How to Lose a Double Chin and Neck Flab

Liposuction of the double chins areas do great under local anesthesia and has a quick recovery time with minimal bruising.  Cost is roughly $2500 and is so easy to undergo.

A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

There are numerous options For necks with loss of contour due to submental or neck fat Liposuction or Kybella is effective.  Kybella is a medication which in injected into the fat of the neck to permanently dissolve neck or chin fat.  Kybella is done in the office in a quick procedure similar to a botox treatment.  Several treatment are usually necessary but the results are permanent.For loose neck skin there are several "laser" type options.  Ulthera is probably the most popular although Thermage is also widely used.  Ulthera uses ultrasound while Thermage uses radiofrequency.  Loose skin can also be improved with microneedling and PRP (platelet rich plasma)  This treatment option uses healing properties of blood (platelets) which are purified using a simple blood draw and centrifuge.  A microneedling device, Dermapen3) is used to treat the neck skin and PRP is applied both to the skin surface and injected under the skin for maximal effect.Botox can also be used to soften platysmal bands which appear as rope like structures in the anterior neck.  Botox takes a few days to take effect and lasts 4 months in most cases.   Liposuction removes targeted areas of fat to improve neck contour. 

It's difficult to assess online without photos to view. Non-surgical procedures can only temporary resolve the issue and require few to several attempts or treatment appointments.Depending on the level of laxity, the effects of a neck lift will certainly outlast the effects of non-surgical treatments. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. During an in-person examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.
A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from and and if you are not a candidate at the time of your #consultation, your board surgeon can recommend alternatives to address your concern.

Ultimately, a surgical neck lift with liposuction would be your best option. However, if you are looking soley for a non-surgical solution, I am finding that the combination of Kybella to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

It is possible that you may be a candidate for what I have termed, "The Laser Assisted Weekend Necklift:" It is a minimally invasive procedure. Cervicofacial Liposculpture is first employed to contour the unfavorable fatty changes seen in the face and neck as time passes by, such as the ‘Turkey neck’ and ‘double chin’.Careful attention is then turned to tightening the neck muscles and eliminating neck bands. Finally, I employ laser technology to ‘resurface’ the underside of the neck skin, thereby ‘shrinkwrapping’ the skin of the neck restoring a youthful contour.A consultation with a board certified facial plastic surgeon or board certified plastic surgeon will help determine which procedures will provide the best results for you.

                  Loose
skin, fat accumulation and laxity of the neck muscles can all contribute to a
double chin deformity. It’s not unusual for patients to seek non-surgical
methods of treatment for this condition. Unfortunately, other than weight loss
when excess isolated fat is present, no other non-surgical method has been
shown to significantly impact this problem.

                  For
this reason most patients require liposuction or a neck lift variant to
successfully treat this double chin deformity. Without pictures or physical
exam, it’s impossible to know which option is best for you. 

                  It’s
important to consult a board certified plastic surgeon with experience in this
area. This surgeon should be able to formulate an appropriate treatment plan
for your condition. 

You need to be examined in person to determine what options will work best for you.  A picture would also help us answer your questions.  There are several non-surgical options but surgery provides the best results in my opinion.

Weight
loss will have an effect on
improving the condition of your neck as there is fat that can accumulate under
the neck. However with increasing age (over 40) there is reduced natural
elasticity in the skin and weight loss can result in lose skin below the neck.
Lose skin cannot be effectively treated non-surgically and requires a surgical
procedure to give a natural looking rejuvenation. There are genetic factors that can result in excessive soft tissue (including fat) beneath the jaw line and laxity in the platysma muscle that are not improved by weight loss, this can result in a poorly shaped jaw line and neck appearance at a relatively young age 20s-30s. Non-surgical treatments including the use of hyaluronic acid fillers can be used to treat early soft tissue changes along the jaw line (termed jowls). These non-surgical treatments may be effective short-term in the early stages. The limitations with non-surgical treatments is with increased laxity of the skin, excess soft tissue below the neck and vertical bands in the neck (laxity in underlying platysma muscle).

Ageing changes in the neck including
vertical bands in the neck, skin laxity and soft tissue changes below the jaw
line are not effectively treated with non-surgical methods and require neck lift surgery to give a natural
looking rejuvenation.

Most non surgical treatments are not going to work either long term or very well. Surgery is the only way to get long term correction. Usually liposuction or a mini neck lift.

A lot depends on your definition of non-surgical.  A neck-lift is a surgical technique that will remove and tighten excess skin, remove fat and tighten loose muscles.  Liposuction is much less invasive but still classifies as a surgical approach to reduce the abundance of fat.  Some liposuction instruments are combined with a laser that is inserted under the skin, and that is still a surgical approach.  Truly non-surgical approaches would be restricted to application of ultrasound, high energy (radio frequency), or certain laser machines to the neck in an effort to reduce the fatty tissue volume and also tighten the skin.  These technologies are evolving and improving all the time, so seek out an experienced surgeon for a thorough discussion.  However, a lot depends on your anatomical changes, because the non-surgical approaches give more subtle improvements, so if you have a lot of excess fat or loose skin, surgery might just be your best option.