What are the surgery options for a double chin? I am a 21yo F and I already had a consultation a few months ago for chin liposuction. I was told I wasn’t a good candidate bc I don’t have enough fat and my soft jawline is mostly muscle. Is platysmaplasty an option or are there any others that would give the same effect as chin lipo?
There are many possible causes for your perceived double chin. It is impossible to make a recommendation without seeing you in person and performing a physical exam. If superficial fat is the cause then liposuction may be the answer. If your fat under your chin is deep (under the platysma muscle) then direct excision through a small incision under the chin may be necessary. If there is mild to moderate looseness of the skin and or platysma muscle then it might be possible to treat that with subdermal radiofrequency, like Renuvion. If there is an excessive amount of loose skin (which is highly doubtful given your age) then a more formal neck lift might be the best option. It is also possible that you have a "weak" mandible (bony chin) and then a skeletal augmentation or advancement might be a part of the answer. As you can see, it starts with making the correct diagnosis before recommending a potential treatment.
If there is palpable fatty tissue under your chin, then liposuction could be helpful. It is possible to use dissolvable threads to alter a chin/neck appearance. Kybella is a waste of money and painful. Alternative platysmaplasty might help. Would need to see the neck in FaceTime or in person. Good Luck...
Smart Lipo is also an effective way of re-sculpting the neck area and helps tighten loose skin. Smart Lipo uses laser light allowing finer re-sculpturing of the neck and jowls. SmartLipo, used in combination with other forms of liposuction, is a procedure that uses laser light to liquefy fat and tighten the surrounding skin. It’s thought to involve less downtime and side-effects than traditional liposuction and is particularly good for small areas of fat deposits.
Kybella® (deoxycholic acid) injection is an FDA-approved injectable treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” Kybella can be used off-label for the area under the arms. You may also benefit from Thermage®. Thermage is now a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. This can treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Careful patient selection is important to ensure safe and effective treatment, so I suggest making an appointment with a board certified plastic surgeon for consultation to discuss your options. These procedures can be performed as an outpatient without the need for general anesthesia allowing for a quick recovery.