How to Get Rid of Double Chin

The fat under the chin is a common problem for many patients at any age. Liposuction is a simple and quick solution to remove an excess fat tissue. The procedure can be done under local anesthesia. One word of caution: skin has to have enough elasticity; otherwise, skin lift has to be included. also there is sometimes deep fat ppocket under the platysma muscle - this needs to be removed surgically for the best results. Now there is a new option_ coolsculpting or fat freeze just got approved for neck fat reduction

liposuction or liposculpture with fine cannulas are best permanent treatment for double chin.  Recovery is fast and procedure is simple.  

A double chin is usually the result of many factors.  There can be a genetic influence as well as an anatomic influence on the position of the tissues.  Also, gravity has a direct effect on the chin and neck.  Because of these factors, diet and exercise usually will only have a minimal influence on a double chin.  Neck liposuction, along with the use of a laser, removes unwanted fat from under the chin and neck and allows the skin to contract, which helps to improve your appearance by tightening the chin and neck areas.  Some patients also need a chin implant to further enhance the effect.  After this procedure, a compression garment or ace bandage should be worn for one weeks constantly and then at night for a month to enhance skin contraction.  Most people can return to work in a few days to a week after the procedure.

 

This fat is genetic, persistent and difficult to get rid of without directly taking it out. The good part of that is that it can be used to augment other areas of the face. This will then have a higher likelihood of living in that location. A couple other things that come into play the position of certain bones and muscles. Particularly the hyoid bone has implications about how much the neck can be improved. You would need an examination by a surgeon with a facial analysis for that. Also the platysma muscle has implications in neck definition and some times a platysmaplasty can help with that. I recommend seeing a surgeon who does a lot of neck lipo and sculpting to get an idea of what can be obtained.Hope this helps.Best of luck,DrC 

Thank you for your question! The submental region (area beneath the chin) is a common area for stubborn fat that is resistant to diet and exercise. There are many different treatment options that can be used to address stubborn fat under the chin, from completely non-invasive to minimally invasive. The best way to provide true advice would be an in-person consultation. It is very important that you see an expert provider with significant experience in aesthetic body contouring. Best wishes! Dr. David Amron

Hello and thank-you for sharing your question.

There are multiple factors which can contribute to a double chin. Correction of a double chin can be achieved either though a surgical or non-invasive approaches. Liposuction of the chin and neck produces consistently good results for appropriate candidates. We are very excited with the development of several non-invasive techniques for correction of a double chin. We offer the Cool mini as a non-surgical alternative to liposuction for the right candidate. Generally, two treatments are required separated by 4-6 weeks.  We also offer Kybella which is another non-surgical alternative to liposuction. Generally 3-6 treatments are needed separated by 4-6 weeks.  If there is mild to moderate skin laxity, combining the treatment with Ultherapy is an excellent option. 

I would visit with a board certified plastic surgeon in your area to learn about your options..

Best regards,

While chin liposuction will most likely get you the most dramatic results in a single treatment, over the last year more options have become FDA approved to reduce fat under the chin. These include Kybella, which is an injectable treatment that “melts” chin fat over a series of sessions, and CoolMini from CoolSculpting, which takes the proven effective CoolSculpting “freeze the fat” technology and puts it into an applicator specifically designed to treat small areas of submental fat such as a double chin. Another good option is ThermiTight, which uses radio frequency technology to reduce fat and tighten skin as well. The best thing to do is to visit a board-certified dermatologist who offers all of these options, who can evaluate your concerns in an unbiased manner and work with you to come up with the best treatment plan.

Thank you for your question and for sharing your photos. There are several options for contouring the neck.Non surgical options include: 1) Kybella to dissolve the fatty tissue in the submental area 2) Cool-mini treatment from Coolsculpting to target the same area 3)
Adding a skin tightening device such as Ulthera or Profound to the neck
tissue in conjunction with the one of the above to further tighten the
skin. Surgical options include: 1) Straight liposuction which would reduce the pinchable fat under the chin2)
Anterior neck lift with liposuction which would also allow for
tightening of the platysmal muscles in the midline to allow for tighter
neck contour3) Traditional neck lift which does the same as 2) but also removes some excess skin in the neck.I
would recommend that you visit with a board certified plastic surgeon
who offers the various options above to discuss the pros/cons of each
option and help you decide which is the best for you.

Thanks for sharing. Sometimes certain areas of fat will be difficult to remove despite diet and exercise.  The submental fat area may be one of these areas.  Being only 27 you are a candidate for neck liposuction to remove some of this fat.  Realize liposuction only removes "skin fat" it does not remove the "deeper fat"  Once the fat is removed the skin will contract and tighten up in the areas that are liposuctioned.  Older patients, typically 45 or older would likely need a "neck lift" in addition to neck lipo.  This would involve a platysmaplasty (tightening the neck muscles) and possibly skin excision. Newer methods to remove submental fat include Laser Lipolysis and Kybella.  Laser lipolysis melts fat and stimulates skin contraction and may be combined with traditional liposuction or is a stand alone procedure.  Kybella is a new FDA approved medication that is injected into the submental fat to melt it over time.  These injections are repeated.  

At age 27, a double chin is most likely genetic especially if you have been on a strict diet and exercise regimen for more than a few weeks.  Also, at your age, the heaviness in your neck that you refer to as a double chin, is most likely excess fatty tissue and not extra skin.  If that's the case, you would be a wonderful candidate for chin liposuction.  This procedure takes 20-30 min to perform under sedation with usually a 7 day recovery at your age.  It is a low risk, high yield procedure that we perform commonly.Other options include laser or heat assisted liposculpting with SmartLipo or ThermiRx (among others).  I usually reserve these 2 procedures for those who have a very mild amount of skin laxity and heaviness but are not ready for a necklift.  

Chin implants can increase the size and projection of a chin that does not project in proportion with the forehead, nose and mid-face. A small or recessed chin can also be described as one that seems to disappear into the neck of an individual of normal weight, rather than appearing as a distinct facial feature. A weak chin can also make your nose appear more prominent, an overbite appear more pronounced, a double chin appear worse, or your neck less youthful. I have been able to improve facial balance and harmony through placement of a chin implant. Often, this procedure may be performed at the time of nasal plastic surgery or neck contouring procedures such as face-lift or cervicofacial liposuction.