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Non-Invasive Procedure to Remove Double Chin

I would like to get rid of my "double chin" but I absolutely cannot have time off from work and showing up there wearing pressure bandage after liposuction is simply impossible.

Are there any options that will allow me to improve the contour under my chin? I am 38, normal weight.

Doctor Answers 15

Non-Invasive Procedure to Remove Double Chin

Both previous expert posters on correct. More "bang for your buck" with some type of liposuction. I prefer Smart Lipo under local anesthesia. All the other "non invasive" therapies are very limited and unpredictable. 

Kybella Might Be What You Are Looking For

Hi Julia,
The FDA just approved an injectable treatment to get rid of neck fat called Kybella. I just got back from the annual meeting of the American Society for Aesthetic Plastic surgeons in Montreal and had a chance to talk to the manufacturer. It looks like it will be this fall when it's available. Here's what I learned.

David B. Reath, MD
Knoxville Plastic Surgeon
5.0 out of 5 stars 96 reviews

Treatment for double chin

From your photos, I believe you would be a good candidate for a limited liposuction of the chin/neck.  To help the skin shrink or retract ultrasound or laser assisted liposuction could also be added.  This procedure could be performed under local anesthesia with sedation.  If performed on a Friday, you could remove the compression bandage by Monday, so that you would be presentable, when you returned to work.   You could then wear the compression bandage only at night. 

Vincent D. Lepore, MD
San Jose Plastic Surgeon
5.0 out of 5 stars 26 reviews

Weekend Necklift is a good option for you

In my opinion, the BEST option for you is a Weekend Necklift.

Weekend Necklift is an ideal procedure for the area under the chin and neck, including 'double chin'.

The laser assisted 'weekend' necklift represents the evolution of sophisticated facial plastic surgery techniques.  These techniques are uniquely combined to achieve improvement in the contour of the chin and neck with minimal incisions and rapid recovery.

To achieve a weekend necklift:

  1. I use cervicofacial liposculpture to contour the unfavorable fatty changes seen in the face and neck as time passes by, such as the 'Turkey neck' and 'double chin'.
  2. Next I pay careful attention to tightening the neck muscles and eliminating neck bands.
  3. Lastly, I employ laser technology to 'resurface' the underside of the neck skin, thereby 'shrinkwrapping' the skin of the neck restoring a youthful contour.

After a short recovery of a few days, the patient can return to normal activity and the only evidence that the procedure has been performed is a dramatically improved appearance and a one-inch incision hidden in the natural fold under the chin. It is generally recommended that patients "take it easy" for a week after the procedure. Many patients say they feel nearly normal that afternoon, however, by the next morning they experience some discomfort.  This procedure is ideal to have done on a Thursday as most patients can easily return to work the following Monday.


Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.5 out of 5 stars 51 reviews

Double chin

Tumescent liposuction is your best option. The bandage is worn 48-72 hours , continuously. After that it is worn evenings only for 2 weeks. Usually , procedure is done on friday, so that by Monday, u can go back to work. It is an in-office procedure, under local anesthesia.

Khaled El-Hoshy, MD
Detroit Dermatologic Surgeon

Limited Neck Liposuction For Small Double Chin Has A Quick Recovery

As you have corrently surmised, liposuction is the most effective treatment for a 'fat only' double chin that you have. Non-surgical options are a possibility, such as ultrasound and other heat-generating devices, but their effectiveness is limited and results can be spotty. I have found Lipodissolve injections to be effective but they cause tremendous swelling (double the neck size) for a week after and are worse in social appearance than any liposuction result. My recommendation is have liposuction done on a friday and just don't wear a neck strap to work on monday After 48 hours most of my patients don't wear them anyway. I think you may be chasing some very inferior treatments when the traditional fat removal method would work just fine and not be as socially limiting as you might think.

Kybella for Neck Contouring

While liposuction with platysmaplasty is the gold surgical standard, there is now an FDA approved non-surgical option for sub mental  fat called Kybella. It consists of one to two sessions spaced one month apart. There is little to no downtime with this treatment, and early studiues showed good patient satisfaction. 

Greg Chernoff, MD
Indianapolis Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

Surgical Intervention is Best to Remove Chin Fat

A variety of non-invasive procedures exist to address double chin deformities.  Unfortunately these procedures have significant limitations for managing neck fat.  In patients with tight skin and fat accumulation within the neck, liposuction is the gold standard.  Unfortunately this procedure is often accompanied by swelling and bruising in the post-operative period.

In some cases, liposuction could be performed on a Friday and patients might be able to return to work on a Monday. It might be possible to discontinue the pressure dressing as well. Even with these maneuvers patients might have noticeable bruising and swelling which might be hard to disguise.

For these reasons consultation with a board certified plastic surgeon is appropriate.  This surgeon can determine what procedure is best for you and whether it’s feasible within your time constraints.

Non-invasive way to remove the double chin

 In the male chin, there are fatty deposits located above and below the platysma muscle. Both of these must be removed in order to obtain a better jawline. Once the subplatysmal fat has been removed, a platysma plasty will be required. In our practice we used drains in the neck for 2-3 days after the procedure and not pressure bandages. Most patients still take at least week or 2 off from work and social activities. Noninvasive procedures simply cannot remove the subplatysmal fat and tighten the Platysma muscle. For many examples, please see the link below to our neck lift photo gallery for double chin improvement.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

No pain, no bandage, no time off.....may not be realistic

Limited lipo may help. I understand your need to not want surgey, not have time off and not wear bandages. Your desires is the holy graile for every cosmetic complaint and the science has not gotten us there yet.  Visit with a plastic surgeon to see if your expectation are realistic before committing to spending thousands of dollars for treatemt that gives you nothing (or very little).  

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.