I've got an excess of fat built up on the front of my chin. Not a double chin - is chin liposuction a good option? (Photos)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi there,

Thank you for your thoughtful question. I completely understand how a localized pocket of fat, especially on the chin, can feel disproportionately noticeable, even when you're lean and fit elsewhere.

What you’re describing sounds like isolated submental or premental fat, especially since you mentioned it's soft, mobile, and not part of the underlying bone structure. This is not uncommon, even in individuals with low body fat percentages.

Chin Liposuction: A Consideration
Chin liposuction can be an effective and targeted solution in cases like yours. It’s designed to permanently remove localized fat deposits and can improve chin projection and jawline definition with minimal scarring. Since you're already lean and healthy, you're likely a good candidate.

That said, here are a few things to consider:

Skin elasticity is key; at your age and body composition, your skin likely has good recoil, which helps with a smooth post-op result.

Non-surgical options such as Kybella (deoxycholic acid injections) may also help in some cases, though they typically require multiple sessions and may be less predictable.

A consultation with a facial plastic surgeon or board-certified dermatologist would be the best next step to assess if the fullness is purely fat or a combination of other factors, like muscle prominence or soft tissue structure.

You're not alone in how you feel, and there are very real and manageable options to help you feel more confident in your appearance. I’d be happy to help guide you further if needed.

Warm regards,
Dr. Anna Chacon

The phrase "chin liposuction" Is a misnomer, because it never involves removing any fat or soft tissue from the chin itself. We prefer to call it neck liposuction, which is performed when somebody has a double chin appearance, and excessive neck fat. The best advice I could give is to embrace your strong profile chin appearance. It is a masculine trait and it will keep your neck skin tight for many years to come! I hope this helps. Sincerely, Dr Joseph

The projection of the mentalis region of your mandible is slightly over projected.
The soft tissue coverage is normal and a chin reduction needs to include removing bone.
There’s no soft tissue approach for what you describe.
Chin reductions are often done by oral surgeons.
Some plastic surgeons may have experience with the procedure as well.
I suggest you start by having a couple of in person consultations with oral surgeons in your community.
Avoid the temptation of making your own assessment and treatment plan.
Best,
Mats Hagstrom MD