Excess Fat Below My Chin
I recently saw a commercial for Kybella and am also aware of CoolSculpting, Is there a recommended procedure for removing fat below the chin? What would you recommend and what is the cost?
Many non-surgical, minimally invasive and surgical options for enhancing the appearance of a “Double Chin” / “Turkey neck”, full necks or simply a little wiggle of skin laxity are now available. These include:
1. Surgical procedures include:
a. “mini” lipo-contouring
b. Facial lipo-contouring (of the lower cheeks, jowl, jawline, double chin and neck) and neck suspension
c. Facial lipo-contouring and neck muscle lift (platysmaplasty) with or without neck suspension
d. Direct excision, ie. surgical incision with visual removal of the fat
2. Non-Surgical procedure Fat freezing using the CoolSculpting Cool-Mini applicator for under the chin and small fat bulges
3. ThermiTIGHT is a revolutionary procedure able to shrink the skin and stimulate collagen production for patients with skin laxity not requiring skin excision or muscle tightening.
4. The thread lift is back using Silhouette InstaLift (SIL) sutures! Doctor Dean Kane's experience with prior Contour Threads for a minimally invasive face lift was unparalleled over 10 years ago when this option was removed from the marketplace. Today’s SIL absorbable sutures and anchoring cones lift the tissues of the face, neck, and other areas using simple puncture sites. The sutures themselves are made of absorbable poly-L-lactic acid and poly-glycolic acid which is the foundation of Sculptra and Vicryl molecules stimulating formation of collagen and elastin to maintain the lift in place up to 18 months as well as tighten, firm and improve the skin texture of surrounding skin and soft tissues.
While the alternatives are expanding, you should expect a far smaller improvement with non-surgical and minimally invasive options as you would from surgical procedures for neck enhancement.
Whatever works for you, choose a Board Certified Plastic Surgeon with all of the above options, skills and experience to evaluate and provide the best chance for a great result.
The fat below the chin can be removed in a multitude of ways. Neck skin is some of the better skin on the body for tightening up after removal and often times removal of that will lead to a nice result without a true neck lift unless the skin has lost its elasticity. This fat can be removed with Liposuction, laser liposuction commonly known as smartlipo, injectable such as Kybella, or non-surgical fat reduction devices such as coolsculpting and sculpsure has a device on its way for the same treatment. I prefer liposuction as I have the control to remove the amount I want and to contour. I can continue to modify and taper until I am happy. This is usually a very well tolerated procedure , less than an hour , can be done under local anesthesia. The swelling is actually less severe than I've seen with kybella. The nonsurgical devices are not going to eliminate as much fat but are a nice option for someone who doesn't have much fat or doesnt want actual surgery or recovery or significant swelling
Thank you for the question. I prefer chin liposuction performed as an in-office procedure under local anesthesia in about 15 minutes. The results are immediate and the recovery is a few days, healing is usually complete within a few weeks in addition to the added benefit of skin retraction.
The options that you mentioned above are good but not as effective in removing fat and their results are slow over 6 weeks. Those options may be repeated if no results are seen where as the liposuction rarely needs to be repeated.
I recommend you see a plastic surgeon for a consultation to better assess your needs and can help you determine what's best for you.
Getting rid of a double chin can be challenging, even after weight loss, particularly if you are genetically predisposed to store fat in the neck and face. Fortunately, there are both non-surgical and surgical cosmetic treatments available to address submental fat.
Kybella (synthetic deoxycholic acid): Kybella has been recently approved by the Food and Drug Administration (FDA) to treat excess submental fat. Deoxycholic acid is a molecule produced by the body that aids in the processing of fats. When injected under the chin it targets and destroys fat cells, thereby reducing the appearance of a double chin.
Treatment with Kybella will require a series of injections, usually accomplished over a six-month period. The cost of a full round of Kybella therapy is roughly $3,000.
Side effects of deoxycholic acid injections include:
- Hardened areas at the injection sites
Coolsculpting/CoolMini: The CoolMini is an FDA-approved attachment for Coolsculpting devices that allows Coolsculpting to be applied under the chin. Coolsculpting lowers the temperature of the skin such that the fat cells underneath crystallize and die.
CoolMini treatments cost approximately $1,000 each, with the number of treatments depending on the amount of fat that needs to be removed.
Since Coolsculpting is completely non-invasive, patients rarely experience any discomfort following treatment.
Liposculpture/liposuction: Liposuction is the gold standard cosmetic procedure for fat removal. The plastic surgeon makes small incisions into which he or she inserts a suction instrument called a cannula. If conducted over such a small area as under the chin, the surgery can be performed under local anesthesia or IV sedation.
Liposuction should be a one-time treatment. As long as the patient maintains a healthy diet and has no weight gain following the procedure, the results will last a lifetime. The costs of liposuction depend on the size of the treatment area and usually costs between $2,000 and $3,000.
Unlike Coolsculpting and Kybella, liposuction does involve a recovery period during which patients commonly experience the following:
- Numbness and tingling
- Discomfort, mostly associated with the swelling and bruising
Neck lift (lower rhytidectomy): A neck lift is a surgical procedure during which the plastic surgeon improves the contour of the patient’s neck and jawline by tightening loose skin and removing excess fat. Liposuction can be performed in conjunction with the neck lift to accomplish this.
On average neck lifts cost approximately $4,500. Like liposuction, a patient only needs to undergo this procedure once to achieve results that last a lifetime. Again, remaining at a healthy stable weight is key to maintaining the results.
As with any surgical procedure, neck lifts also require a recovery period, during which time, patients commonly experience the following:
There are a few invasive and non-invasive options for you to consider. Cool Sculpting generally cost around $1500, and Kybella costs around the same maybe slightly more and each will require a series of treatments. Both of these modalities are designed for fat reduction below the chin with very nice results. Liposuction is a guaranteed result that should be considered as well. It will cost slightly more but being a surgical option is a more permanent and definitive way to contour that area. Good Luck!
Hi, both procedures are recommended for this area. It's a question of how much fat is there which will determine the amount of treatments required. In my opinion if more that 4 treatments are required, then it's more cost effective to do liposuction. Off course kybella is none invasive and it's a gradual reduction, which most of my patients love. Hope that helps.
Both of these are options in many practices, though not everyone has Coolsculpting devices or believes in the benefit for value of Kybella. The gold standard remains liposuction (which can often be done under local anesthesia or minimal sedation) but Coolsculpting and Kybella are definitely improving the menu of options. These treatment programs (from start to finish, including possibly multiple sessions for the nonsurgical options) can run anywhere between $2000 and $5000 in many markets, and so you need to consider if you will get enough value out of the nonsurgical option where there is not necessarily a considerable cost savings when compared to liposuction, often done for less than $4000-5000 (sometimes closer to $2000) all-in. Learn more at http://www.timsayedmd.com Email email@example.com Call 1-858-24SAYED (1-858-247-2933) Follow us on Twitter and Instagram at @timsayedmd
Thank you for sharing your question. Kybella is becoming the most preferred procedure for the area of your concern. There is no down time, and the injection is much less painful than CoolSculpting. Results are seen after about 4-8 weeks. The price is approximately $1000 per treatment, and most patients need between one and four treatments to see full correction. I hope this information helps.
Best Wishes, Dr. B.
Dr. A. K. Bhattacharya has 1 Kybella before & after:
There are a number of ways to treat fat under the chin. I have not found Kybella to be as painful as other respondents but there is swelling after. It is non surgical and 2 - 3 treatment may be necessary. The final results may take months due to the multiple treatments. Cool sculpting is also non surgical. Patients in general do not like having the hand piece in place for an hour. Its a little uncomfortable. Liposuction with or without laser will remove the fat in one procedure. Whether you need laser or skin tightening will depend on your exam. Fees will vary for each.
If you prefer a totally noninvasive treatment then Cool Sculpting is a very good choice. Kybella injections need to be repeated and cause significant swelling and pain post procedure. Laser Assisted Liposuction is minimally invasive but can remove fat and tighten the skin in one session producing more significant results. The price for it might not be much more than multiple treatments with Kybella.
I am not a big fan of Kybella. Nonsurgical options for removal for the chin are reasonable but reality is in the man liposuction is simple fast and effective.
David Whiteman M.D. FRCSC Atlanta
Excess fat can effectively treated with either Kybella or CoolSculpting. Which to use depends upon how much fat there is and the location of the fat. An experienced practitioner can help steer you in the right direction. We have achieved excellent results with Kybella for the majority of our patients.
SmartLipo is a safe and effective treatment for removing submental ("under the chin") fat. The procedure utilizes laser energy to melt away the fat, while also providing skin tightening, a key factor in providing the most optimal aesthetic outcome. The SmartLipo procedure can be performed in just one treatment. It can also be performed in the office procedure suite using local anesthesia, eliminating the need for general anesthesia and surgery center visits. I would suggest an in person consultation to see if you are a candidate. Good Luck!
Both can be successful non surgical procedures. The reason you should see a board certified plastic surgeon is to determine which is best for you individual anatomy. Some people have too much fat and may require liposuction and some people may have more saggy skin than fat. Your particular situation will dictate which procedure is best for you. Kybella requires two treatments. Coolscuplting may require multiple treatments too. Costs start at $2,400 for Kybella and $1500 for CoolSculpting.