Double Chin Even Though I'm Very Slim?

I have a double chin it's not terrible but bothers me on pics of me from the side. I am 25 and a slim size 6-8 so I know it's not from being over weight. I think it's probably genetic as my mum has the same thing. What is the best treatment options for this

Doctor Answers 20

Chin Liposuction

Look at the attachment for a photo of a young person with limited liposuction of the chin. Sometimes, a a small change can make a big (but natural looking) difference.
Some individuals have 'sagging' necks primarily due to fat accumulation below the jawbone (mandible). In some cases, liposuction alone can significantly improve the neck appearance. Liposuction is also frequently combined with surgical neck rejuvenation, and in selected cases some direct excision of fat (through a hidden incision below the chin) is performed. The reduction of fat in the area below the jawline and in the anterior neck almost always makes the neck appear longer, and makes the patient's profile appear more elegant or refined.
There is also a significant population of patients who have excess fat and mildly loose skin. With these patients, we always include laser skin tightening and skin rejuvenation of some kind. This will help with both minimal laxity and skin texture.
Liposuction is the most commonly performed cosmetic surgical procedure in the US. Often, it is performed by physicians who are not board-certified plastic surgeons, many of whom have absolutely no surgical training.  Safety considerations are important for all surgeries. Be sure that the physician you select to perform this procedure has hospital privileges, and has the ability to admit you to a hospital in the event of a complication. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 113 reviews

Multiple Options For Correcting a Double Chin

Hello and thank-you for sharing your question.

Correction of a double chin can be achieved either though a surgical or non-invasive approaches. Liposuction of the chin and neck produces consistently good results for appropriate candidates. We are very excited with the development of several non-invasive techniques for correction of a double chin. We offer the Cool mini as a non-surgical alternative to liposuction for the right candidate. Generally, two treatments are required separated by 4-6 weeks.  We also offer Kybella which is another non-surgical alternative to liposuction. Generally 3-6 treatments are needed separated by 4-6 weeks.  If there is mild to moderate skin laxity, combining the treatment with Ultherapy is an excellent option. 

I would visit with a board certified plastic surgeon in your area to learn about your options..

Best regards,

Andrew Lyos MD, FACS

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 54 reviews

Treating Double Chin Fat

KYBELLA® is used to improve the appearance and profile of moderate to severe fat below the chin --often referred to as a “double chin .  Regardless of weight and body size, 1, 2 or 3 treatments might be needed 4-6 weeks apart depending on individual needs.  

#Kybellainjections   #doublechinfat   #fatinjections

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Double Chin Treatments with KYBELLA

Kybella is an exciting new FDA- approved treatment for submental fullness, or double chin. Kybella (Deoxycholic Acid) is injected into the fat pad under the chin for permanent results.  Often 2 or 3 treatments are needed to completely contour the chin and remove the unwanted fat.   A skillfully trained provider can determine if you are a candidate for Kybella vs other surgical neck procedures.
The procedure is safe and effects are evident even after one treatment!

#Kybellatreatments    #doublechin  #fatreductiontreatments

There are many ways to contour the chin

There are a variety of ways to contour the chin and reduce an unwanted double chin. Chin liposuction can provide dramatic results after just one session, and for years has been the best method available to reduce a double chin. However, the past year has seen non-surgical options become FDA approved, and many people are taking advantage of the lesser downtime required with these procedures. Kybella is an injectable treatment which uses deoxycholic acid to “melt” submental fat under the chin, while CoolMini is an innovative new applicator from CoolSculpting that can “freeze” the fat. ThermiTight is another option, which uses radio frequency technology to reduce chin fat. These treatments may require multiple sessions for best results, but they are not surgical and do not require downtime. I recommend visiting a board-certified dermatologist who can assess your chin and recommend the best treatment option for you.

William Groff, DO
San Diego Dermatologist
4.8 out of 5 stars 39 reviews

Double chin options

Thank you for your question.
If you are looking soley for a non-surgical solution, I am finding that the combination of Kybella or Coolsculpting Mini to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.
Kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.
The Coolsculpting mini procedure cools the fatty tissue under the submental area and also reduces the fatty tissue under the chin.

As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

Surgical options are also very rewarding and include liposuction or neck lift.  I would recommend visiting with a board certified plastic surgeon in your area to help you discuss your options in more detail.

Neck treatments reviewed

Thanks for sharing. In general current neck rejuvenation treatments include:
  1. Surgical Neck lift* with a lower facelift would be the gold standard and gets the best results
  2. Surgical Neck lift* would be the next best procedure
  3. Neck liposuction and/or laser lipolysis if only fat removal is required, typically in a younger patient. A platysmaplasty can be added for further muscle tightening
  4. Ultherapy is an FDA approved non invasive tightening using ultrasound technology
  5. Kybella is a new FDA approved injection that melts fat under the chin
  6. Botox to the platysma bands to decrease their show
*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles.

At your age you likely only need minor treatment such as liposuction / laser lipolysis. Talk to several board certified surgeons experienced in face and neck rejuvenation to discuss your options.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 71 reviews

Double Chin Treatments

Hi Jo0309,

Thank you for submitting your question. I would love to see a photograph or two to address your unique anatomy. You’re right, genetics can play a bigger role in a double chin than age or weight. I see many patients in their 20s with similar concerns in my San Francisco office. The great news is there are several options to help you look your best.

A non-surgical chin augmentation can add projection to the chin/jawline minimizing the appearance of a double-chin. By carefully placing dermal filler (like Juvederm Voluma) to the chin and jawline, the area underneath the chin is smoother. This treatment is performed in-office in about 20 minutes. The results are immediate and there is little-to-no downtime. I like to see patients back in about two weeks from their initial treatment to assess their progress and see if we can finesse their results. Patients often choose this treatment based on the recovery time over traditional surgical methods. The results are natural and predictable. I like to use Juvederm Voluma for non-surgical chin augmentation because it’s consistency adds volume and structure. Since it’s a Hyaluronic Acid, the substance is reversible, offering you ultimate control over your treatment results.

Liposuction to the area can also be beneficial. This can also be combined with non-surgical chin augmentation.

Lastly, a chin implant with or without liposuction can also be helpful. This procedure would be performed under general anesthesia in a hospital setting.

The best way to determine what would work best for you is by scheduling an in-person consultation with a board-certified facial plastic surgeon.  

David C. Mabrie, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 76 reviews

Double Chin From Fat Accumulation Around the Neck

                  Double chin deformities commonly result from fat accumulation in the neck. In many cases, this fat accumulation is related to weight gain, while in other cases it may be related to inherited genetic tendencies. This fat typically doesn’t respond to diet and exercise and for this reason liposuction is the treatment of choice in most cases.

                  Tumescent liposuction of the neck is a relatively simple procedure that involves infusing tumescent fluid into the subcutaneous tissue of the neck. This fluid has epinephrine which minimizes bleeding and lidocaine which is a local anesthetic. A cannula which is attached to suction is then passed through the tissue removing fat and sculpting the area. After surgery, patients wear a compressive chin strap for several weeks.

                  The procedure results in significant contour improvement and is associated with high satisfaction rates. If you’re considering neck liposuction, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that’s appropriate for your problem. 

Slim person and double chin

It is likely genetic and at your age liposuction may be a reasonable option. Check with a plastic surgeon in your area.

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.