What are the alternatives to liposuction for a double chin? (photo)

Question

I am only 100 pounds and in my 20s and previously had a very strong jawline, but had my jaw shaved about 6 months ago. Although I am happy with my results, it has left me with a small (very small) double chin and it drives me crazy. I don't think the surgery left me with a weak chin because they moved my chin forward. I'm also not interested in a chin implant. Are there any alternatives? I have seen an injection used to melt fat after lipsuction causes lumps. Is there something of that sort?

Luke J. Curtsinger, MD · Answer

Kybella is very effective in dissolving the fat pad beneath the chin. There is also a small amount of skin tightening associated with this.ThermiTight is more effective at tightening skin.  There is a small amount of fat melting that occurs with this as well. Ulthera also tightens skin.  I use both, and I think that ThermiTight is a little more effective in the neck. Cool sculpt also has been used to melt the fat in the neck, however, I do not have any experience with this.

Ali Sajjadian, MD, FACS · Answer

Dear Ibf,Liposuction can help with correction of double chin.There are other alternatives including surgical procedures such as neck lift.Non-invasive techniques such as laser, filler and botox can help depending on the anatomy of the neck and quality of skin.Hope this was helpful.Dr Sajjadian

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Young R. Cho, MD, PhD · Answer

Thank you for your question.If you are looking soley for a non-surgical solution, I
 am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental 
fullness and an energy device to tighten the skin are among the best 
non-surgical combinations to help your neck concerns.Kybella is an 
injection procedure that dissolves the fat an may require between 2-4 
treatments spaced 4-6 weeks apart.  There is some swelling and bruising 
potential, with the greatest amount with the first treatment.The 
Coolsculpting mini procedure cools the fatty tissue under the submental 
area and also reduces the fatty tissue under the chin.As far 
as energy devices, I would recommend Ulthera if you are looking for 
something with no downtime, or Profound if you could tolerate some 
downtime.  Ulthera is an ultrasound based energy that heats the 
underlying tissue and stimulates collagen in response.  Profound is a 
radio frequency microneedling device that allows for the creation of 
Elastin, collagen and hyaluronic acid and hence restores some of the 
lost elasticity in the neck.  It has more visible downtime with the 
possibility of some swelling and bruising that diminishes in about a 
weeks time.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question.You may be a good candidate for Exilis. Exilis uses radio frequency to help melt stubborn fat pockets and help tighten the skin. To be sure what is best for you, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
treatment.

I hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy is an excellent non surgical option to tighten the neckline and contour the jaws.  Ultherapy does not involve liposuction or surgery. Best, Dr. Karamanoukian

Anita Patel, MD, FACS · Answer

Based on the limited photo, a good option for you may be Ultherapy to the lower face and submental area. Ultherapy is a nonsurgical treatment that uses ultrasound technology to tighten the tissue, and it is a great way to improve the jawline without surgery.

James Chan, MD · Answer

The FDA recently
issued a warning on ‘fat-melting’ injections stating that there is no proof that
the procedures work and serious side effects can occur.

The double
chin you describe, following your recent procedure, maybe due to excess skin
that has not contracted.   Depending on the inherent elasticity of your
skin, you may respond to non-surgical skin tightening/toning procedure. If this
is the case, you may be a candidate for a procedure like Ultherapy. Ultherapy
uses focused ultrasound technology to treat
the skin’s deep support structures.  Treatment can take
from 45 to 90 minutes, depending on the number of areas treated. This procedure gradually increases collagen in the skin to
create lifting and toning. There are no incisions and no downtime.

I recommend
that you consult with a board certified facial plastic surgeon to see which
non-surgical options may be available to you.

Camille Cash, MD · Answer

You may want to explore Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  Generally three treatment sessions are recommended spaced one month apart.  I have included a video I hope you find helpful.

Kouros Azar, MD · Answer

Kybella would be your best non-surgical option. It is an injectable that melts fat under the chin. It will probably take more than one treatment but it is extremely effective.

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