The appearance of double chin is actually caused by neck fullness, which in turn stems from excess subcutaneous fat (fat beneath the skin), redundant skin, or even both. Identifying the underlying cause is the most critical step to determine the best approach.
It is important to note that facelift for double chin is suitable for patients with age-induced skin laxity. As the body ages, the skin and deeper structures of the soft tissue start to lose their tightness and plasticity, leading to neck fullness and jowling.
Facelift surgery uses incisions around the ear’s curvature, which allows the surgeon to remove the excess skin responsible for the double chin and neck fullness.
Should the double chin appearance is notably pronounced, patients may also need liposuction to remove the localized fat deposit; this is an ancillary procedure commonly performed with facelift, says leading Los Angeles plastic surgeon Dr. Tarick Smiley.
Dr. Smiley, who regularly posts videos on Snapchat to demonstrate liposuction of the neck and jowl, says it is important to preserve some fats beneath the skin, instead of removing them altogether. The idea is to ensure that a “carpet” will remain to hide the platysma muscle down to the sides of the neck.
Over-aggressive liposuction of the neck can make the platysma muscle visible; they appear like two parallel bands along the neck.
Meanwhile, non surgical methods generally work in younger patients with good skin shrinkage—it can snap back once the localized fat deposit is removed. One possible option is Kybella injection, an FDA-approved drug that can melt away the fat that is causing the double chin appearance. Occasionally, patients may require up to six treatments performed a month apart to achieve the desired result.
CoolSculpting is another non surgical option to eliminate the appearance of double chin. It works by freezing fat cells, which are crystalized and then die before they are flushed out gradually from the body within a few months. Most people will need at least two treatments to see a noticeable improvement.