What procedure is good for my double chin - micro lipo or Smart lipo? (Photo)

You first need to be seen by a board certified plastic surgeon so that he examines your neck and determines the location of the fat. If the fat under your chin is above the muscle (the platysma muscle) you would be a candidate for micro liposuction. There is no need for laser or any other energy based procedure. I perform the micro liposuction with a very small cannula and a syringe right in the office under local anesthesia. The recovery is the quickest with this technique. If however the examination shows that the fat is under the muscle, it would have to be removed through an incision under the chin directly. This can also be done under local anesthesia.

"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"

Neck liposuction is a great option for patients with good skin elasticity and excess fat in the neck and around the jawline. This will remove excess fat and stimulate the skin to contract over time which will improve angulation and definition along the jawline. I recommend seeing an expert for a consultation who can go over this procedure to determine if it will achieve your desired results and the cost of the procedure. I hope this helps!

Thank you for your question and posting an appropriate picture. You seem to be a good candidate for SmartLipo (laser) otherwise known as MPX, triplex, etc. Micro Lipo is done at the same time. It is a procedure done under local anesthesia with 3 to 5 days of downtime. Please meet a board certified plastic surgeon who has all these technologies to speak about the pros and cons of each. VASER (ultrasound) is best for men or where lipo was done before. You would need a consult for precise recommendations either in person or via Skype or FaceTime. 

Double chin is caused by excess of adipose tissue (fat) under the chin. To remove the double chin it is necessary to undergo a procedure that takes the fat away. Either lipo, microlipo or start lipo takes the fat away since they all include lipo. Smart lipo in addition of lipo tightens the skin with a laser. I only recommend smart lipo in patients with loose skin of the neck, usually in patients above 40 years of age. In my patients in their 30s straight forward chin lipo does a great job.