Types of surgery for a double chin?

I'm not fat and there's not really much fat under my jaw.. Is there anything besides liposuction?

Doctor Answers 26

Non-surgical ways to treat the double chin

There are many non-surgical ways to treat the double chin.  You can have Kybella which is great way to permanently dissolve the fat under the chin through a series of two to four injections.  Cool-mini is highly effective at treated a larger bulge under the neck in just one hour without any needles.  Thermage tightens the skin around the neck and jowls and improves the appearance by producing new collagen.  Please consult an expert in treating the neck.  Best, Dr. Green

Kybella Can Replace Surgery for a Double Chin

If you have a small amount of fat underneath your chin, you may want to avoid a surgical procedure and opt for Kybella. Treatment with Kybella consists of a series of well-placed injections of deoxycholic acid – a substance found naturally in our bodies – to dissolve the fat cells underneath the chin. It usually takes about three to four series of injections to obtain optimal results, but I have had patients with little to no fat that respond in just 2 treatments. The final look of your chin is visible after two to three months. It is a fast procedure, usually taking just about 5 minutes in the doctor's office. Kybella has minimal downtime and minor side effects, such as slight bruising and swelling. Please consult a board-certified dermatologist to find out if you are a good candidate for nonsurgical removal of your double chin with Kybella.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 66 reviews

Kybella

Thank you for your question, izzy.styles6. Kybella is an FDA-approved injectable that beats all other competitors in clinical trials. It is only offered in US and Canada so you will be required to travel to the states for the treatment. Please consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 95 reviews

Double chin treatment options

Thank you for your question. There are many great options to treat a double chin, both surgical and non-surgical. As the principal investigator for the FDA trials on Kybella, and with over 400 treatments performed, we found that Kybella injections result in significant improvement in the appearance of convexity or fullness associated with submental fat. Kybella is injected as a solution below the skin surface into the fatty tissues. It acts by destroying fat cells in the area injected. The lysed fat cell contents create an inflammatory reaction, resulting in skin contraction and tightening (in addition to reduction of fat). Kybella treatments consist of a series of injections (usually 4-5) to improve contour in even the fattest of necks without surgery. Another nonsurgical option to destroy fat is Coolsculpting. Coolsculpting technology safely delivers precisely controlled cooling to target the fat cells underneath the skin while leaving the skin itself unaffected. The treated fat cells are crystalized (frozen) and then destroyed. Over time, your body naturally processed the fat and eliminated these dead cells, leaving you with a more sculpted appearance. Coolsculpting also may require multiple treatments. Both liposuction and Kybella injections are equally effective in treating the fat underneath the chin. For patients who do not mind a surgery and want instant results, submental liposuction may be a better option. Submental liposuction is a 1-hour procedure with 3 small incisions (underneath the chin, and behind both ear lobes). There is minimal swelling and minimal bruising, and we do recommend wearing a compression garment for 2 weeks. In summary, Kybella, Coolscupting, and submental liposuction are all excellent option for the removal of unwanted fat underneath he chin. Kybella is ideal for patients who prefer to avoid surgery, who cannot afford a few days of down time, and are ok with results that will gradually improve over time with repeat injections. Liposuction is probably ideal for patients who are ok with a small procedure, who have a few days available to wear a compression garment, and are looking for a 1-time treatment. Prior to any intervention, a proper physical exam is necessary. I hope this information helps, and I wish you the best of luck.

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Double chin

There are several other treatments currently on the market that you might want to consider.  The main two are Kybella and Coolsculpting.  Kybella is a series of injections into the fat that breaks down the fat cells.  It is best for people who have isolated areas of fat beneath their chin.  The other treatment, Coolsculpting, uses cold temperatures to destroy the fat cells.  Both of these treatments should produce permanent results.  The question comes down to cost and time.  I would recommend a consultation with a board certified plastic surgeon who can explain these two treatments and determine which, if any, would be most appropriate for you.  Best of luck!

Josh Waltzman, MD, MBA
Long Beach Physician
5.0 out of 5 stars 12 reviews

Kybella vs Coolmini vs Liposuction

Fantastic question! Good to know all of your options.
There are multiple factors that go into answering this question...
If there is a lot of fat, liposuction is your best bet. This can be done in-office under local anesthesia.
If surgery is not something you are comfortable with, Coolsculpting would be your best bet financially... as long as the Coolsculpting applicator fits and you are okay with more time to see full results (than liposuction). If your jaw is too small or the amount of fat too little, the CoolMini may not fit.
Lastly, if you have a small amount of fat and the CoolMini applicator doesn't fit your face, I would go with Kybella. There is a significant recovery period with Kybella and the product is not cheap. That is why I reserve it for people with a small amount of submental fat.
All three will give you some skin tightening.
My best,
Dr. Nazarian
@drsheilanazarian on Instagram

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 51 reviews

Options for Double Chin Treatment

Kybella can result in 10-15% reduction of fat similar to Coolshape. Younger patients usually don't need skin tightening after fat reduction as the skin shrinks enough on its own.
Liposuction typically reduces 50% of fat in one session. RF treatments like Velashape and Thermitight plus Deoxycholic Acid the main ingredient of Kybella can result in somewhat more than 15% reduction in the amount of double chin fat with three to five sessions. Most non-invasive treatments have not been proven safe nor FDA approved for treatment of the jowls.
The most dramatic results in the neck and jowls are achieved with a laser/liposuction with Precision tx or Smartlipo; results noticeable at ten days.
Patients should do the math (all these treatments cost nearly the same) and go for what is in their best interest and most reliable.
No treatments are guaranteed; legitimate physicians should not promise results. Each option has the possiblity of side effects.
Please use this information when consulting in person with an experienced Board Certified Plastic Surgeon. They will be most capable of advising what is best for you.

Luis A. Cenedese, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Treatment of skin laxity

From your description, it seems that you have more skin laxity than submental fat. If this is the case, depending on the extent of skin laxity, a great nonsurgical alternative is ThermiTight. It is a radiofrequency device that heats the deeper layers beneath the skin to cause overall tightening. If you are looking for something more definitive, a necklift/facelift may be an option. This is where the consultation becomes essential at determining the most optimal treatment for you. Best of luck. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Kybella

Consider to remove the fat. Patients are good candidates if they have had no prior surgery, small to moderate amounts of fat and little excess skin. The injections are FDA approved and very effective. 

Frank J. Ferraro, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 44 reviews

Non-Surgical Treatment for Skin Versus Fat Under the Chin

In patients with more skin than fat under the chin, there are several non-surgical devices that may be used to tighten the skin and contour the jawline.  Ulthera high intensity focused ultrasound delivers tightening ultrasound energy as deep as 4 mm below the skin's surface to tighten the underlying layers that are typically addressed in a surgical facelift.  Other devices used to tighten skin under the chin and on the neck include Thermi-RF, Infini radiofrequency microneedling and Precision Tx.

Tina B. West, MD
Washington Dermatologic Surgeon
4.9 out of 5 stars 15 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.