What is the best non-surgical way to get rid of a double chin - Kybella, Cool Sculpt, or Ultherapy?

I am a healthy woman of a normal weight but I've always had a double chin, even at my lowest weight in my twenties. Now at 43, having gained a few pounds over the years (but still having a normal BMI for my height), the double chin was become more pronounced over the years, esp. in photos.I have had a couple of consults, but am confused r.e. especially whether Cool Sculpt or Kybella is better in particular, or if only liposuction can really solve the problem in a satisfactory fashion. Thank you

Doctor Answers 10

Kybella vs Coolsculpt vs Ultherapy

Well, they all are a little different and a consultation with a board certified facial/plastic surgeon is best.  Kybella gives some tightening of the skin as the fat shrinks and the treatment can be more tailored to suit your individual anatomy than with the coolmini.  Cool sculpting needs a good contact and it really depends how the applicator fits your neck.  Both typically need several treatments to obtain a maximum result.  Ultherapy is really more for skin tightening then for fat removal. And the results of skin tightening with Ultherapy are reported to be variable-as with all non surgical skin tightening machines.  Of course the gold standard is surgery so proper expectations are important and nothing replaces a consultation with an experienced physician.  Good luck.

Boston Plastic Surgeon
4.9 out of 5 stars 34 reviews

What is the best non-surgical way to get rid of a double chin - Kybella, Cool Sculpt, or Ultherapy?

Hello Elw123,

There are many treatments for the neck.  A lot of it depends on an in person evaluation.  Liposuction is the gold standard for treating neck fat.  However, it patients over about age 35 the neck does not have enough elasticity to tighten on its own, so you need to have a neck lift to remove the excess skin as well.  Kybella is helpful for removing submental fat, known as the double chin.  It does take at least 2 and up to 4 treatments spaced about 6 weeks apart to get the final result.  Although not approved to tighten skin, it does appear to help tighten the skin.  Cool sculpting is designed to improve submental fat but also does not treat skin.  Ultherapy helps to tighten lax skin (a few millimeters on each side) but it does not address the fat.  So as you can see, each method has its pros and cons.  The best recommendation is to consult with a faical plastic surgeon and learn which treatment(s) would be best for you based on your anatomy.

I hope this helps and good luck.  

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Liposuction better than Coolsculpting or Kybella

Liposuction would almost always be the most effective option for reducing excess fat under the chin, because it is immediate and precise. It can typically be done under local anesthesia with minimal down time if any. Coolsculpting takes time to see the effect, as does Kybella. 

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews


Personally, I am partial to Kybella as I feel it allows me to more accurately treat the fat and place more product where it is needed most.  Cool mini for the neck limits the treatment to what will fill fit into the device which I thinks limits some of the precision.

John L. Burns Jr., MD
Dallas Plastic Surgeon
4.7 out of 5 stars 42 reviews


Without seeing you in person, it is impossible to give you a truly accurate recommendation. Having said that, I am a huge fan of Kybella for the right patient. I am seeing some truly amazing results with my patients. I would suggest that you schedule a consultation with a board certified plastic surgeon in your area to be assessed in person. 


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 33 reviews


Thank you for your question. All three methods are effective at reducing submental fat. It depends on individual candidacy, skin quality, goals and expectations. I would recommend an in person exam.

Dr. Daniel Ritacca

Daniel J. Ritacca, MD
Chicago Oculoplastic Surgeon
4.3 out of 5 stars 18 reviews

Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

In younger patients i find that surgical improvement with vaser/thermiRF do best however kybella with ultherapy is a great alternative.  Please see an expert.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Kybella versus Cool-mini for Submental fat

Thank you for your question since I have a great deal of experience with both methods.  If you have a large amount of submental fat I typically recommend the Cool-mini first since it can reduce this large area and then follow up with Kybella afterwards.  A smaller area of fat is best treated with Kybella.  I typically combine these treatments with Thermage as well to tighten the skin in the neck and jowl area and have the best cosmetic results.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 76 reviews

Kybella vs Coolsculpting

Thank you for your question. Both are very great options. We have both in our practice and will even use both for the same patient. Coolsculpting allows for a broad reduction of a given area and I may recommend someone with a fuller neck profile to start with this approach.  Kybella allows for a more customized approach and can be used to sculpt the neck based on specific nuances of each individual (eg asymmetry).  In addition, I find of the two, Kybella tends to result is some skin tightening.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Kybella for submental chin fat:

Thank you for your question. At my practice our patients have been very pleased with the results of Kybella for submental chin fat (double-chin). I’m not sure exactly how much submental chin fat you have since you did not provide a photo. However, the great thing about Kybella is you do not have to have very much chin fat to treat the area as it is an injectable product. Most patients require at least 2-4 sessions for optimal results. Kybella permanently destroys fat cells in the targeted area as well as offering limited skin tightening to the treated area. If you are interested please see a qualified physician. Best of luck!

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 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.