Female, 20s with double chin (not overweight). What options would fix my issue? (Photo)

There are a few options. I find that VASER liposuction in combination with ThermiRF are best for contouring the chin in those who are candidates but Kybella can be used as an alternative with or without thermage/ultherapy/exilis. A chin implant would also give more definition. See an expert for a formal evaluation. Best, Dr. Emer

Thanks for the question, seeking surgery can be intimidating. Most important is to find a staff and doc that make you feel comfortable and at ease. Also, you want the person doing it to be an expert. I have written several textbook chapters on liposuction and the 2017 American Society of Plastic Surgery Guidelines on Liposuction. I think laser liposuction of the neck would be a predictable, safe, and reliable way to improve your neck with minimal downtime or scarring. It can be done easily with oral sedation and numbing as you can see in this video, I am chatting with the patient

Hello! You would likely see excellent result from a chin implant with possibly a little liposuction under your chin. Your chin is proportionally small, which makes your neck look more saggy and will always be the case without a chin implant. I would not waste money on options to just remove the fat- your anatomy is working against you. Consider a consultation with photo morphing to show you what can be accomplished. Good luck!

You appear to be a good candidate for liposuction under your chin and augmentation of your chin with an implant.  Both of these procedures would help to balance your profile.  Other options to improve the double chin would be Kybella injections or CoolSculpting.   

Your issue is a very common one, and it is not a weight issue, but genetic.  From the photos you you are an excellent candidate for a sub-mental liposuction and an extended chin/ jawline augmentation. At your age this is the perfect time for this type of procedure. The best thing is to consult with an experienced facial plastic surgeon for an evaluation to discuss your options.

Kybella would be a nice option for you. This is a simple in office injection procedure that will dissolve the fat. Remember that the fat has to resorb--this takes longer than a regular injection. Liposuction would also be an option.

Your shape hereditary - due to the shape of the fat, muscles, and glands of the neck, plus the chin bone. 

While some will suggest liposuction alone, or with a chin implant, the best solution will be a small chin implant plus a "deep" necklift to reshape all the structures listed above so it looks like your born with a longer, more elegant neck and no fullness under your chin. 

The page below shows two videos. The first (woman in blue/pink shirts) had a platysma excision with no suturing. The younger, second, woman had exactly the procedure you seek- chin implant and necklift done without ear incisions. You *must* watch that video! It will probably make you cry - in a good way.

When young people who are not overweight have a double chin they almost always have a facial skeletal in balance between there jaw or mandible and their mid face or maxilla.



A small mandible or Amanda ball that lacks projection will lead to full list in the submental or chin area which often looks like excessive amounts of fat.





If there is a substantial amount of fat there then this can be compensated with liposuction.





Even if the primary problem is a bony inbalance.





And in person examination is always needed to get an accurate assessment.





Your treatment options are chin implant, liposuction, platysma plasty or any combination of the above.





In order of what would give you the best improvement in order I would say chin implant, liposuction, platysma plasty.





Please look at the attached Internet link to look at the patient in the upper left corner.





She had all three with a quite stunning results.





The recovery for all three of these procedures is easy and all of them are safe when performed correctly by a competent board-certified plastic surgeon.





The simplicity of just jumping to liposuction without assessing skeletal facial structures or facial in balance is not being thorough in my opinion.





Before jumping to any conclusions or recommending a surgical procedure all aspects of the face and neck need to be assessed properly in order to make an accurate diagnosis.





Best of luck,





Mats Hagstrom M.D.

Thanks for the question.  You have had several good responses from my colleagues in regard to your question.  I would agree that either a non surgical approach injecting a product such as Kybella into the subcutaneous fat tissue  of the neck, possibly consider liposuctioning to remove the fat ( by the way this can be done permanently with a shorter duration in time than Kybella injections, and I would also consider using a chin implant to lengthen the appearance of your chin and neck.  Discuss this with your chosen Plastic Surgeon.  I believe that you should be pleased with the results.Good luck to you.Frank Rieger M.D.  Tampa Plastic Surgeon

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak and there is some excess fat below the chin.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery combined with liposuction below the chin.



Hope this helps.