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 23

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 118 reviews

Kybella can help

Kybella is an office injection that can dissolve fat in the double chin area.

It is FDA approved and works.

Keith Denkler, MD
Marin Plastic Surgeon
5.0 out of 5 stars 18 reviews

Skinny with a big Chin

This is all too common. The good news is you are the perfect candidate for treatment. In my hands below are the best options, though there are many!

Option 1 : liposuction/sculpting. This is done in clinic under local with maybe some medication to make you feel calm. 1-2wks of post op swelling and brusing. 

Pros: quick results, minimal down time. 

Cons: a procedure, small scar at lipo cannula site

Option 2: Kybella injection: done in clinic, no real acute downtime though patients often describe a very "full sensation" with a heavy neck for up to 2 wks.

Pros: done in clinic, minimal down time

Cons: multiple treatments often required, results takes a few months to expose themselves 

I always discuss fat transfer along with liposuction. It can help sculpt the surrounding areas. Not a must but a very nice adjunct.

Good luck.


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Double chin problem

   Thin people may have a double chin because they have a genetic ( hereditary ) tendency for this problem. This can be even if an individual eats sensibly. The problem can only be corrected by submental liposuction. This is a simple procedure that takes 15 minutes under local xylocaine anesthesia. It is important to wear a strap for a few months after suctioning to help support the area while healing. The number of fat cells is finite in this area so if you continue to eat properly the results are permanent.

Richard Galitz, MD, FACS
Miami Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews

Submental adiposis

It's true: double chin and under-chin fullness can be inherited from somebody in your family. The subcutaneous fat deposits under then chin (the submental region) are usually not very responsive to routine diet and exercise. Treatment of a double chin depends very much on the elasticity of your skin -- in younger patients such as yourself the skin retains excellent elasticity and will usually tighten up very nicely after a procedure. The two most common treatments for "submental adiposis" or double chins are submental liposuction or deoxycholic acid (Kybella) injections. 

Submental liposuction is a surgical procedure performed through a few small (less than 1cm) incisions. It takes around 30 minutes to complete, and the biggest side effects are bruising and swelling. The recovery period usually lasts from 7-10 days. 

Kybella injections are performed 6-8 weeks apart. Multiple small amounts of Kybella are injected into the submental region. Most patients report significant fullness and tenderness under their chin for 1-2 weeks after injection, and most patients will require between 2-4 treatments overall.

For people how have lost most of their skin elasticity, liposuction may need to be performed in conjunction with a neck lift to address the redundant skin laxity.

Daniel J. Liebertz, MD
Kirkland Facial Plastic Surgeon
5.0 out of 5 stars 2 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 58 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 109 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

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

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 46 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.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 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.