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

Question

I'm a 51 yr old woman weighting 160 lbs at 5'6". I need to loss 20-25 lbs to be my optimum weight. A few years ago I started to develop a double chin. I'm considering having work done. I want to know which procedure has least risk and the most reward. Below I have attached two photos

Jason D. Bloom, MD, FACS · Answer

Thanks for asking your question about your double chin.  This is a frequent question that I get in the office.  The fact is that today, there are multiple different options for treatment of this area from completely non-invasive with no downtime (CoolMini handpiece) to injections with mild downtime (Kybella) to ways to heat the fat and tighten the skin with a needle opening in the skin (ThermiTight/FaceTite) to finally neck or chin liposuction.  There are also many factors that play into which modality you choose from how invasive you want to be, what is your “downtime tolerance”, will you have loose skin afterwards or do you need the skin tightened, and how quickly you want the fat gone (1 session vs. multiple sessions).   I suggest you come into the office for a consult where we can discuss all of these options and have an evaluation.  All the best!

Lee B. Daniel, MD · Answer

Both CoolSculpting and chin liposuction can achieve great results when trying to get rid of a double chin that isn’t responding to traditional weight loss methods like diet and exercise. But if you’re looking for a nonsurgical solution with minimal to no downtime, CoolSculpting would be the better fit. I would suggest scheduling a consultation with an experienced board-certified plastic surgeon to discuss your options in more detail. Good luck with whichever option you choose.

Marina Plastic Surgery of Los Angeles · Answer

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

Susan Buenaventura, MD, FACS · Answer

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!

Lillian Schapiro, MD · Answer

CoolSculpting works really well for the double chin.  It can also help define your jaw line. You will be surprised to see your jaw line again, in addition to losing the double chin.  We have found that for many clients that the best contouring result is obtained by using two applicators, one from each side.

Jean M. Casello, MD · Answer

This is a good question. It depends on if the patient would consider surgery or would only consider a non invasive or minimally invasive procedure. There also is  It also depends on if there is primarily fat, skin laxity or a combination of both.there also is a product that dissolves fat and has been FDA approved to treat this area (kybella) and non invasive skin tightening (lutronic infini, or exillis). All of these procedures have risks/benefits and pros and cons.  I would suggest that you consult with an experienced provider who could best advise you.

Vinay Aggarwal, MD · Answer

CoolSculpting and Liposuction are two different procedures. CoolSculpting is non-invasive with no down time or anesthesia, but it does take up to three months to see results and it does not eliminate 100% of the fat in the area. Liposuction is invasive, some anesthesia is used, there is down time...but results for this can be seen sooner. It's best to get in person consultations and go through all of your options.

Isaac Starker, MD · Answer

Thank you for posting your question and accompanying pictures.  An in-person evaluation would be best to give you an accurate and comprehensive answer, but based on your pictures some general information may be helpful for you.  There are multiple modalities available to treat the fat of a double chin.  These include Kybella injections, CoolSculpting, and liposuction, but the relationship between your neck fat and muscles needs to be assessed.  When the fat is diminished I am concerned that you may have loose skin and muscle; and this needs to be considered as you speak with a Board Certified Plastic Surgeon to explore your options.  Lastly, if you are likely to loose the 20-25 pounds that you mention, do it before you consider any surgical or non-surgical procedure.

Reza Momeni, MD, FACS · Answer

Both can be effective for the right candidate.  CS removes less fat than lipo, so often patients need to have it repeated a time or two.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

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

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