Double-chin on ONE Side of Face. What is my Best Option? (photo)

I would get that fullness evaluated by a head and neck surgeon to rule out a growth that needs removal.  I would not worry about electrical stimulation.

Evaluation sooner rather than later is the rule of the day for you!

Dr. ES

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Hello and thank-you for sharing your question.

I would recommend an in-person consultation with a Board Certified Plastic Surgeon or Facial Plastic Surgeon.  If clinically indicated, an MRI would be helpful to determine if this asymmetry is due to an enlarged sub-mandibular gland or if it is in fact a fatty deposit. Correction of a double chin due to excess subcutaneous fat can be treated either though a surgical or non-invasive approaches. Liposuction of the chin and neck produces consistently good results for appropriate candidates. 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. 

Best regards,

Kybella is an FDA- approved treatment for treating chin fat. Sagging skin and muscle atrophy would not be affected but Kybella can help contour the asymmetry when subcutaneous fat is evident. Often 2 or 3 treatments are needed to completely contour the chin and remove the unwanted fat. A skillfully trained provider can determine if you are a candidate for Kybella vs other surgical neck procedures.#Kybellainjections    #doublechin   #fattreatments

Kybella is an exciting new FDA- approved
treatment for submental fullness, or double chin. Kybella (Deoxycholic Acid) is
injected into the fat pad under the chin for permanent results. Often 2
or 3 treatments are needed to completely contour the chin and remove the
unwanted fat. A skillfully trained provider can determine if you are a candidate
for Kybella vs other surgical neck procedures.
The
procedure is safe and effects are evident even after one treatment!  if the asymmetrical side is subcutaneous fat, then Kybella can help to contour.

#Kybellatreatments
#doublechin #fatreductiontreatments

    If this is due to muscle laxity or gland descent, this can be improved with a neck lift type of procedure.  The MRI should have determined if there was a mass or increased size of salivary gland.  Liposuction will not help to any great degree.  Kenneth Hughes, MD Los Angeles, CA

The photo demonstrates asymmetric volume distribution in the neck. Nerve injury to the platysma causing this is unlikely. Enlargement of the sub mandibular gland and other possible causes should be ruled out before diagnosing a functional muscle problem.

Hello, I'm agree with the possibility of protruded salivary gland due to week neck muscles more than redundant fat. In case this is the real diagnosis, we can use the same submental approach as  in Face/Neck  Lift ,  for neck muscles tightening and prolapsed  salivary gland. Need to be done by experienced Certified Plastic Surgeon, not bad idea to re-evaluate your case by  a Head and Neck Surgeon.

Happy Holidays 

You may have a drooping submandibular gland which can be treated with a deep neck lift. This addresses the submandibular gland, deep fat and the digastric muscles to give a smooth contour and submandibular shadow.

I understand your concern for this drooping on that one side.  In order to give you the best advice for your aesthetic goals, it would be necessary to inquire about past dental surgeries, or any past surgical history.  This could also be the result of sub-mandibular gland Ptosis. Under the condition that you have been medically cleared by your physician, I would recommend undergoing a Neck Lift for the most noticeable and satisfactory results.