What procedure to remove fat from chin (only part where I have fat)? (Photos)

Question

I always had fat under my chin despite having a normal weight. What procedure would be the best? Thanks! Female, 31, 60kg, 1m73, (I had no sagging skin after giving birth and was able to lose all the weight taken (~7kg) in ~2 weeks)

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

​I find that VASER liposuction in combination with Renuvion or ThermiRF are best for contouring the chin in those who are candidates, but Kybella can be used as an alternative and gets better results when combined with Thermage/Ultherapy/Exilis, TruSculpt iD, or Coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer​

William Portuese, MD · Answer

The Photographs demonstrate fat deposits in the neck and a recessive chin profile. Consider placement of a chin implant to augment the chin forward for better structural support for the soft tissues in the neck. Liposuction of the fat deposits in the neck can also accomplish improvement at the very same time. Both procedures can be performed under  local or general anesthesia

Mats Hagstrom, MD (license on probation) · Answer

There’s more than fat under your chin.  The entire area is covered by your platysma muscle and there are also submandibular glands.

You are thin and don’t have much subcutaneous fat.

The primary reason for each persons facial contour is based on skeletal structure not fat distribution.

People who have a Mandible that is small or lacks forward projection in relationship to their maxilla tend to develop a double chin because their oblique muscle will drape obliquely from the tip of the chin to the neck.

People with this facial skeletal balance are also prone to developing premature Jowls and the lack of Jawline definition.

It often presents with having a mild dental overbite and on profile pictures it shows the upper lip having more forward projection than the lower lip.

I don’t think there’s a significant skeletal imbalance but everybody tends to be on one side or the other.

If you look at people with what are considered ideal or highly attractive jaw lines they tend to have a projecting Mandible.

Liposuction works well in this area if there’s fat to remove.

I just don’t think there’s much to remove in your case.

Based on the pictures you’ve included your face and neck look completely normal and appropriate.

Best,

Mats Hagstrom MD

What procedure to remove fat from chin (only part where I have fat)? (Photos)

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Answers (4)

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