How Can You Get Rid of the "Waddle" Under Your Chin Without Some Type of Surgery?

Doctor Answers 17

Rid of the "Waddle" Under Your Chin Without Some Type of Surgery

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It's difficult to assess online without photos to view. Non-surgical procedures can only temporary resolve the issue and require few to several attempts or treatment appointments.Depending on the level of laxity, the effects of a neck lift will certainly outlast the effects of non-surgical treatments. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine if you are a #candidate for #rejuvenating the neck. During an in-person examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall #balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local #anesthesia. For individuals with signs of #aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.

Also, if deemed a candidate, you may want to consider Lite-lift™ which is an affordable, quick, and effective innovative facelift developed by board-certified plastic surgeons Dr. Larry Nichter and myself. The goal is to provide a less invasive natural looking option for both men and women desiring to refresh their appearance with less downtime and risks. The LiteLift® is a “real” facelift, which does address the underlying muscle, tissue and overlying skin.

This is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful.

A board certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to suggest which procedure best suits your needs. In some cases there may be more than one option to choose from. If you are not a candidate at the time of your #consultation, your board surgeon can recommend non-surgical alternatives to address your concern.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


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I recommend a combination of Pelleve and Nectifirm cream to address skin laxity in the neck region. You will need 4-6 Pelleve treatments and you will need to use Nectifirm twice a day for at least 2 months.

You can also speak to your plastic surgeon about Kybella. It is an injection to permanently destroy double chin fat. You will probably need a couple sessions. And it will have skin tightening effects as well.

Ultimately, it is possible that surgery could be the best option but the above are the best non-surgical options.

By best,
Sheila Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Neck waddle treatment

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If you are looking soley for a non-surgical solution, I am finding that the combination of Kybella to reduce the sub mental fullness and an energy device to tighten the skin are among the best non-surgical combinations to help your neck concerns.
kybella is an injection procedure that dissolves the fat an may require between 2-4 treatments spaced 4-6 weeks apart. There is some swelling and bruising potential, with the greatest amount with the first treatment.
As far as energy devices, I would recommend Ulthera if you are looking for something with no downtime, or Profound if you could tolerate some downtime. Ulthera is an ultrasound based energy that heats the underlying tissue and stimulates collagen in response. Profound is a radio frequency microneedling device that allows for the creation of Elastin, collagen and hyaluronic acid and hence restores some of the lost elasticity in the neck. It has more visible downtime with the possibility of some swelling and bruising that diminishes in about a weeks time.

I would visit with a board certified plastic surgeon who has the portfolio of non-surgical options in your area who can help explain the treatment options for you and the limitations of each option, both surgical and non-surgical.

Get Rid of Waddle Under Chin Without Surgery

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Non-invasive or minimally-invasive options exist to help with that issue. Radio frequency treatments to the surface of the skin with ThermiSmooth can help melt away fat to smooth the area. If additional tightening is needed, ThermiTight applies the same "science of heat" but under the skin to really target areas that have lost elasticity or that have developed pockets of fat. 

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Waddle Neck Removal Without Surgery

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  The turkey gobbler neck is created by loose skin, some fat, and muscle laxity, and, though the body fat can be reduced to none, the other two components remain.  These two components can only be addressed with a neck lift.

Surgery needed to get rid of waddle under the chin

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The waddle underneath the chin has 3 components that all must be addressed depending upon the patient’s age.  These are skin, muscle, and fat.  Fat is removed with liposuction.  If there is excess muscle and laxity in cords, this is addressed through a platysmaplasty with or without a neck lift.  Any excess skin is addressed through a facelift procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Laser-assisted liposuction (Smartlipo) can help with a "waddle"

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Patients are often interested in "non-surgical" correction of a problem.  There are really no good "non-surgical" options for correction of excess skin under the chin.  Sometimes patients say they are looking for a "non-surgical" answer but they are really looking for something that can be done outside of the operating room.  If that is the case for you then Smartlipo or laser-assisted liposuction may be a useful procedure for you.  This technique allows for improvement of the submental or chin region by tightening the neck skin and removing fat.  It isn't the right procedure for everyone and sometimes a neck lift is the only answer for correction of the problem.  The nice thing with neck lifts is that it is possible to do the procedure in the office under local anesthesia in some patients.  The best thing to do is to meet with a local board-certified plastic surgeon and learn from them what is best for you.  Good luck.

Jason E. Leedy, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 148 reviews

Only some type of neck lift will clean up a double chin.

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Maybe you only need liposuction.  But for sure you need some surgical procedure.  Beware of gimmicks.


George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Is there a way to improve the "waddle" under the chin without surgery?

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This is something that is best addressed with surgery, as there are really no effective non-surgical treatments for improving a "waddle" under the chin. Photos would really be necessary to give you the best advice, but I can make some recommendations on treatments that can improve the area. Depending on the age of the patient and elasticity of the skin, submental/jowl liposuction yields a great result. Depending on the patient's needs, the best overall result would be from a necklift, (with liposuction of the neck if necessary), and platysmaplasty, removing skin around the ears if needed. From here, I would recommend a consult with a board certified surgeon who uses computer imaging software. He/she can morph your photo, and give you an idea of how the final result of surgery may appear. Thank you, and I hope this helps!

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Getting rid of a Turkey neck

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Without an examination, it would be hard to determine which procedure is best for you.  Also, age plays a part in this.  As we get older our skin doesn't bounce back after liposuction of the neck.  You may need a face/neck lift.  Discuss this with a Board Certified Plastic Surgeon to determine what is best for you.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 61 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.