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What’s The Best Treatment For My Double Chin?

Posted: 6:00 a.m. Sunday, Aug. 7, 2016

By Anita Mandal, M.D.
Question: I have sagging skin in my neck but also have a fat waddle under my chin. With so many options for neck fat including liposuction, CoolMini and Kybella, how do I go about choosing what’s right for me?

Answer: First, it’s most important that you find a board certified Facial Plastic Surgeon who specializes in the face and neck. While there are many non-plastic surgeons performing these procedures, have you ever asked why they are not board certified in plastic surgery? A true specialist understands the intricate anatomy and functional structures in the aging neck and can provide the most suitable options based on a thorough evaluation of your unique neck.

Not all necks are the same. Kybella is specifically for submental neck fat, meaning the fat under the chin in the central part of the neck. Kybella not only permanently reduces the fat in this area but also can effectively contour the neckline. Although the results are not immediate, they are visible in about

4 weeks after treatment.

Surgical liposuction can achieve similar results to Kybella under the chin. Additionally, liposuction can treat fat on the sides of the neck. However, liposuction is surgery, it’s invasive, requires anesthesia and has a higher risk of complications with a postoperative recovery.

The coolmini, by Zeltiq, is more of a “bulk neck fat” reducer and is not as useful for smaller, isolated areas of neck fat that require contouring. With Coolmini, you are at risk of ending up with unevenness or unwanted neck depressions. Unlike surgical liposuction and Kybella, coolmini results take a much longer to become visible after treatment.

When any of these fat reduction treatments are performed in patients over the age of 35 or 40, you will likely need skin tightening for the skin that loosens from fat removal. I commonly combine the Infini non-surgical facelift with either liposuction or Kybella treatments. In fact, Infini RF skin tightening combined with Kybella fat reduction can be the ultimate minimal-invasive contouring treatment for a more defined, natural-looking neckline.


Kybella,10 Minutes: Permanent, minimal invasive neck fat removal for double-chin.

SculpSure, 25 Minutes: permanent, non-invasive body fat reduction with skin tightening.

Infini RF, 40 Minutes: Non-Surgical Facelift for sagging jowls and neck with no downtime.

Bellafill, 90 Minutes: The 5-Year Filler. Dr. Mandal is a BellaDiamond physician in the top 1% of expert Bellafill injectors in the world.


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