Double chin - what procedure would give me the best results? (photo)

Question

I am 25 have been struggling with a double chin for quite some time, I started my adventures in cosmetic treatments when I turned 23 in an attempt to get rid of it. I am not fat by any means and do not have any thyroid issues. I have had lipo, kybella, miso therapy, Lazer treatments and nothing has seemed to work. I am very frustrated that I have waisted so much time and money only to have little to no results.

Tanveer Janjua, MD · Answer

Chin liposuction helps reduce the bulge under the chin and can be done for the whole neck. Once the fat is removed the skin can become loose and saggy in some cases. It can be avoided by combining it with Thermitight which is a radiofrequency heat delivered under the skin to tighten it. Both chin liposuction and Thermitight can be done at the same time. The recovery is fast and it can be done under local anesthesia.
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Regards
Dr. J

Jonathan Kulbersh, MD · Answer

Thank you for your question. The picture you posted doesn’t give a good view of your submental area, so it is impossible to tell what might benefit you. As some of the other doctors have noted, your issue may be with submental fat under the platysmal muscle, which can only be corrected with surgery. With that being said, a true diagnosis can only be achieved with an in-person consultation. I recommend scheduling one with a board-certified facial plastic surgeon who will examine you and go over the history of procedures you’ve received. With that information, a surgeon can provide you with options that will give you the results you desire. Best of luck!

Christian L. Stallworth, MD · Answer

Hi Jallard1- I am sorry you are so frustrated.  Your photo is small and your neck obscured, so difficult to give you comprehensive answers in this forum.  However, you DO have options.  The fact that you have had this for so long, and at a young age, points to the likely hood that you have submental fat and other tissues that are BELOW or UNDERNEATH the platysma muscle of the neck.  Every treatment you mentioned undergoing will only safely treat fat that is superficial to the platysma and not underneath it.  Now, you will likely have the added factor of scar tissue development underneath the skin.  A "deep neck lift" is likely the answer.  You will need to visit with a surgeon experienced in this area/technique.  This can be done with a small incision below the chin and without any skin removal.  
Best wishes.

Ronald J. Edelson, MD · Answer

Unfortunately your photos doesn't show the problem at all. Typically in your age group lipo of the neck is the way to go. Maybe your lipo was too conservative and you need it again

Marc Polacco, MD · Answer

Thank you for your question. This is a very common concern and the region can be difficult to treat. The best treatment depends on the patient and individual goals, but if you've already tried the above modalities, a neck lift may be the best option to get the result you're aiming for. Incisions hide well, and the downtime is usually a few days due to swelling. This is obviously the most aggressive treatment, but it also has the best chance of success.

S. Darrell Lee, MD · Answer

We have had great success in our office with the combination treatment of FaceTite, Lipo & Neck Suture. Most of the time you need tightening of the skin with liposuction and that is were the FaceTite comes into play & the neck suture helps to tighten the neck skin for a more structured jawline.

Rosa B. Lipin, MD · Answer

Thank you for your question and the photo. Sorry you haven't had much improvement with the above mentioned procedures.
Depending on how far you are out from neck liposuction and Kybella, swelling can linger, so I would want to make sure you are past any swelling from prior procedures before considering something else. 
I am unable to see your full neck and therefore am not able to give you a more personalized recommendation, but assuming you still have pre-platysmal fat, neck liposuction followed by lymphatic massage would probably be best. However, if the fullness is from fat deep to the platysma muscle, or involves deeper structures in your neck, then a deep plane necklift would be best. 
Kybella often takes 3-5 treatments to have any effect, and there is significant swelling following each treatment. Liposuction usually ends up being more cost effective. 
Best Wishes,Rosa B Lipin, MD

William Portuese, MD · Answer

A full set of facial photographs from all angles in a chin neutral position are required to make a determination about how best to proceed. It's also important to understand that there are two compartments of fat in the neck, and they're located above and below the platysma muscle. If there are significant fat deposits underneath the platysma muscle, then a necklift procedure with a platysma plasty is going to be required to remove that stubborn fat. Liposuction cannot accomplish removing fat deposits underneath the platysma muscle.

Darryl J. Blinski, MD · Answer

Need better photos - not in turtle neck sweater to see "double chin". Virtual consults are better to give the surgeon more live video views. I think aggressive liposuction with mini neck lift and muscle plication is the option to consider, even at the age of 25. Fee $8,000-$10,000.

Double chin - what procedure would give me the best results? (photo)

Answers (9)

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