Double Chin Removal Surgery: Diagnosis, Procedure, & Recovery

Ideal Candidate for Double Chin Removal Surgery

The ideal candidate for double chin removal surgery is someone who has excess submental fat (fat under the chin) that has not responded to non-surgical treatments and who is in good overall health. While individual eligibility will be determined by a plastic or cosmetic surgeon, the following characteristics are generally considered when assessing a patient’s suitability for the procedure:

• The candidate should have a visible double chin caused by excess fat accumulation in the chin and neck area.
• The chin and neck area have adequate elasticity to adapt to the changes after the removal of fat.
• The candidate should have a relatively stable body weight, as weight fluctuations can affect the outcome of the surgery. 
• The candidate should be in good overall health and able to undergo surgery safely. 
• The ideal candidate should be a non-smoker or willing to quit smoking for a specified period before and after the procedure.
• The candidate should be older than 18 years and have realistic expectations about the results of the surgery. 

Based on this assessment, the surgeon will determine whether the patient is a suitable candidate for the procedure and recommend the most appropriate treatment option.

Double Chin Removal Surgery

Double chin removal surgery is the procedure of removing the fat tissues and tightening the muscles underneath the chin to eliminate the appearance of a double chin. Many people don’t feel comfortable when extra fat starts to deposit under the chin, as it can significantly affect the overall jaw and facial profile. Hence, they opt for surgery to get the desired shape and contours around the chin. 

A double chin can be corrected in three ways- 

• Chin liposuction involves the removal of excess fat from the chin region. 
• Submentoplasty involves chin liposuction and tightening of the chin muscles. 
• A neck lift (lower rhytidectomy) involves removing the excess skin or tightening the neck & skin muscles to improve the chin contours. 

The patient’s skin profile is examined carefully to decide which technique would be most suitable for double chin removal. If an individual has loose skin, liposuction or submentoplasty may not be recommended for him/her. In such cases, the doctor will perform a neck lift to eliminate the double chin. 

Benefits of Double Chin Removal

Double chin removal, whether through surgical or non-surgical methods, can offer several aesthetic and psychological benefits. Here are some of the key advantages of addressing a double chin:

• Improved Facial Profile: Removing excess fat or tightening the skin in the chin and neck area can lead to a more defined jawline and a smoother facial profile. This can enhance facial symmetry and balance, making the entire face appear more harmonious.
• Enhanced Self-Confidence: Having a visible double chin can cause self-consciousness and lower self-esteem for many individuals. By addressing this concern, people may experience a boost in self-confidence and feel more comfortable in social and professional settings.
• Youthful Appearance: A double chin can contribute to an aged or heavier appearance, especially as individuals get older. Removing the double chin can help create a more youthful and refreshed look.
• Clothing Choices: Some people may avoid certain clothing styles or necklines that draw attention to the double chin. After treatment, they may feel more confident in wearing a broader range of clothing options.
• Long-Term Results: Surgical procedures like submental liposuction and neck lift can provide long-lasting results. Once the excess fat is removed or the skin is tightened, it typically does not return to its previous state.
• Improved Facial Proportions: A more defined jawline and neck can balance the facial features and proportions, creating a more attractive and aesthetically pleasing appearance.
• Permanent Fat Reduction: Surgical procedures like liposuction provide a permanent reduction of fat cells in the treated area. While weight gain can still occur, the fat cells removed during the procedure do not return.

Preparation Before Chin Reduction Surgery

The preparation for double chin removal surgery requires a detailed discussion with the plastic surgeon regarding the following- 

• Expected goals from the treatment.
• Patient’s medical history, including serious conditions, allergies, and previous surgeries. 
• Medications (prescribed and OTC) and supplements taken by the patient. 
• Use of alcohol, tobacco, or drugs. 

After discussing these things, the doctor will examine the patient’s face, neck, and skin texture to figure out the best treatment method. The doctor will also discuss the risks and benefits of the surgery to ensure that the patient makes an informed decision. 

Some other instructions may be given to the patient to prepare him/her before the surgery- 

• Get a complete blood panel test done and have a physical examination with the primary care provider to get clearance. 
• Stop smoking one or two weeks before the surgery. 
• Avoid taking certain medications and supplements, especially the ones that have blood-thinning properties. 

On the day of surgery, the patient is asked to get admitted early, and all hospital-related formalities are done. The patient is asked to sign the consent form before proceeding. 

Chin Reduction Procedure

As the techniques differ, the steps involved in double chin removal surgery also vary. The steps of each procedure are explained below. 

Steps of Chin Liposuction 

• The surgeon examines the chin and neck and marks the targeted areas with a pen. The cannula insertion points are also marked. 
• The skin is cleansed with an antiseptic solution to reduce the risk of infection. 
• The anesthetist will administer the anesthesia to put the patient to sleep. In some cases, only local anesthesia is used during the procedure. This varies for each patient. 
• The liposuction cannula is inserted through tiny incisions in the chin region. 
• Depending on the liposuction technique chosen, the cannula breaks down the fat tissues without damaging the surrounding nerves and muscles. 
• A suction device is used to extract the broken fat tissues. 
• This breaking and suctioning step is repeated until all the targeted fatty tissues are removed. 
• Once the desired contours are achieved, the surgery site is cleaned and covered with a bandage. 

Steps of Submentoplasty

• The surgeon will mark the chin area to indicate the approach. 
• Either IV medications with sedation or general anesthesia are administered by the anesthetist to numb the target area. 
• Incisions are made behind the ear or hairline to access the chin. 
• The chin muscles are tightened with the help of stitches to create a defined chin contour.
• Then, liposuction is used to target the fat in the chin area. A liposuction cannula is inserted through the incision to break down the fat tissues. 
• The fat tissues are suctioned out carefully. 
• Once the desired contour of the chin is achieved, the incisions are closed with stitches, and a bandage is placed over them. 

Steps of Neck Lift 

A neck lift is slightly more invasive than a submentoplasty. It involves the neck and chin region, and the size of the incision is comparatively larger than submentoplasty. 

• The anesthetist administers either IV sedation or general anesthesia to numb the chin and neck region. 
• Depending on the extent of modification the patient wants, a traditional incision or limited incision will be made. 
• The traditional incision begins in the hairline around the sideburn, continues to the ear, and ends in the posterior section of the hair. A limited incision is made around the ear only. 
• The fat tissues in the neck and chin are redistributed, repositioned, or sculpted. 
• The platysma muscle in the neck is tightened. 
• If there are excess fatty deposits under the chin or in the neck, liposuction may be performed to extract the unwanted fat.
• Then, the excess skin tissues are excised and draped over the uplifted contours. 
• To improve the contours, another incision is also made under the chin to sculpt the area and improve the texture. 
• The incisions are closed with sutures or skin adhesives. In most cases, dissolvable sutures are used that don’t require removal. 

What to Expect After Double Chin Fat Removal Surgery?

Expect to feel slightly dizzy and disoriented after the procedure due to the side effects of anesthesia. There will be redness and bruising around the treated area. The patient will be kept under observation for 2-3 hours and discharged after the doctor team ensures that there are no complications. 

Swelling will also appear in the treated region within 24 to 48 hours. During the initial healing phase, the chin and neck area will feel tight and stretched, which is normal. Before discharge, the doctor and/or his/her team will provide detailed instructions that the patient must follow for a smooth and quick recovery. 

Risks & Complications Associated with Double Chin Treatment

Double chin surgery is safe in most cases. But similar to other surgical treatments, there are minor chances of the following risks and complications- 

• Asymmetry in the face (chin contours don’t look the same on both sides)
• Bleeding excessively during the surgery
• Blood accumulation or hematoma 
• Fluid accumulation or seroma 
• Blood clot formation after the surgery
• Damage to nerves, blood vessels, and/or muscles
• Poor healing of the incisions 
• Pain or swelling in the treated area 
• Scarring or discoloration of the skin 
• Irregularities on the skin surface

Most of these risks can be successfully mitigated by the surgeon and others by the patient himself/herself by following the post-surgery care guidelines. 

Results & Recovery After Double Chin Removal Surgery

The results of double chin surgery won’t be visible immediately after the procedure due to swelling and bruising. These side effects of the surgery will take around 2-4 weeks to subside completely. As these effects disappear, the patient will notice changes in the chin region. 

The key to the success of the surgery is up to the patient. If the patient strictly follows the doctor’s instructions and recovery tips, the recovery will be quick, and the outcome of the procedure will be as desired. 

Follow the recovery tips below to get the best results- 

• Take complete bed rest for 1-2 days after the surgery and resume normal activities gradually in the following days. 
• A chin strap is given to the patient after surgery. Wear it 24×7 for as long as suggested to ensure that the tissues stay in the right place until the healing is complete. 
• Keep the treated area clean and dry to prevent infections. 
• A thin tube might be placed during the surgery to drain fluid and blood and prevent swelling. Make sure not to touch the drain, as it can cause post-surgery complications and compromise the results. 
• Take the prescribed medications as directed by the surgeon to manage the pain and discomfort after the surgery. 
• Change the bandages placed over the chin and neck regularly as directed by the doctor. 
• Sleep with the head elevated to 30° for a few days to ensure that the fluid and blood accumulated in the area drain out completely. 
• Do not lift any heavy object or bend over, as it can put strain and pressure on the chin and neck region. 
• See the doctor regularly for follow-up consultations to ensure there are no signs of post-op complications. 

Contact the doctor’s team immediately if any signs of post-surgery complications arise. 

Lifestyle Changes Recommended After Double Chin Reduction

After double chin removal surgery, adopting certain lifestyle changes can help enhance the results, support the healing process, and maintain the improvements achieved through the procedure. Here are some lifestyle recommendations to consider:

• Maintain a Healthy Diet: Following a balanced and nutritious diet can aid in weight management and prevent the existing fat tissues in the treated area from growing. Focus on consuming a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats while limiting processed foods, sugary beverages, and high-calorie snacks.
• Regular Exercise: Engaging in regular physical activity also support weight management and overall health. Consult with a doctor or a fitness professional to develop an exercise routine.
• Maintain Stable Weight: Keeping a stable weight can help maintain the results of the double chin removal surgery. Avoid significant fluctuations in body weight that may lead to the re-accumulation of fat in the treated area.
• Good Posture: Practice good posture to avoid straining the neck and chin area. Keep the shoulders back and head held high to support a healthy posture.

By incorporating these lifestyle changes, you can promote a healthy and positive recovery process after double chin removal surgery and maximize the long-term benefits of the procedure.

Double Chin Removal Cost in India

Double chin surgery cost in India ranges from Rs. 60,000 to Rs. 80,000. It is only an estimated cost range, and the actual cost of the treatment will vary for each patient. The price is variable due to the following factors- 

• The choice of hospital or clinic
• The city or location where you are getting treatment 
• Type of surgery or technique used for double chin removal 
• Doctor’s consultation and operation fee 
• Anesthesia and anesthetist’s fee 
• Post-surgery care and follow-up consultations

Non-Surgical Double Chin Removal Methods

Non-surgical methods for double chin removal are effective alternatives for individuals who prefer a non-invasive approach or are not suitable candidates for surgery. These methods typically target the reduction of submental fat or tightening of the skin in the chin and neck area. Some common methods are listed below. 

Non-Surgical Treatments 

The following treatments are gaining popularity as non-surgical techniques to get rid of double chin effectively. Individuals who don’t wish to get surgery can consider these alternatives for chin reduction. 

• Kybella (Deoxycholic Acid Injection): Kybella is an FDA-approved injectable treatment that contains synthetic deoxycholic acid, a substance that helps break down and absorb dietary fat. When injected into the submental area, it destroys fat cells, leading to a reduction in the double chin’s appearance. Multiple treatment sessions may be required, and results are typically visible within a few weeks to months.
• CoolSculpting (Cryolipolysis): CoolSculpting is a non-invasive procedure that uses controlled cooling to freeze and destroy fat cells. It can be applied to the chin area to reduce submental fat. Over the following weeks and months, the body naturally eliminates the damaged fat cells, leading to gradual fat reduction. CoolSculpting for double chin is a perfect option for individuals who have localized pockets of submental fat that are resistant to diet and exercise. 
• Ultherapy: It is a non-invasive procedure that uses ultrasound energy to tighten and lift the skin on the chin and neck area. While it may not directly target fat, it can improve the overall contour and appearance of the double chin by tightening loose skin.
• Laser Lipolysis: Laser treatments can target and dissolve fat cells in the submental area, helping to reduce the appearance of a double chin. Some laser treatments also stimulate collagen production, which can tighten the skin in the treated area.
• Thread Lift: A thread lift is a minimally invasive procedure that involves using dissolvable sutures with small cones to lift and tighten the skin. It can be an option for patients with mild to moderate sagging in the chin and neck area.

These non-surgical treatments for double chin removal typically have little to no downtime, and patients can often resume their normal activities shortly after the procedure. However, the effectiveness of these procedures varies depending on the amount of fat and skin laxity, and the results may not be as significant as double chin reduction surgery. Therefore, it’ll be best to consult a specialist to determine the most suitable option. 

Home Remedies to Reduce Double Chin 

While home remedies cannot completely remove a double chin, they may help to improve the appearance of the chin and neck area. The effectiveness of home remedies also varies from person to person, and they may not yield the same dramatic results as cosmetic treatments. Some common home remedies that can be helpful include the following:

• Neck Exercises: Regularly perform exercises that target the muscles in the neck and jaw area. These exercises can help tone and strengthen the muscles, contributing to a more defined jawline. Examples include neck stretches, chin lifts, and tongue presses against the roof of the mouth.
• Facial Massage: Massaging the chin and neck area can help improve blood circulation and reduce fluid retention, potentially reducing puffiness and enhancing skin elasticity.
• Chewing Gum: Chewing sugar-free gum can engage the muscles in the jaw and neck, which may help in toning the area over time.
• Posture Improvement: Practice good posture by keeping the head held high and the shoulders back. This can help prevent sagging in the neck area and improve the appearance of the chin.
• Facial Exercises: Some facial exercises, such as smiling, puckering the lips, and making exaggerated “O” shapes with the mouth, may help engage the muscles in the chin and neck area.

Remember that results from home remedies may take time and may not be as significant as cosmetic treatments. For more substantial and noticeable results, it is advisable to consider medical treatments such as Kybella, CoolSculpting, or surgical options like double chin removal surgery. 

Double Chin Exercises 

Reducing a double chin through exercises involves targeting the muscles in the jaw, neck, and chin area. While spot reduction is not guaranteed, incorporating these exercises into a regular fitness routine can help strengthen and tone the muscles in the region, potentially reducing the appearance of a double chin. An individual can try the following: 

• Chin Lifts: This exercise involves sitting or standing with a straight spine. Tilt the head back, looking towards the ceiling and puckering lips. Hold this position for 5 to 10 seconds, and then relax. Repeat this exercise 10-15 times. 
• Neck Rolls: Stand or sit with a straight back and slowly roll the head in a circular motion. Complete 5 to 10 circles in one direction and then do the same in the reverse direction. This exercise will improve neck flexibility and muscle tone. 
• Jaw Release: Stand or sit with a straight back and make jaw movements like chewing gum. Take a deep breath in and slowly exhale while opening the mouth wide. Hold the mouth open for 5 to 10 seconds and then close it slowly. Repeat this 10-15 times. 
• Platysma Exercise: Sit or stand with a straight back and slightly tilt the head back. Pull the lips tight over the teeth and turn the corners of the mouth downward. Hold this position for 10 seconds and repeat 10-15 times. 
• Ball Exercise: Press a small soft ball under the chin and press down with mild force. Hold the position for a few seconds and then release. Do it 1-15 times. 

It should be noted that the exercises alone may not make much difference in the appearance of the double chin. Double chin exercises should be combined with a balanced diet and overall weight management techniques for best results.