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.

In many cases, a “double chin” comes from extra fat that has accumulated over the years. If you are in a position where you should or want to lose weight, this will probably improve the area under your chin as well. Reaching your goal weight should be your first course of action, and looking forward to an appearance you feel confident in can be a great motivator.
Keep in mind, though, that when you lose weight, you can’t decide whether the fat will be lost from your “double chin,” your abdomen, your arms, etc. For this reason, I often see patients who have reached their goal weight but found that they still had some unwanted fat in an area or two. If this turns out to be the case, you should visit a board-certified plastic surgeon for a consultation. Depending on your skin’s firmness, you may just need liposuction. Or, if your skin is looser, the surgeon could recommend a lower face lift. But regardless, first make sure you’ve reached a stable weight where you want to stay in the long-term. Your appearance and your surgical results will change with weight loss, so complete that part of your journey before seeing a plastic surgeon.

If you are 40 lbs overweight, it is always better to lose the weight and see what happens to your double chin. More than likely it will go away.

If you are 40 pounds overweight, the odds are high that your double chin will disappear. Did you have a double chin 40 pounds ago? Save the money. Lose the weight and then it is possible that you may need some sort of mini lift after to deal with some stretched skin. But right now your health is more important. Drop the 40 pounds and you will feel much better about the way you look and feel.