How to Get Rid of Double Chin

Some individuals have 'sagging' necks primarily due to fat accumulation below the jawbone (mandible). In some cases, liposuction alone can significantly improve the neck appearance. Liposuction is also frequently combined with surgical neck rejuvenation, and in selected cases some direct excision of fat (through a hidden incision below the chin) is performed. The reduction of fat in the area below the jawline and in the anterior neck almost always makes the neck appear longer, and makes the patient's profile appear more elegant or refined.

As the other plastic surgeons mentioned, be sure to slect a baord certified plastic surgeon to perfrom this procedure The majority of physicians in the U.S. are NOT plastic surgeons; in fact, many do not have any formal surgical training whatsoever. It seems hard to believe, but many physicians performing liposuction have had no more training in liposuction than a 'weekend course'. One way to determine whether or not a physician has had appropriate training in a particular surgery is to confirm that they have hospital privileges for that procedure.

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.  

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

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.

Everyone has "trouble areas" where fat accumulates and doesn't seem to want to leave. Most often these areas are genetic and can be traced to a family member (who can also be blamed)!Common areas include the hips ("saddlebags"), the flanks ("love handles") and the neck ("double chin").The key when treating these areas is to not only remove the fat but also to tighten the skin.Laser-assisted liposuction techniques solve both of these problems. The laser melts the fat while also tightening the skin from its undersurface. This treatment is known as "PrecisionTx" and it uses the SmartLipo/Cellulaze laser system. Find a plastic surgeon who is experienced with these techniques.

Double chin deformities can
adversely impact facial aesthetics and for this reason it’s not unusual for
patients to request correction of this condition.  A variety of surgical procedures exist for treatment of this
anatomic deformity.  The procedure
chosen is dependent upon the patient’s physical findings
and aesthetic goals.  In some
patients with tight skin and fat accumulation liposuction is appropriate.  While in other patients who have loose
skin a facelift variant may be necessary.

In a 27 year old patient fat
accumulation within the neck is usually the cause of a double chin
deformity.  Under these
circumstances diet and exercise aren’t effective in most cases because the fat
in this area appears to be resistant to these maneuvers.

For this reason, chin liposuction
would be the most effective method for managing this condition.  This procedure results in excellent
contour improvement and is associated with high satisfaction rates.

If you’re considering chin
liposuction it’s important to consult a board certified plastic surgeon.  This surgeon should be able to
formulate an appropriate treatment plan.