Hi, I'm in my late 30s and there's a little pocket under my chin that I don't know what to do about. My whole family has it (regardless of our weight). I got Kybella about 5 years ago and it helped. I think I only had 1, maybe 2 sessions. I thought for years it was just loose skin and maybe a mini-facelift would help. But actually the pouch seems a bit too heavy to just be skin. Would another session or two of Kybella get rid of this, or chin lipo, or is i a mini facelift?
August 14, 2023
Answer: Chin liposuction, or a mini facelift The photos are rather limited, especially in the different positions that the photographs were taken. If there's a small amount of fat in the submental area, this can be removed a simple liposuction.
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August 14, 2023
Answer: Chin liposuction, or a mini facelift The photos are rather limited, especially in the different positions that the photographs were taken. If there's a small amount of fat in the submental area, this can be removed a simple liposuction.
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August 11, 2023
Answer: Chin and neck contour That formation of a double chin is usually not a problem related to either subcutaneous, fat or skin. Obviously significant skin laxity will cause signs of aging like jowls, but for the most part young people who have a double chin do so because of the shape and size of their mandible.In particular individuals who have a small mandible or one a mandible that lacks projection in relationship to the Maxilla tend to form a premature double chin. When people say it runs in the family, it is the bone structure that runs in the family not a problem with fat distribution. This typically goes hand-in-hand with having a dental, overbite, occlusion and in profile pictures the upper lip will have more forward projection than the lower lip. It doesn’t look like you have much subcutaneous fat anywhere on your face or in your chin and neck. If you’ve already had fat removed in the area, then removing more fat is probably going to lead to a point I’m diminishing returns. Excessive fat removal can also create problems, showing premature platysmal bands, and other issues related to overzealous aesthetic treatments, including the use of Kybella and overzealous Liposuction. Sometimes a small area of skin can be removed with direct excision, leaving a fairly minimally visible scar. This may be a good compromise compared to having a neck lift. I would be careful with aggressive fat removal since doing so, when not indicated, doesn’t make things better, and can cause secondary problems that are irreversible. I suggest having a few in person, consultations with local plastic surgeons in your community to see what each of them has to say. Sometimes simply accepting the way things are, and not having intervention is also a good option. Best, Mats Hagstrom, MD
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August 11, 2023
Answer: Chin and neck contour That formation of a double chin is usually not a problem related to either subcutaneous, fat or skin. Obviously significant skin laxity will cause signs of aging like jowls, but for the most part young people who have a double chin do so because of the shape and size of their mandible.In particular individuals who have a small mandible or one a mandible that lacks projection in relationship to the Maxilla tend to form a premature double chin. When people say it runs in the family, it is the bone structure that runs in the family not a problem with fat distribution. This typically goes hand-in-hand with having a dental, overbite, occlusion and in profile pictures the upper lip will have more forward projection than the lower lip. It doesn’t look like you have much subcutaneous fat anywhere on your face or in your chin and neck. If you’ve already had fat removed in the area, then removing more fat is probably going to lead to a point I’m diminishing returns. Excessive fat removal can also create problems, showing premature platysmal bands, and other issues related to overzealous aesthetic treatments, including the use of Kybella and overzealous Liposuction. Sometimes a small area of skin can be removed with direct excision, leaving a fairly minimally visible scar. This may be a good compromise compared to having a neck lift. I would be careful with aggressive fat removal since doing so, when not indicated, doesn’t make things better, and can cause secondary problems that are irreversible. I suggest having a few in person, consultations with local plastic surgeons in your community to see what each of them has to say. Sometimes simply accepting the way things are, and not having intervention is also a good option. Best, Mats Hagstrom, MD
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