I'm 27 years old, skinny and have a double chin. Thought? (photos)

Question

Wanted to know what you doctors thought are in terms of the severity of my double chin, I'm 27 and skinny, so it's not a weight issue

Jason Emer, MD · Answer

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Sabrina Fabi, MD · Answer

Thank you for your question and photos. Unfortunately, it is difficult to make a determination from your pictures alone. If submental fat under the chin is the issue, a treatment like Kybella or liposculpture to remove the fat might be your best bet. However, if skin laxity is more of a problem, a skin tightening treatment like Ultherapy or Thermage might meet your needs better. It is also possible you would benefit from a combination of these treatments. I recommend you schedule an in-person assessment with a board-certified cosmetic dermatologist that can evaluate your specific concerns and create a customized treatment plan that will meet your needs best. Good luck to you!

Ned Snyder, IV, MD · Answer

Thank you for submitting your questions/concerns and photos.  There are many treatment options that can improve the appearance of your chin.  For example, you may be a great candidate for Kybella, which chemically treats/reduces fat cells under the chin.  There is also ThermiTight, which treats the tissue with radiofrequency to reduce fat cells and tighten skin.  There are other more invasive options, such as surgical liposuction and/or placement of a chin implant.  A thorough exam by a plastic surgeon will determine which option is best for you.  Good luck and thank you again for reaching out.

Leo McCafferty, MD · Answer

You are partially correct, in that you are thin, but I would disagree with your assessment of a double chin.  Remember, your neck needs skin to allow your head to move in all directions and what I'm seeing on your photographs appear to be quite normal.  This is based on your photographs and if you want confirmation I would suggest seeing a board certified plastic surgeon experienced with face and neck lift procedures.

I'm 27 years old, skinny and have a double chin. Thought? (photos)

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