There are exciting non-surgical options for reducing the double chin area. We have several options in our practice. The big advantages for practices without the ability to bring on devices is that Kybella can be incorporated without the big capital expenditures and will more likely be more widely available.Regardless of the treatment modality, patient assessment and an understanding of the underlying anatomy is the most important. Also understanding the nuances and limitations of each procedure is essential.Kybella works to dissolve fat in the injected areas. Some of the biggest advantages is that you can customize exactly to the fatty areas that you want to treat, while being mindful of avoiding some critical underlying structures (e.g. your nerves). While you develop swelling after the procedure, the procedure itself is fairly easy to tolerate and quick to incorporate.The Coolsculpting mini uses a fixed-sized applicator and you can use 1-3 treatment applicators per session depending the assessment. It may be harder to further refine or provide a differential treatment for smaller areas. This is where Kybella may be a more customizable option.The Profound SubQ uses micro needles to deliver radio frequency into the fatty tissues and has the benefit of both reducing the fatty tissue as well as stimulating collagen and elastin development and may the best option of the three to tighten the submental skin, especially when combined with the traditional dermal handpiece.Combining the different treatment (albeit in different sessions) is a great way to use the benefits of all three. As an example, you can use the Coolsculpting mini to provide an overall fat reduction of the region. Four weeks later, you can do the Profound treatment to further reduce the fat and begin tightening. Four weeks later, you can use Kybella to reduce any residual pockets of fat.The most important aspect for your result is to go an experienced provider. If you go to a board certified plastic surgeon who has made commitments to building non-surgical alternatives, then you can get a balanced consultation where your non-surgical and surgical options are explained.