What is the Best Option for a Small Double Chin? (photo)

The small double chin usually results from extra fat. A nice treatment option for this is Smartlipo. Smartlipo is laser assisted lipolysis. In this surgery the extra fat which is creating the double chin is treated with the laser. This basically melts the fat. I often use a small cannula for liposuction to remove the treated fat after using the laser. There is a short period of healing however most patients have minimal bruising. The nice thing about this technique is that it is done in the office under local anesthesia. It is not necessary to go to the operating room to have this done. The other great thing is that the results are permanent. Once the fat is treated and removed it is forever gone. For young patients with a small amount of isolated fat this is my preferred treatment option.

You appear to have a rather classic case of "double chin" secondary to a recessed chin.  Meaning that a chin implant will give more projection to your chin and therefore take up some of the "slack" of the skin under your chin and help alleviate the double chin problem.  Some very minor liposuction under your chin may also help eliminate the double chin problem but this can only be determined after careful physical exam.  

Once the double chin is eliminated, your nose may suddenly be in good balance and thus not benefit from any nose surgery.  Glad to help... 

I would use a small incision based micro liposuction to remove the extra fat from the double chin area.  Contouring of the jawline, jowls, and neck would also be an outstanding addition. 

Based on your photos what you have is a little excess fatty tissue under your chin.  Chin liposuction could give you what you are looking for.  It can be done with local anesthesia with minimal down time.  I frequently perform this procedure.  Please feel free to review some before and after chin liposuction photos on my website and ask more questions. 

       I think that you will see great improvement with a chin implant and submental liposuction.  The liposuction will remove the small amount of fat present.  The chin implant will increase the projection of your chin and create the illusion of a longer jaw.  The implant will also take up a little bit of loose skin.  Find a plastic surgeon with ELITE credentials.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA