CoolSculpting and Ultherapy for Double Chin / Turkey Neck?

Would a Combination of Zeltiq and Ultherapy Be a Good Option for a Non-surgical Double Chin/turkey Wattle Reduction? Looking for the best nonsurgical combination of treatments for a turkey wattle/ non-defined jawline. 25 year old female that is 30 pounds over weight.

Doctor Answers 16

At age 25, please lose the extra 30 pounds before considering any cosmetic therapies

The treatments you have mentioned tend to be unimpressive in my opinion but they are expensive and painful.  If you have good skin, are young, and know you are 30 pounds overweight, the only reasonable thing to do is to lose the weight.  You might be surprised how much you like your neck!

Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

CoolSculpting and Ultherapy for Double Chin Combo Treatment!

Yes, a combination of CoolSculpting's new CoolMini and Ultherapy would work well together. Zeltiq's CoolMini works beautifully on the "double chin" area and freezing the fat away. Ultherapy is great for after treatment to treat any sagging skin that is left from the CoolMini procedure.

I love this as a combination treatment!

Anna M. Pare, MD
Atlanta Dermatologist
5.0 out of 5 stars 1 review

Zeltiq and the neck

There is no current handpiece for Zeltiq to be performed on the neck, so this is not an option.  Zeltiq is currently performed on the abdomen, back, love handles/muffin top.

Madeline Krauss, MD
Boston Dermatologic Surgeon
4.5 out of 5 stars 4 reviews

Double chin options

Thank you for your question. There are several options for contouring the double chin area.

Non surgical options include:
1) Kybella to dissolve the fatty tissue in the submental area
2) Cool-mini treatment from Coolsculpting to target the same area
3) Adding a skin tightening device such as Ulthera or Profound to the neck tissue in conjunction with the one of the above to further tighten the skin.

Surgical options include:
1) Straight liposuction which would reduce the pinchable fat under the chin
2) Anterior neck lift with liposuction which would also allow for tightening of the platysmal muscles in the midline to allow for tighter neck contour
3) Traditional neck lift which does the same as 2) but also removes some excess skin in the neck.

I would recommend that you visit with a board certified plastic surgeon who offers the various options above to discuss the pros/cons of each option and help you decide which is the best for you.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Following kybella or coolsculpting with Ulthera

We commonly recommend doing multiple noninvasive therapies to maximize results for one area and you've mentioned a frequent combination.  First we assess the best noninvasive fat reduction technique for you -- if your fat fits in the coolmini handpiece then we start with that (coolsculpting by zeltiq).  Coolmini usually requires two overlapping cycles the first visit but may need just one or up to three depending on the amount and spread of your fat.  The nice thing about coolmini is the lack of any downtime.  If you have a lot of fat, you may need a second round of treatment at 2 - 3 months.  If your double chin fat doesn't fit into the handpiece (ie its not enough) either at the start or after the first round of coolsculpting, Kybella injection is a good option.  Kybella also works well to reduce fat but be prepared for swelling for 1 to 4 weeks afterward (younger patients generally have 1 week).  

Both Coolsculpting and Kybella treatments tighten the skin as the fat is reabsorbed.  I usually recommend doing the tightening procedure after the fat reduction procedure results are seen because many patients will have sufficient skin tightening from that procedure alone.  If not, ulthera or thermage are great noninvasive options for tissue tightening.  If you don't get sufficient tightening from those at 6 months, they can be repeated or placement of a dissolving Silhouette Instalift suture may be considered.

You mention that you are 30 lbs overweight.  If you are in the process of losing weight, remember that you may well see more skin laxity (hanging turkey neck) despite these procedures.  You don't need to wait to get to your weight loss goal -- having these treatments now often helps people feel better about themselves and their diet and exercise program.  However, you may need additional tightening procedures as you lose additional weight.

Please start by having an evaluation with a board certified core cosmetic physician like a dermatologist.  Your physician will evaluate you including your medical history and anatomy and be able to give you a realistic expectation of achievable results.

I hope this answer was helpful. Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 11 reviews

Combining CoolSculpting and Ultherapy

Not many young individuals are astute enough to recognize that if you reduce fat in an area, you still have the skin to deal with.  Combining coolsculpting and ultherapy is a wonderful way of getting fat reduction and skin lifting nonsurgically.  This is a popular and common combination in our practice among young patients.  Talking to your plastic surgeon first about finding out if you're a candidate is the first step but at 25 you have enough elasticity to use both. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Combination treatments


Thank you for your question. CoolSculpting can help get rid of excess fat under the chin, and Ulthera can help tighten and contour the jaw line. The two are often used together. You do seem to be a good candidate, however it is best to consult with a physician in person to make sure that you get the best treatment. Good luck!

Janet Allenby, DO
Delray Beach Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Thermage and coolmini great combination for Double Chin/Turkey neck!

We have had great results with Thermage and coolmini to treat double chin. As Coolmini destroys the fat cells, thermage will tighten the skin. Please be evaluated by a board certified dermatologist to make sure you are a good candidate for the treatments. Best, Dr.Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Coolsculpting and Ulthera combo...

Thank you for your question.  Cool mini to destroy submental fat in combination with Ulthera to lift and tighten is an amazing treatment combination in the appropriate patient.  Please be evaluated by a board certified Dermatologist to see what options are best for you.  Regards, Dr. Matt Elias

Matthew Elias, DO, FAAD
Fort Lauderdale Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

CoolSculpting and Ultherapy is a good combination in the right candidate

While the combination of Ultherapy to treat sagging skin on the neck (turkey wattle) and CoolMini to treat submental fat under the chin (double chin) is generally a good combination, it might not be the best in your particular case. 25 years old is quite young to have sufficient loose skin to warrant an Ultherapy treatment. CoolMini could certainly be used to help reduce your double chin. I would recommend visiting a board-certified dermatologist for a consultation to see what options are best for you.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.