How to tell if chin lipo is right for me?

Question

Age 33 - I have a double chin I'm unhappy of. While I believe I may have a slightly recessed chin, jaw surgery is excessive, and a chin/implant or genioplasty would worsen my chin crease. What I dislike most is the little sagging pocket of fat (or skin?) directly under my chin, in addition to not having a jawline - unless I tilt my head up. Would chin/jaw/neck lipo benefit me? Or a neck lift or platysmaplasty? I'm aware individual anatomy affects outcomes. X-ray is attached.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Chin and neck liposuction can be a great option if your main concern is excess fat under the chin and along the jawline. However, its effectiveness depends on factors like skin elasticity, underlying bone structure, and the degree of sagging.

Here’s how to determine if chin lipo is right for you:
✔ Good Skin Elasticity – If your skin can retract well after fat removal, liposuction alone may be effective. If skin laxity is present, additional procedures may be needed.
✔ Isolated Fat Deposits – If the "double chin" is mainly due to excess fat rather than loose skin or a recessed chin, liposuction can provide noticeable improvement.
✔ Mild to Moderate Sagging – If you have significant skin laxity, a neck lift or platysmaplasty may be necessary to tighten the area after fat removal.

Since you mentioned concerns about a recessed chin but do not want an implant or genioplasty, subtle contouring with liposuction alone may help. However, for a more defined jawline, radiofrequency skin tightening (e.g., FaceTite, Morpheus8) or a neck lift might provide better long-term results if sagging is present.

A consultation with a plastic surgeon can provide a customized recommendation based on your anatomy and goals.

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs.

The concern you have described is most likely related to the volume of the digastric muscles beneath the chin. These can be reduced, and the procedure that typically addresses this—along with any additional deep fatty tissue in the submental region—is an anterior neck lift.

It is also worth noting that weight training can sometimes contribute to an increase in muscle volume under the chin due to the strain placed on the floor of the mouth and tongue during intense effort. An anterior neck lift is generally effective in addressing these concerns and achieving a more refined contour.

Eric M. Joseph, MD · Answer

Neck liposuction is a minimally invasive procedure that can improve the appearance of somebody's jawline, and also improve the appearance of a double chin. It's a bit unpredictable when there is little fat in the neck. We have performed procedures on patients who look similar to you, and have had mixed results. Please consider meeting with several reputable facial plastic surgeons so you could see what to expect. An examination would be helpful for determining your candidacy. Thank you for this question, and I hope it's helpful. Sincerely, Dr Joseph

Tanveer Janjua, MD · Answer

Chin Liposuction and Thermitight will be the best option 
Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
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Regards
Dr. J

How to tell if chin lipo is right for me?

Answers (6)

Answer: Neck liposuction may be considered, however, you may not have a lot of fat in your neck.

Answer: Neck liposuction may be considered, however, you may not have a lot of fat in your neck.

Answer: Neck fat and loose skin

Answer: Neck fat and loose skin

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Everything you need to know about Chin Liposuction

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How to tell if chin lipo is right for me?

Answers (6)

Answer: Neck liposuction may be considered, however, you may not have a lot of fat in your neck.

Answer: Neck liposuction may be considered, however, you may not have a lot of fat in your neck.

Answer: Neck fat and loose skin

Answer: Neck fat and loose skin

Browse related questions

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.