Which procedure works best to eliminate a double chin CoolSculpting or chin liposuction? (Photo)

Hi and thank you for your question! 
In this case, I would recommend you have in-person consultation for both surgical and non-surgical options. There is a component of skin laxity happening, so you may want to have that addressed, as well. The cool mini does work great for excess fat tissue under the chin, you may need 2-3 cycles per treatment plus and two treatment sessions. Liposuction/surgical interventions always yield more dramatic results in one shot, but there is more downtime and other factors to consider. 
Best of Luck! 
Jennifer Tinelli, NP-C 

I am a plastic surgeon so offer both procedures.  When you go for a consultation I would suggest seeing a board certified plastic surgeon who also does Coolmini.    You will get the most unbiased advice this way.  At 51, you can consider a neck lift with chin lipo and also tighted up the skin.  Another great option is Cool mini, eliminate the fat and shrink the skin with the cold therapy.  You may do the actual necklift down the road.    I think the biggest reward is always surgery, but with downtime.  The least risk would be Cool mini and is a great idea for a no downtime first step!