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 11

Kybella vs Coolsculpt vs Ultherapy

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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 39 reviews

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

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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 31 reviews

Liposuction better than Coolsculpting or Kybella

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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 59 reviews


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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 59 reviews

Kybella and Cool Sculpting

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Thank you for your question elw123. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. It is difficult to make an assessment without photographs. However both Cool Sculpting and Kybella work well for the double chin. For my patients I recommend Cool Sculpting for severe to extreme fullness and Kybella for mild to moderate fullness. Some people choose to start with a series of Cool Sculpting treatments followed by a series of Kybella treatments. Results are seen slowly over time. Patience is important.

Please consult with a doctor for specific recommendations. Good luck!


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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 38 reviews


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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
4.4 out of 5 stars 20 reviews

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

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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 207 reviews

Kybella versus Cool-mini for Submental fat

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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

Kybella vs Coolsculpting

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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.

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.