Lose Weight or Mini Lift for Double Chin?

Double chins can really be improved with liposuction under local anesthesia and you are back to work in only 1-2 days for only $2500 on special. It can really be that great motivator to working out and dieting more when you look better right away and have more self confidence. Sincerely,

David Hansen,MD

Thank you for your question. Reaching your goal will likely improve the appearance of the double chin you’re referring to. If it is still a concern at that point and you aren’t a surgical candidate, you can consider Kybella injections. This treatment option uses deoxycholic acid to dissolve fat cells under the chin to create a more contoured jawline. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your concerns with you and help you decide on the best course of action.

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

As mentioned you should be in optimal health, to the best of your ability, prior to undergoing elective surgery.
Furthermore, if you have the procedure performed now and lose the weight, it could effect the results of your procedure. When you lose weight, you lose fat but you also rely on the skin to contract. It is difficult to estimate your skin elasticity but at 43 it should be relatively good.
If your skin has poor elasticity, weight loss could produce loose skin which may be unacceptable

Of course it is best to be as healthy as possible. If that means losing excess weight, then that is recommended before surgery. If after weight loss the submental area is still not ideal, liposuction possibly with muscle tightening can give fantastic results. If loose skin is also present, patients may achieve their best result with a facelift as well.
Our version of neck tightening is the Neck-Lace (TM), an interlacing technique for the neck that anchors the platysma muscle more broadly than a conventional corset platysmaplasty.