tightening using ultrasound technology
  5. Kybella is a new FDA approved injection that melts fat under the chin
  6. Botox to the platysma bands to decrease their show
*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles.

Talk to several board certified surgeons experienced in face and neck rejuvenation to discuss your options.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Fat under chin

Fat under the chin is handled in a case by case basis.  In some patients, the fat is more ammenable to liposuction (typically patients with less fibrous fat).  In other patients, direct excision of fat is a better option.  Fat can be located in different portions of the neck, and in some circumstances, removal of fat in deeper portions of the neck (called subplatysmal fat) can be beneficial in creating a more sculpted jawline.  

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 101 reviews

Neck contouring through liposuction or neck lift

Liposuction of the chin and neck can often produce spectacular results in individuals with localized fat deposits with youthful skin. This technique has the advantage of limited incisions, short operative time, and a quick recovery. Liposuction relies on youthful skin with good skin elasticity which snaps back after removal of the fat deposits. Post-operative compression is essential for a smooth appearance. Liposuction, unfortunately, does not correct deeper fat pockets, loose skin, jowls, or muscle bands. If the fat in your neck is "hanging" then skin laxity may be at issue. Loose skin is best corrected with a neck lift.  Neck lifts are combined with liposuction or sculpting of the fat, removal of jowls, and tightening of muscle and skin. I would recommend consulting with a Board-certified Plastic Surgeon. At the time of your consultation, you can discuss your concerns and after an examination, your surgeon can provide treatment options to meet your goals.

Best regards, Andrew Lyos, MD, FACS

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 38 reviews

Liposuction vs. Facelift

There are advantages of each procedure and impossible to recommend one vs. the other without an exam. Generally if you have good skin tone, then Liposuction alone may be a good option. But even in some patients with loose skin, a good result can be obtained with liposuction. But in most cases, a Facelift will give a better result. Best to discuss this with your surgeon after an exam.

Dean Fardo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

For fat under chin and tight skin, go with liposuction.


It depends on your anatomy, which is related to age.  In general, if you are 50 years old or less, liposuction of the chin and neck may solve your problem, and is much less surgery.

If you are over 50, you may have too much loose skin and need a facelift, or at least a neck lift.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Neck liposuction vs facelift for submental fat and excess skin

This is a very tough question. One has to examine the laxity and elasticity of the neck skin and how much excess fat that is present. A neck lift/ facelift almost always leads to a great improvement for the neck. Liposuction requires minimal to moderate excess skin to the neck and good elasticity to obtain a good result.

Richard Greco, MD
Savannah Plastic Surgeon
5.0 out of 5 stars 17 reviews

Speak with a Surgeon in Regards to what's Best for You

It’s not unusual for patients to have concerns about the aesthetic appearance of their chin, jawline and neck.  These concerns are usually related to skin laxity, neck fat, muscle abnormalities and deficiencies of the underlying bones.  The type of procedure performed to correct these problems is entirely dependent upon the anatomic cause of the condition.

Without pictures or a physical exam it’s impossible to know with certainty which option is best for you.  Your history suggests that your problem is related to excess fat in your neck.  Under these circumstances, liposuction of the neck is probably your best treatment option.  This procedure can significantly improve neck and jawline contour and is associated with high satisfaction rates.  Since your skin is probably tight, a facelift wouldn’t add to your final result and might increase the potential for complications.  For these reasons neck liposuction is probably your best treatment option.

If you’re considering this procedure it’s important to consult a board certified plastic surgeon. This surgeon should be able to formulate an appropriate treatment plan.

double chin and excess fat removal in the neck

 If there is excess fat hanging in the neck beneath the chin and neck lift would need to be performed on patient's less than 50 years of age or a face/ neck lift on patient's over 50 years of age due  to the skin tone issue and an elastic skin. The neck lift involves removal of fat above and below the platysma muscle and a platysma-plasty to defined jawline. For many examples, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 72 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.