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

Question

I have had several consultations now and the advice has ranged from do nothing to micro lipo or vaser to a chin implant. Chin fillers have also been suggested. I'd be interested to know the views if doctor's on here as to what they would recommend based on my photos. I realise it's nothing major but it still bothers me, especially from the side. I also have some concerns about my nose but have been told that improving my jawline and chin area should help the sharpness of my nose. Is that correct?

Jason E. Leedy, MD · Answer

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.

Ryan A. Stanton, MD · Answer

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...

Raffy Karamanoukian, MD, FACS · Answer

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.

Dev Wali, MD · Answer

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.

Kenneth Hughes, MD · Answer

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

Eric M. Joseph, MD · Answer

I read your note and reviewed your photos:

	In many patients, the combination of a chin implant and neck liposuction leads to a spectacular improvement. This combination is useful for rejuvenating the lower third of the face and neck in people with weak chin projection and excessive deposits of neck fat.

	Good luck with your decision.

	Dr. Joseph

Michael I. Echavez, MD · Answer

From your photos, it does appear that you would be a candidate for liposuction of the neck and a chin implant. While either procedure, by itself, should lead to improvement, the best result most likely would be with both procedures. In regards to your nose, a chin implant can affect the appearance of the nose but I would not say that it would lead to more sharpness of the nose. A chin implant can make the nose appear smaller, but it should not affect the sharpness.

Bruce E. Katz, MD · Answer

Thank you for posting a picture of the area. It looks like you may be a candidate for submental Smartlipo; this will help to better contour your jawline.

Chase Lay, MD · Answer

I think you're an excellent candidate based on your photos for chin liposuction. pick a good surgeon who has used their particular tool or technique for quite some time. My preferred tool and technology is laser assisted liposuction in the form of SlimLipo. Your young with good skin and tissue making you a great candidate. I also agree with some observations during her consultations that you would benefit from a chin augmentation. You can do that either with filler or implant.

Jeffrey Zwiren, MD · Answer

The key to liposuction is the quality of the skin and not the amount of fat removed. If the skin of the neck is tight it will recoil and redrape after liposuction. If the skin is lax then you will just get saggy skin. You would seem to be a good candidate for liposuction of the neck and submental area.

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