I'm really skinny - what procedure for double chin (muscular)? (Photos)

Question

I'm really skinny, but I've always had a really prominent double chin. It isn't fat, I've had aqualyx treatments and the fat has been almost entirely reduced, but the ugly bulge is still there. It's definitely muscular. I noticed that it changes size significantly when I move my face, if I press my tongue very hard to the roof of my mouth it goes away- but this covers my nasal passages, makes it hard to breathe and impossible to talk. I need something permanent and sustainable

Raffy Karamanoukian, MD, FACS · Answer

a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear Courageous856734,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer

Mats Hagstrom, MD (license on probation) · Answer

There are a lot of tissue structures that contribute to this part of the face. The most important is the size and shape of the mandible.  Those who have a small mandible tend to develop a platysma muscle the drapes the neck in the more oblique fashion what those who have a projecting long Mandible tend to have more of a right angle neck.

The submental region also has salivary glands that contribute to the double chin.

Somethings in life we just have to except the fate that we were given and learn to appreciate that.

Maybe writing gratitude lists can help you develop some gratitude for what you do have.

If you really want to deal with this properly then you need to consult with the oral surgeons or plastic surgeons with a cranial facial surgery background or at least those who have experience with a sliding genioplasty. Extending the tip of the mandible forward doesn’t change the origin of the platysma muscle but can at least balance projecting bone structure which may help.

Chemical fat destruction is not the best way but if you say the fat was removed with the process then removing more fat may not be in your favor.

You can always schedule consultations. In your case consider meeting with both oral surgeons and plastic surgeons. Expect to hear different opinions because that always happens when things are poorly understood.

The relationship between bone structure and hollow skeletal structure affect soft tissue covering is one of those topics that is not well understood in this part of the body.

Best,

Mats Hagstrom MD

I'm really skinny - what procedure for double chin (muscular)? (Photos)

Answers (4)

Answer: Mild double chin problems

Answer: Mild double chin problems

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

I'm really skinny - what procedure for double chin (muscular)? (Photos)

Answers (4)

Answer: Mild double chin problems

Answer: Mild double chin problems

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Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.