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.

There are several options depending upon the cause of your double chin. It is possible that just liposuction in that area can help or you may need the muscles under the chin tightened as well. Secondly, it is possible that a chin implant may be needed to better define your jaw line. I am unaware of any non-surgical options. Even a laser assisted neck liposuction is a surgical procedure. Good luck in your area.

The  double chin in the neck can be composed of excess skin, fat, and loose muscles in the neck. Without pictures, it's impossible to differentiate what  the presenting problem is. If  patients are in a younger age bracket,  then removal of excess fat  in the neck would be performed by a neck lift. Fatty deposits are located in 2 locations in the neck, above and below the platysma muscle. When removing the subplatysmal fat in the neck,  a platysma-plasty must also be performed at the same time to rejuvenate the neck area and tighten the neck muscles..  If there is loose skin, a lower face and neck lift is required. For many examples, please see the link below to our neck  lift photo Gallery

In my experience, there is no really effective non surgical treatment for moderate to severe double chin.  Lipo, chin implant and sometimes skin reduction are time tested natural and long lasting treatments.Joe Niamtu, III DMDCosmetic Facial SurgeryRichmond, Virginia

It depends on many factors: patient age, weight, skin texture and laxity and results desired.  See a board certified surgeon for a consult.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

In my opinion there are no good non invasive ways to remove a double chin. In my experience the best way to remove a double chin (if it is fat) is with submental liposuction which is minimally invasive. It is a simple procedure with a very high level of satisfaction by the patients. If the double chin is due to excess skin and no fat then a neck lift needs to be done. Photographs would be helpful to possibly determine the problem at hand. Best regards, Michael V. Elam, M.D.