What's the best non invasive treatment for a double chin?

Hello and thank-you for sharing your question and photo.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

"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"

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.

While liposuction and platysmaplasty are the gold standard surgical procedures for your problem, there is now an FDA Approved non-surgical option called Kybella. This involves injecting a substance that melts the fat cells, improving contour. It typically involves a few sessions spaced a month apart. There is little to no downtime with each session.

Thank you for your question.We have had good experience with the Exilis Radiofrequency device but that doesn't mean that you are a good candidate for it.  Age, skin quality, amount of fat and expectations play a big role.  Sometimes, surgery is the best option.



To be sure what might be right for you, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.



I hope this helps.