This blog has been authored by “Dr. Joe” Gryskiewicz MD, FACS.
About Dr. Joe Gryskiewicz:
Dr. Joe Gryskiewicz is a board-certified plastic surgeon with over 30 years of experience performing aesthetic
surgery. He is a Fellow of the American College of Surgeons and belongs to the American Society of Plastic
Surgeons, The Aesthetic Society, The Rhinoplasty Society, and many other national institutions.
In addition to being in private practice, Dr. Joe is a writer and international speaker. He has traveled the
world delivering over five hundred presentations to professional organizations on plastic surgery topics such as
breast augmentation, rhinoplasty, hot topics, and ethics. He writes for a number of medical journals, society
newsletters, and academic publications.
We’ve all looked in the mirror or seen a photo and noticed something we wish we could change. For some, that “something” is a double chin. It’s not just about weight; genetics, aging, and even lifestyle factors can all play a role in creating that extra bit of fullness under the chin. The good news? If you’re not happy about it, you have options
Dr. Joe Gryskiewicz is a talented and experienced plastic surgeon serving the Minneapolis and St. Paul, Minnesota areas. He will explore treatment options for a double chin, from simple non-invasive treatments to more precise surgical procedures.
What Causes a Double Chin?
Before we get to the solutions, it’s helpful to know why double chins happen. Like we already mentioned, it’s not always about body weight—sometimes it’s simply genetics. If your family members have a similar feature, it might be hereditary. Age is another factor; as we get older, skin can become less firm, and fat can settle in places we didn’t expect. And for some, it’s a combination of these factors.
Non-Surgical Options for Treating a Double Chin
If you’re looking for a way to reduce your double chin without surgery, modern technology offers several effective treatments that don’t require any incisions. These options are great if you prefer something with little to no downtime:
CoolSculpting®
One of the most popular non-surgical treatments is CoolSculpting®. This procedure targets fat cells under the chin using controlled cooling technology. It’s a great option for those looking for a gradual change without surgery.
During a CoolSculpting® session, a small applicator is placed beneath your chin. You might feel a cooling sensation initially, but it’s not uncomfortable. The cooling works to freeze the fat cells, which your body then naturally processes and eliminates over time. Since it’s non-invasive, there’s no downtime—you can go back to your daily activities right away.
It’s important to remember that CoolSculpting® isn’t an instant fix. The results develop gradually as your body breaks down the treated fat cells, so it may take a few months to see the full effect. However, it’s a popular choice for those who want a less invasive approach with steady, natural-looking changes.
Surgical Options: Facial Liposuction vs. Neck Lift
When it comes to addressing a double chin, surgical options like facial liposuction and a neck lift offer targeted, long-lasting results. Both procedures have their strengths and can be used individually or in combination, depending on the patient’s needs.
Facial Liposuction for Targeted Fat Removal
Facial liposuction, specifically targeting the chin and neck area, involves the surgical removal of fat deposits using a small, thin tube called a cannula. This procedure is ideal for people who primarily have excess fat but still have relatively good skin elasticity. By removing the fat, your surgeon can create a more defined and sculpted jawline.
When is it preferred?
Excess Fat but Good Skin Quality: This procedure is most effective for those whose main concern is the accumulation of fat rather than loose or sagging skin. If you’re relatively young or have good skin elasticity, liposuction can provide impressive results without the need for additional skin-tightening procedures.
Desire for Immediate Results: Unlike non-surgical options that take months to show their full effect, facial liposuction provides immediate results. Once the swelling subsides, the difference in your chin and neck profile is noticeable right away.
Permanent Solution: As long as you maintain a stable weight, the fat removed through liposuction is gone for good. It’s a long-term solution for those who want to address a double chin without needing repeated treatments.
What to Expect During and After the Procedure
Procedure Details: Facial liposuction is typically performed under local anesthesia with sedation. Dr. Joe makes small, strategically placed incisions—usually under the chin or near the ears—where the cannula is inserted to remove fat.
Recovery Time: Recovery usually takes about 1-2 weeks. You may experience some swelling, bruising, and discomfort during this period, but these effects gradually improve. Most people can resume light activities within a few days, and normal routines, including exercise, within a couple of weeks.
Neck Lift for Tightening Loose Skin
A neck lift is a surgical procedure that addresses sagging skin, muscle laxity, and excess fat in the neck area. It’s perfect for those who are experiencing not only fat accumulation but also loose, sagging skin or banding (vertical lines) in the neck area due to aging. A neck lift tightens the skin and underlying muscles, creating a smoother, more youthful appearance.
When is it preferred?
Loose or Sagging Skin: If the skin around your chin and neck has lost its elasticity—often due to aging—a neck lift may be necessary. While liposuction removes fat, it doesn’t address loose skin, so if you have noticeable sagging, a neck lift can provide the tightening needed for a firm, sculpted look.
Muscle Laxity (Platysmal Bands): Over time, the muscles in the neck (known as the platysma muscles) can separate and form vertical bands. A neck lift can tighten these muscles, smoothing out the appearance of the neck and creating a more defined jawline.
Comprehensive Anti-Aging Solution: For those seeking a more dramatic improvement in their neck and jawline profile, especially if the aging process has affected multiple layers (skin, fat, and muscle), a neck lift offers a thorough and lasting result.
What to Expect During and After the Procedure
Procedure Details: A neck lift is performed under local anesthesia with sedation or general anesthesia. Dr. Joe typically makes incisions around the ears and possibly under the chin. Excess skin is removed, and the underlying muscles are tightened, while fat may also be repositioned or removed for a smooth, contoured look.
Recovery Time: Recovery from a neck lift takes longer than facial liposuction. Swelling and bruising are common, and you may need to wear a supportive bandage for a few days. Full recovery can take several weeks, but the results are long-lasting and often dramatic.
Combining Facial Liposuction and a Neck Lift
In some cases, combining facial liposuction and a neck lift provides the most natural-looking results. This approach is especially beneficial when the double chin is caused by a combination of fat accumulation and loose skin. By combining both procedures, Dr. Joe can remove fat with precision and simultaneously tighten the skin and muscles for a firmer, more contoured look.
When might a combination be recommended?
Excess Fat and Sagging Skin: If you have both excess fat under the chin and loose or sagging skin, performing only one of the procedures may not give the desired results. Liposuction alone could leave you with loose skin, while a neck lift alone might not address the fullness caused by fat. Combining both allows for a comprehensive reshaping of the area.
Dramatic, Yet Natural-Looking Results: For those seeking the most noticeable change with the most natural look, combining these two techniques is often the best option. By addressing both fat and skin laxity, the overall contour of the neck and jawline can be significantly improved, creating a balanced and harmonious result.
Long-Term Solution: Since both procedures provide lasting results, combining them can offer a significant improvement that stands the test of time. With proper maintenance, such as maintaining a healthy weight and following a skincare routine, the benefits can be long-lasting.
CoolSculpting® vs. Liposuction
When it comes to getting rid of a double chin, CoolSculpting® and liposuction are two of the most effective options available. Both have their unique advantages, and the best choice often depends on your preferences, lifestyle, and the kind of results you’re looking for.
CoolSculpting® is a non-surgical procedure that uses controlled cooling technology to freeze and eliminate fat cells. It’s perfect for those who want a gradual change without downtime, as the body naturally processes and removes the fat cells over several weeks or months. CoolSculpting® sessions are quick, and since it’s non-invasive, there’s no need for anesthesia or recovery time.
Liposuction, on the other hand, is a surgical procedure that involves physically removing fat from under the chin. This method offers immediate and more dramatic results. It’s a great choice for those who want precise sculpting and a more significant change in a short amount of time. While liposuction does require some recovery, the results are often long-lasting and can provide a sharper, more defined jawline.
Here’s a table comparing the two options:
Feature
CoolSculpting®
Liposuction
Type
Non-surgical
Surgical
Procedure Duration
Approximately 45 minutes per session
1-2 hours
Anesthesia
Not required
Local or general anesthesia
Recovery Time
Minimal, can return to normal activities immediately
1-2 weeks of downtime with some swelling and bruising
Results
Gradual (over a few months as the body processes fat)
Immediate, with full results visible as swelling subsides
Number of Sessions
Multiple sessions may be required
Typically one procedure is sufficient
Long-term Results
Permanent if weight is maintained
Permanent if weight is maintained
Ideal Candidate
Those seeking a non-invasive option with minimal downtime
Those wanting more dramatic and immediate results
Side Effects
Temporary redness, swelling, or numbness
Swelling, bruising, and possible discomfort during recovery
Cost
Typically lower per session, but may add up with multiple sessions
Higher cost per procedure, but usually only one needed
FAQs about Treatment for a Double Chin
How long do results from CoolSculpting® take to appear, and how long do they last?
Results from CoolSculpting® typically start to appear after about three weeks, but the most significant changes are usually seen between two to three months as your body gradually eliminates the treated fat cells. The effects of CoolSculpting® can be long-lasting, provided you maintain a stable weight, as the fat cells removed won’t regenerate.
What is the best age range for facial liposuction or a neck lift?
While there’s no specific age limit for these procedures, ideal candidates are usually those in their 30s to 60s. Individuals in this age range often experience changes due to aging, such as fat accumulation and skin laxity, which can be effectively addressed through surgery. However, younger patients with genetic fullness under the chin or older patients with good overall health and skin condition may also benefit.
Can you combine CoolSculpting® with a neck lift for enhanced results?
Yes, combining non-surgical CoolSculpting® with a neck lift is possible for individuals looking to achieve a comprehensive improvement. CoolSculpting® can target and reduce fat, while a neck lift addresses any sagging skin, leading to a more defined and contoured appearance. Consulting with Dr. Joe can help determine the right sequence and combination for the best results.
Are there any specific risks or complications associated with facial liposuction?
Facial liposuction, like any surgical procedure, carries some risks. These may include temporary swelling, bruising, or numbness in the treated area. Infection, asymmetry, or irregular contours are rare but possible complications. Choosing an experienced, board-certified plastic surgeon minimizes these risks and ensures you receive the best care and most natural-looking results.
How should I prepare for a neck lift procedure?
Preparing for a neck lift involves a few key steps to ensure a smooth surgery and recovery. Dr. Joe may advise you to avoid certain medications like aspirin or anti-inflammatory drugs that could increase bleeding. It’s also essential to quit smoking if you do, as smoking can impair healing. On the day of surgery, wearing loose, comfortable clothing and arranging for someone to drive you home post-procedure are important steps for a safe and efficient experience.
Further Reading about Surgery at Twin Cities Cosmetic Surgery
We’ve all looked in the mirror or seen a photo and noticed something we wish we could change. For some, that “something” is a double chin. It’s not just about weight; genetics, aging, and even lifestyle factors can all play a role in creating that extra bit of fullness under the chin. The good news? If you’re not happy about it, you have options