Options to remove double chin without damaging vocal chords? (photos)

Question

I have always had the appearance of double chin regardless of my weight or age. I assume this is because of my slight overbite and heredity factors. I'm currently working on building myself as an actress and singer, so protecting my vocal chords and the way I produce sound is a top priority for me. I'm leaning more towards non-invasion options, but I'm also open to the idea of surgery. I just want to take the safest, most effective route. Thank you in advance for any advice!

P. Daniel Ward, MD · Answer

thank you for the question! This is a common concern.  There are many options for dealing with this area. My first recommendation would be for you to consider a chin implant in combination with removal of the excess tissue fullness under the chin.  Other options include coolsculpting or Kybella although neither one of these options will be as effective as the chin implant and fat removal.  Thankfully, none of the procedures will affect your voice for singing in anyway. Good luck and please let us know if you have any other questions!

Barry L. Eppley, MD, DMD · Answer

Your double chin exists, as do many people who have it, because of a combination of fat under the chin and a smaller chin. Ideally the combination of chin augmentation and submental/neck fat removal is needed for the best result. Computer imaging would help you see the difference between neck fat removal alone with and without chin augmentation. But either procedure alone or in combination has not risk to your vocal cords as they lie much deeper in the neck that liposuction treats and are also protected by the laryngeal cartilages.

Laxmeesh Mike Nayak, MD · Answer

While it may sound unusual, it is sometimes perfectly appropriate to recommend and perform a neck lift, or even a lower face and neck lift, in younger patients.
As in your case, most of these patients never had a sharp neck/jawline, or have a genetic tendency toward a falling neck.
Getting the prettiest and most natural results in cases like yours requires an expertly-done deep neckilft. Liposuction, Kybella, Coolsculpting, mirconeedling, etc will not create a similar result.Based on your shape, I would not waste money on anything but a neck lift.
I would advise you to choose your surgeon carefully – creating a natural lift at a young age requires great surgical judgment and skill.  Considering you will likely have at least one more lift as you age, it is very important that the foundations for that future surgery are laid during your first procedure, as well.

William Portuese, MD · Answer

Afull set of facial photographs and an in-person examination going to be required to make better determination about the best procedure for each individual patient. The limited photos from the side profile reveal a weak and recessive  chin profile for which a chin implant can improve. The fatty deposits in the neck above the muscle can be removed  liposuction. Fatty deposits below the platysma muscle must be removed with surgery which also requires a platysma plasty. none of these procedures will interfere with the vocal cords or the voicebox.  For many examples  of both surgical procedures performance separately and together, please see the link and the video below

Eric T. Carniol, MD · Answer

There are many different options for the neck, and it depends on your preference for surgery/nonsurgical, and goals for results. Detailed in person exam is very important. However, you may be a candidate for closed liposuction with a chin implant. This combination will remove excess fat while maintaining contour, and also bring balance to your lower face. After that surgery, most patients require just tylenol for a couple days for pain. Kybella and coolsculpt may be options as well for the neck, and after the multiple treatments, you can likely get a similar result. Fillers as well could be used for the chin area to simulate an implant.  For some patients, the time off from surgery is too much (generally a few days at home, at work in 10 days) while others want the long-term results from surgery (which is also generally less expensive).  All of the above procedures are superficial to your delicate vocal structures, and therefore would not affect them. I wish you success!

Options to remove double chin without damaging vocal chords? (photos)

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