- Thank you for sharing your photos! While it is difficult to say without an in-person examination, you may benefit from neck liposuction and non-surgical options. "Double chin” is one of the most frustrating issues for patients, because it can be a stubborn area that doesn’t respond to exercise or diet. 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 surgeon will also decide to perform a lipectomy, suctioning out fat in order to re-sculpt the area and this can be done as an outpatient procedure under twilight sedation with local anesthesia, allowing patients to go home the same day. For people who don’t want surgery, CoolSculpting is another very effective option to help reduce fat in selective areas. The CoolSculpting fat-freezing procedure is the only FDA-cleared, non-surgical fat-reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise. Additionally, KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” Kybella is administered via injection, and 2 to 4 treatments are recommended over an 8-12 week period. It is effective for even a small amount of fat under the chin. I suggest you make an appointment with a board-certified plastic surgeon to discuss your options.