Double chin

A double chin, also known as submental fat, can be a source of self-consciousness. It represents an aesthetic problem in both younger and older male and female patients and can occur regardless of body mass. Although localized fat deposits are present in many parts of the body, submental fat is particularly noticeable due to its location.

The Science

Several factors contribute to the development of a double chin

Excess Body Weight- Carrying extra weight can lead to the accumulation of fat in various areas, including under the chin
Aging of the Skin – As we age, our skin loses its elasticity, which can contribute to sagging in the submental area
Genetics – Some individuals have a genetic predisposition to store fat in the submental region, making them more prone to developing a double chin

Clinical Features

When excess fat accumulates in the submental area, it leads to a less defined and saggy jawline.

Dr May's Opinion

There are many ways to address a double chin. The best results are seen with a combination approach that addresses the removal of fat, skin tightening, injections to improve the projection of the chin and support the jawline, and skin care to prevent further loss of elasticity of the skin. However, the most predictable solution is that of surgical removal with liposuction especially when large volumes of fat are present.

Solutions

Effective treatments for double chin include:

Lipodissolve A nonsurgical treatment designed to reduce unwanted fat under the chin (submental fat). It uses an injection of sodium deoxycholate, a medication that helps break down fat cells. This treatment targets the fat cells and breaks them down safely without the need for surgery. The body's immune system sends in cells to clear away the broken-down fat, encouraging the production of new collagen, which helps tighten the skin. 2-4 treatments spaced 2-4 weeks apart are needed
HIFU (High Intensity Focused Ultrasound): Also known as Microfocused Ultrasound, HIFU delivers energy below the surface of the skin, into the fatty tissue, damaging the fat. The heat contracts the collagen under the chin and neck area, providing skin tightening. In most cases, only one treatment is required
Injections to Build Up Anterior Projection to Chin and Jawline: A small or recessed chin and poor jawline definition result in poor support for the underlying chin area. By building up a recessed chin, you place traction in the forward vector. By supporting and contouring your jawline area, it provides traction in the back vector. This traction straightens the jawline and provides support to the double chin. In some patients, building up support to the chin and jawline is enough to reduce a double chin without the use of fat-dissolving injections, liposuction, or skin tightening

Other Treatments and Strategies

Other treatments not available at the Marr Clinc:

Liposuction: This is surgical procedure that uses suction to remove fat from specific areas of the body, such as the stomach, hips, thighs, buttocks, arms or neck. Liposuction also shapes these areas. That process is called contouring.

Thankfully, surgical procedures like liposuction are not the only solution for double chin reduction. Non-surgical alternatives can help you achieve a more defined jawline.

These options include:

General measures, such as maintaining a healthy weight and engaging in regular exercise, can improve the appearance of a double chin
Cryolipolysis (Fat Freezing): This technique employs extremely cold temperatures to target and damage fat cells in specific body areas

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Double chin

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