Would chin lipo work for me or would it leave me hanging skin? I am trying to decide between Kybella or chin lipo.

Hello and thank-you for sharing your question and photos.


Liposuction and Renuvion Powered by JPlasma  (cold plasma energy to tighten skin) of the chin and neck produces consistently great results for appropriate candidates. This procedure can be combined with a submentalplasty  for further definition of the neck to avoid the scars of a surgical neck lift. I think this would be a great option for you.


I would  suggest an in person consultation  with a board certified plastic surgeon well-versed in all aspects of facial rejuvenation in your area to learn about your options..
Best, Andrew Lyos MD FACS

The best option would be a combination of chin (neck) liposuction combined with thermitight. RegardsDr. J

At 39 your skin should respond nicely and tighten up with both options really.  From your photos it appears you would likely need a few treatments of kybella vs. the one liposuction treatment. It really is a patient to patient decision but I get better results with a combination of liposuction with fillers.  A bit of filler in the chin and angle of the jaw along with liposuction really can make a big difference.Hope this helps,Best of luck,DrC

Both Kybella or neck liposuction are good options and will improve the double chin. It depends on your lifestyle and personality which would be better for you. 
Kybella is best for patients that:
1)  Do not want surgery 
2)  Are not surgical candidates 
3)  Not willing to wear a compression dressing around the face for 1 week 
4)  Patient-  The results of Kybella will take months
Kybella take 1-3 treatments every 6 weeks.  Patient will develop swelling and possible bruising after each injection that may last a few days.  The benefit of Kybella is each treatment is quick and completed in the office. However, some patients need more than one treatment to get desired results. 
Neck Liposuction is best for patients that:
1)  Want a single treatment 
2)  One recovery time-  Downtime for neck liposuction require wearing a wrap around face for 1 week. 3)  Less painful 
4)  Quicker results 
5)  Cost is a concern
Neck liposuction is a quick surgical procedure that can be complete while the patient is awake.  It cost around the same price a Kybella and can be less in patients with heavier necks.  The single recovery of neck liposuction may be a better option for some patients.

Hello Twoboystwogirls,
It’s a pleasure to answer your questions! I would recommend you getting a NeckTite procedure, to eliminate the excess fat (double chin) and tighten the sagging skin around your neck, and achieve long-lasting and natural-looking results. NeckTite is a minimally-invasive, advanced contouring device, FDA-approved and readily available nowadays. With NeckTite, patients who would prefer to avoid surgery and general anesthesia, can remove excess neck fat without leaving behind saggy, wrinkly skin. Recovery time required for this procedure is remarkably short (24-48 hours), and also pain-free, relative to traditional lipolysis methods. NeckTite is a leading-edge contouring solution that helps patients achieve results similar to a necklift without excisional surgery. This scalpel-free, and scarless skin treatment is typically performed in the office, under local anesthesia. Using radio-frequency (RF) technology, the surgeon places a small probe beneath the skin that heats the tissues causing them to contract and tighten. Request an in-person consultation with an experienced plastic surgeon to assess your candidacy for NeckTite and discuss your specific needs and cosmetic goals. Best regards! Dr. De La Cruz.

  At age 39, the skin tone should be acceptable to undergo liposuction of the neck.  A physical examination of the skin tone in the neck would make that determination.  It is important to understand the liposuction will only remove the fatty deposits above the platysma muscle.  The photographs demonstrate fatty deposits underneath the platysma muscle as well.  Surgery is required to remove that component of fat which can be rather significant.  A platysma plasty is also required.    For many examples, please see the link and the video below

 Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (lip implants, cheek implants, chin implants), liposuction and/or facelifts for over 30 years.  From the photos, your chin itself is very weak, there is evidence of "jowls" in the lower face, excess skin and a modest amount of excess fat under the chin.  Despite your age, the presence of excess skin under the chin and in the lower face (jowls) isn't a good indication of how well the skin will shrink down after fat is removed from under the skin.  Although, liposuction remains the "gold" standard in reducing unwanted fat and would be expected to be quicker (one procedure about 10 minutes long), more effective with more reliable results versus fat dissolving or topical skin treatments....no method of fat reduction alone will provide a meaningful aesthetic result when excess loose skin is present, especially when the chin itself is weak. When reducing fat in an area of loose skin, some form of skin removal would be indicated.  Fat removal and skin removal can be accomplished using a small, curved incision under the chin.  Even in that scenario, there's no mechanism to add the forward chin projection that's required to correct the "weak" chin.  This would require placement of a silastic chin implant through the same incision under the chin as described below.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess fat and skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.   I have performed facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  From the photos your cheeks are flat in the front, there is some excess fat in front of the cheeks, jowls are present and the chin is weak.  These factors combine to create a rectangular shaped face. 
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  When the cheeks are flat or concave in the front, cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
proper SMAS Imbrication technique
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.