Thermi 250, Kybella, or coolsculpting for my chin? (photos)

Question

I recently had a consultation with a plastic surgeon about my double chin. I was hoping for a discussion around CoolSculpting or kybella. She discouraged me from both saying that I do not necessarily have fat to dissolve, and I would be a perfect candidate for the thermi250.. about 4 to 6 sessions. Looking for advice on whether it will give me the results that I'm looking for it- no double chin and the turkey gobbler gone?

Andrew T. Lyos, MD, FACS · Answer

Thank you your question. 
We offer the Cool mini as a non-surgical alternative to liposuction for the right candidate. We also offer Kybella and often use the two to develop customized surgical alternative to surgical options.  The treatments are separated by 4-6 weeks.   If there is mild to moderate skin laxity, combining the treatment with Ultherapy is an option.   I would visit with a board certified plastic surgeon in your area who offers all these options to discuss what is best for you.

Christine A. Hamori, MD · Answer

It looks like there is a bit of skin excess, a few visible bands of platysma muscle and a very small amount of fat beneath the chin. My recommendation would probably be a combination of botox to relax the neck bands then a few weeks later Ultherapy (microfocused ultrasound). Kybella seems to swell for several weeks which patient find difficult to tolerate.

Jason Emer, MD · Answer

I recommend a combination approach. Based on your picture you would be a good candidate for Thermi250 or I recommend ThermiTight. I like to combine this with VASER and ThermiRF, and ultherapy for best results.  Please see an expert there is a lot that can be done for neck rejuvenation. Best, Dr. Emer

Steven H. Dayan, MD · Answer

Thank you for the photos, however it is hard to determine which is the right procedure for you without having a in person exam. Both Kybella and Coolsculpting will work on fat reduction, however it is the about of fat in the area that would determine which procedure would be better suited for your desired outcome. My suggestion would be to have a consultation with a board certified Dermatologist and or Plastic surgeon to see which is best for you. Good luck!

Michael A. Zadeh, MD, FACS · Answer

I would agree that CoolSculpting and Kybella would not be the best options for you. Your issue seems to be mostly loose skin with little fat. I would prefer doing ThermiTight over Thermi250 as you will get much more dramatic results with just a single treatment. Please see an experienced physician provider for an in-person consultation and evaluation. Best wishes.

Thermi 250, Kybella, or coolsculpting for my chin? (photos)

Answers (9)