Best Procedure for Double Chin?

Thank you for your question. There are several options for contouring the double chin area.Non surgical options include: 1) Kybella to dissolve the fatty tissue in the submental area 2) Cool-mini treatment from Coolsculpting to target the same area 3)
Adding a skin tightening device such as Ulthera or Profound to the neck
tissue in conjunction with the one of the above to further tighten the
skin. Surgical options include: 1) Straight liposuction which would reduce the pinchable fat under the chin2)
Anterior neck lift with liposuction which would also allow for
tightening of the platysmal muscles in the midline to allow for tighter
neck contour3) Traditional neck lift which does the same as 2) but also removes some excess skin in the neck.I
would recommend that you visit with a board certified plastic surgeon
who offers the various options above to discuss the pros/cons of each
option and help you decide which is the best for you.

Options for a double chin are plentiful now.  They range from neck liposuction, coolsculpting, or kybella.  If you are over the age of 45, in general, you want to talk to your plastic surgeon about how you will address any skin laxity that could be present after fat reduction.  All of the modalities above offer mild skin tightening but it's not a necklift. 

 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

The best procedure for a double chin might be two procedures. Often a double chin appearance is created by a small chin as well as excessive fatty tissue in the immediate submental area (the area below the chin in the neck). The best treatment is to remove the excess fatty tissue in that area and strengthen the chin line which will give a better neck and jaw profile. If you are over the age of 45, sometimes a necklifting procedure may also be required for excess skin and sagging, but otherwise the other procedures are sufficient. If your chin line matches your lower lip on the side view, then it may be sufficient to just perform fat removal or liposuction just below the chin.

You should consult a board-certified facial plastic surgeon to discuss which surgical options would be best for you. Neck liposuction works well in younger patients with a strong chin. Sometimes a Chin Implant is needed to improve your appearance. And depending on your age, sometimes a formal neck-lift procedure is necessary.
I hope this is helpful, and best regards.

The chin is a complex area that requires evaluation of the bone (mandible), muscle, fat, and skin. Determining the proper procedure for your specifically requires an assesment of these anatomic structures. Ultimately, the best procedure may require management of one or all of these components to achieve the best result. Best of luck in your decision.

There are several ways to treat a double chin. Liposuction and neck lift procedures can give you excellent results. You would need to schedule a consultaion with a plastic surgeon to choose the best option for you.

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

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"

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.