What can help my profile? I have had a double chin my whole life (Photo)

Thank you for your question and photo. I understand what the first doctor was talking about. I believe you would benefit from an in-person assessment with an experienced, board-certified facial plastic surgeon who can perform a comprehensive examination to determine the best approach to creating a smoother profile for you. Options might include a submentoplasty, some facial liposuction and chin augmentation using fillers or an implant.

Your double chin is primarily neck based with a very minor contribution from any chin deficiency. A submentoplasty would be better than just liposuction alone as that removes fat below the muscle as well as tightens the muscle as well. A small amount of chin augmentation may also be helpful but this would take computer imaging to determine if even a small amount would be of aesthetic benefit with the submentoplasty.

Patients who report or a complaint of having a double chin without being obese starting at an early age typically have an imbalance with an under developed mandible that lacks forward projection compared to the maxilla. This typically presents with a dental overbite and an upper lip that has more forward projection than the lower lip. This causes the platysma muscle to drape the neck differently.

Liposuction is typically the best option and even minor improvements can have a substantial impact.

Consider having a few more in person consultations with board-certified plastic surgeons who have extensive experience with this procedure.

Best,

Mats Hagstrom MD