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 9

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!

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!

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
4.0 out of 5 stars 2 reviews

Kybella is the best option for double chin

Submental fullness due to submental fat, sometimes referred to as ”double chin,” is a common, yet undertreated facial aesthetic condition. It can detract from an otherwise balanced and harmonious facial appearance – leading to an older and heavier look.

Kybella injection, also known as ATX-101, is the first and only FDA-approved injectable drug that contours and improves the appearance of submental fullness due to submental fat. Kybella is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults. The safe and effective use of Kybella for the treatment of subcutaneous fat outside the submental region has not been established and isnot recommended.


Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.5 out of 5 stars 75 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.

Treatment for double chin with ATX 101

Soon, the FDA will clear a chemical for clearance of double chins - ATX 101

Ultherapy has advantages as it uses imaging to deliver targeted high intensity 'focused' ultrasound.

The results of skin tightening will be most apparent at 6 months.

We have performed hundreds of Ultherapy procedures in our Williamsville, NY office.

Read our Ultherapy book on the link below.

Ulthera is effective but liposuction is even more effective!

zeltiq or coolsculpting cannot be used on the neck.  Ulthera and thermage canboth be used but I favor Ulthera.  liposuction under the chin is still the most effective procedure.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 34 reviews

Ultherapy and SmartLipo for Double Chin / Turkey Neck

There is no handpiece available with either Zeltiq (Coolsculpt) or Liposonix to treat the neck area. The best combination would be Ultherapy first to kick start muscle and skin tightening followed by SmartLipo neck liposuction to finish off the excess fat pads and to maximize skin tightening and neck contouring.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Ultherapy and zeltiq coolsculpting

ultherapy may help but there is no applicator currently on the market from Zeltiq that would allow CoolSculpting on the neck area. It may be forthcoming, but I have not heard details from a reliable source as to the applications of the next applicator.

addendum, Sep 2015
We now have a CoolSculpting applicator just for the double chin of the neck fat ! It works very well. Some patients may need three applicators if their fat extends sideways markedly, while focal fat pads that are concentrated in the midline of the neck may only need one applicator.  Treatment may consist of only one treatment, but some patients may benefit by having a second treatment with CoolSculpting in two months. There is very little, if any, downtime with this procedure.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 38 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.