People do not have to be overweight to have excess fatty tissue underneath the chin, giving the appearance of a double chin. You are correct in assuming that this is sometimes related to genetics. There are both surgical and non-surgical options for treatment of double chin specifically due to excess fatty tissue. Submental (under the chin) liposuction is a great, quick, minimally-invasive surgical procedure that involves making a small, < 1 cm incision under the chin and using a liposuction device to remove this fatty tissue. This procedure can be done with local anesthesia alone, or sometimes with some medication taken by mouth to relax you, but does not typically require general anesthesia. You may have some swelling and/or bruising for the first week or two after the procedure, but downtime is minimal and results are immediate and permanent. One great non-surgical option is the injection of Kybella, which causes the fatty tissue to dissolve. This does not require any incisions, but most patients require 2-3 treatments spaced out at least 4-6 weeks between treatments, so it takes a little longer to see results. Some patients report mild swelling or tightness for a few days after injection, but otherwise there is essentially no down-time. Sometimes the appearance of a double chin may not be related to excess fatty tissue. I recommend seeking evaluation with a plastic surgeon with expertise in facial aesthetics who can determine the exact cause of your concerns and recommend the most appropriate treatment for you. Best wishes,