Can double chin be minimized with weight loss or would will I need surgery to target this? 200lbs, 6'1 (photos)

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Dear Bgt86,
it is hard to tell for sure without an examination. You will probably have some improvement after weight loss. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Weight loss can definitely improve the amount of fat in the neck. In a younger patient, this weight loss can lead to some skin retraction and less extra remaining skin. With this being said, all patients have extra skin in the neck to allow for freedom of movement. This means that any patient, even a young child who is very thin, can have the look of a double chin when putting her chin to the chest. And in person examination as well as a discussion with a board certified or board eligible plastic surgeon would be required to help set expectations about what a surgical procedure or weight loss could do.

A full set of facial and neck photographs in neutral position are required to make a determination about how best to proceed. It's also best to have your BMI less than 32 before undergoing any fat reduction surgery. From the limited photographs, it appears that you have fat deposits located above and below the platysma muscle in the neck. liposuction can only remove fat deposits above the platysma muscle, while a surgical neck lift with a platysma plasty is required to remove the fat deposits below the muscle.

To make an assessment we need quality pictures. To get an idea of how to take those pictures look at how plastic surgeons take facial before and after pictures. and basically mug shots showing the entire head from the front and the side looking straightforward without emotional expression. try having someone else take the pictures from about 6 feet away or use the timer on your camera.The great majority of individuals who complain of having a double chin or lack of jaw line definition Have Esther underlying ideology facial skeleton imbalance with a Mandible that is small or lacking in projection compared to their maxilla.
Age, and history of weight fluctuations which causes skin laxity and loss of skin elasticities can also contribute.
We need far better pictures to make an assessment if you want to get solid information by posting on real self.
Several different tissue layers can contribute to how the area looks but bone structure especially the relationship between the mandible and the maxilla are most important. other tissue variables that can contribute include skin, subcutaneous fat, the platysma muscle, salivary glands, subplatysmal fat etc.
For a quality assessment I suggest having a few in person consultations with local board-certified plastic surgeons.
Best,
Mats Hagstrom MD