Plastic Surgery 101

How to get rid of a double chin

Q. I'm 27 years old and I have a double chin. I'd like to take care of it but I'm not sure what to do. Can you give me all the options?

A. You can either have a noninvasive or an invasive procedure — depending on how much time you want to take off and how much money you want to spend.

Noninvasive skin tightening procedures include Ultherapy (ultrasound),Velashape (radio frequency) and Coolsculpting (freezing). There are many other procedures that can get rid of fat and tighten your skin. Each doctor has their own preference so it would be advisable to see either a facial plastic surgery, plastic surgeon or dermatologist.

The key to picking which procedure to do is to choose a practitioner whose office you trust and know that you're that they are doing the right thing for you. Remember just because it's cheaper doesn't mean it's better. Another thing to remember: A practitioner can develop a wonderful online reputation with minimal skills and results just by hiring an online social media expert. Many of these procedures get bad wraps because often patients are not good candidates, but they're told to do it anyway because the operator is making money.

Kybella is a new injectable product that dissolves fat. The treatments are spaced six weeks apart and for about one week you will look like you have a double chin. This occurs because of a chemical reaction in dissolving you're fat. Once it is gone, you may need up to three treatments for optimal results. Physicians have to be selective with patients to make sure they are good candidates for the treatment. Kybella is a treatment that is specific for the double chin area.

Lipo-section is a great procedure for the neck and jowl area. For younger people, just doing Lipo-suction will work very nicely. For older people, 40 years and above, the procedure may be accompanied with some excision of skin underneath the chin. This is a discussion that you should have with your physician so as to know what your expectations should be.

Lipo-suction requires either sedation anesthesia or general anesthesia. The recovery is approximately one week with optimal results being seen as soon as one month and up to six months later.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at