How well does liposuction work on a double chin?

How well does liposuction work on a double chin, submitted image.

I’ve never had any cosmetic work done before, so even though I’m reading that liposuction is pretty effective at curing a double chin, I’m also a little skeptical. In some of the before and after photos I’ve seen, the person still looks like they have a double chin AFTER surgery. Why would this be?


F, 55, Pennsylvania

Tags:woman age 45-54 double chin

When the skin is loose, liposuction remove fat, but then the skin becomes more loose.  You can try a modality like FaceTite to help tighten the skin at the time of liposuction.  But for the most tight results, you would need a necklift too.  Meet with a plastic surgeon who offers FaceTite to get an idea of the options.  Best of luck!

Not every patient with a double chin or excess chin fat is a good candidate for neck liposuction. This is because neck liposuction works best on patients with skin elasticity or taut skin, usually those in their twenties and thirties. It doesn’t work well in older people who usually have looser skin, referred to as skin laxity. Unfortunately, as we age our skin becomes less taut, therefore neck liposuction alone may not give you the best results and leave you looking like one of the photos you refer to.

Here’s how neck liposuction works. It’s a fairly quick and minimally invasive procedure. One or two small incisions are made in the area, usually beneath the chin or behind the ears. A small liposuction cannula is then used to remove excess fat and add contour to the neck. You may have to wear a compression garment or chin strap for a few days. As for recovery time, you'll have swelling and bruising for a few days following the procedure, although you should be ready to return to your normal activities in a week or so.

I recommended that you consult with several board-certified plastic surgeons in your area who have experience in plastic surgery of the neck area. After an examination, they will be in the best position to determine what procedure is best to remove your neck fat. Don't be surprised if they recommend a neck lift, which is better for some patients because it deals with both excess fat and loose skin due to muscles that have grown lax with age.

The procedure for a neck lift is a more invasive procedure. Incisions are typically made around the ear and under the chin, allowing the plastic surgeon to access the underlying tissue. They can tighten the muscles and remove excess fat and skin where necessary. The skin is ultimately re-draped so it sits tighter over the newly contoured area. Although each person is different, the recovery time for a neck lift can take up to two weeks.

Liposuction can be used to reduce a double chin. If you believe that you have a double chin despite being at an ideal weight, liposuction can help you achieve a more defined neckline. Generally, those best suited for neck liposuction are in their 20’s to 40’s. This is because younger patients tend to have better skin elasticity, meaning their skin is taut. As we age, we tend to have more skin laxity, meaning loose skin. There are exceptions, of course, as we’ve seen patients in their early 30’s who have loose skin and patients in their 50’s who still have tight skin.

So while liposuction can treat a double chin, if you have loose skin on and around your neck, you may not get the results you’re looking for. You should definitely consult with a few board-certified plastic surgeons before moving forward with any cosmetic surgery.

Be prepared for the doctors you see to raise the possibility of a neck lift or Face Tite in lieu of liposuction. Since the cosmetic problems associated with your neck could be due to excess fat, skin, or both, you may be better served with a lift. This could be the reason why when you see “after” pictures, the person still looks like they still have something of a double chin after a liposuction procedure. The average cost in the U.S. for chin/neck liposuction is $2,500 and the average cost of a neck lift is $4,500. Costs vary by location.

while Liposuction can certainly treat a double chin, I am concerned that you have a little bit of skin laxity that may not respond in a good way to removal of the fat from the chin area.  I usually combined the liposuction in cases like years with injectable radiofrequency called ThermiTight.  This causes a shrink wrapping of the skin over 3-12 month period by stimulating contracture of the scan and laying down of collagen the last chest underneath the skin.

Other options for your double chin are Kybella injection series that use chemicals to dissolve the fat but doesn't necessarily deal with the laxity of the skin..