Getting rid of genetic double chin - What are my options? (photo)

"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"

if you're bothered by the fullness beneath your own chin you are not alone. Sometime, even with diet or exercise, the unwanted fullness beneath your chin may not go away, and it could make your appear older or heavier than you actually are. Kybella is the first and only FDA-approved injectable treatment to improve the appearance of moderate to sever fat beneath the chin* by a physically destroying the fat cells. Once the aesthetic response is achieved, further treatment is not expected. Going in for a consultation can help determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals.  Best,Dr. Anil Shah MD FACS

Thank you for your question and photos. We use Kybella with Trusculpt, or Profound RF.  It may take up to 2 treatments with Kybella & Truscuplt,  or only one treatment with Profound RF.  From the photos, the area appears to be small enough to be addressed with either treatment.   . Best wishes

Kybella alone or in combination with Truscultpt 3D would be a nice nonsurgical approach to this issue.

Until recently, this was a difficult area to treat, but newer products such as Belkyra (Canada), an injectable deoxycholic acid, can be used to dissolve the fat in targeted areas such as under the chin which bothers many people despite not being otherwise overweight.

There are numerous options for eliminating fat under the chin.  SculpSure is a non-invasive laser that provides incredible results for removing submental fat and also providing a tightening effect to the jaw line.  Results have been great.   ScuolpSure entails 2 sessions 6 weeks apart and the best results are seen 6-8 weeks after the last session.  Good luck.

I get excellent results with a combination of microliposuction and J Plasma/Renuvion skin tightening.  A less expensive option would be non-surgical threads, but keep in mind they only last 6-12 months, whereas the other procedure can last up to 10 years.

Based on your photos, I think you maybe a good candidate for Kybella treatment. Most patients require 2-4 treatment sessions using 2-4 vials per session. The sessions are usually spaced apart at 2 month intervals.

My best advice to you is to get a formal consultation with a plastic surgeon. During the examination the surgeon will determine if this indeed is excess fat or other conditions, such as enlarged digastric muscles or presence of an enlarged submandibular gland. Each one requires a different approach. Good luck from New York City

Hello!  You have a mild sub-mental fat pad that causes the appearance of a double chin on photos.  Common treatments in the US for this condition include surgical liposuction, Kybella injections or freezing the fat (CoolSculpting).  I believe Kybella is the best option for you as you would see permanent improvement after one treatment.  I would estimate that you would need a total of 3 Kybella treatments.  Since the fat cells are destroyed, once you get the final result you are hoping for, then you will not need further treatment.  (Liposuction often leaves small regional amounts of fat.  I have treated two patients with Kybella after liposuction to clean up these residual pockets of fat).  Happy New Year from Omaha NE