Dr. Joseph M. Perlman Advanced Plastic Surgery Centre

When did you first notice your double chin?

Maybe you checked your hair or make-up in the mirror one morning and noticed a slight bulge under your chin.

Perhaps you noticed it in a photo or someone – usually an innocent child – pointed it out to you. Then of course you looked for the nearest mirror to examine the area carefully and discover – you had or have the beginnings of a double chin.

And what is the first thing to do? You frantically try online searches for remedies and hacks available but discover that nothing really works for you.

Before you give up and resign yourself to wearing turtleneck sweaters and scarves, take heart. There may be a solution for you through services performed by an aesthetic doctor.

It’s known by many names, from double chin to the dreaded wattle, but you don’t have to live with it.

That fold of fat under your chin may look cute when you’re a baby, but no adult wants to look at one and you certainly don’t want to wear it. And you don’t have to anymore.

Thanks to medical and technological advances, there are a number of remedies from which to choose.

But first…

What Causes Double Chin?

Your double chin may have a variety of causes, from excess fat, to hormone imbalance, or genetics. Whatever the cause, modern technology, and medical science have provided a variety of options that offer convenience and efficacy.

Some solutions provide you with a visible improvement without surgery over a period of a few weeks to up to 3 months. Another might be more immediate but require some time off to recover. Most, however, are likely to offer a permanent solution for reducing your double chin.

Let’s examine some of these options…

Medical Weight Loss

When your double chin consists of stored fat, it’s possible to reduce it through a medical weight loss program. A medically supervised weight loss program can be used alone or in combination with other methods to achieve the desired results.

Medical weight loss is unique in that it doesn’t rely simply on reducing caloric intake and you’re not left alone to muddle through a complicated diet.

You will consult with the doctor and receive a thorough evaluation and plan. The plan is a physician supervised and includes:

You may also choose to use vitamin B12 and Mic B injections that combine vitamins, nutrients and amino acids, to enhance your medical weight loss goals. The techniques are non-invasive and tailored to your individual needs.

The advantages of B12 and Mic B injections are:

Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy utilizes a plant-based compound delivered in customized dosages. Hormones are essential for a wide array of body functions and an imbalance can severely hinder your body’s ability to lose weight and keep it off, which can be an essential component of reducing a double chin.

Bio-identical hormones are applicable for any age and are particularly effective if you are of menopausal age as hormone production decreases dramatically at that time. One effective method is Pellet therapy, which utilizes small pellets the size of a grain of rice that are implanted in fatty tissue, but other delivery methods are available that include:

Pellet therapy is preferable as it most closely replicates the way your body uses hormones and is less likely to result in rollercoaster effects brought about by other methods. With the pellet form, replacement is required every 3 to 4 months if you’re a woman and every 6 months for men.


Approved by the Food and Drug Administration (FDA), Kybellais the first non-surgical treatment specifically developed to address a double chin by reducing fat cell membranes. The fat cells dissolve and they are processed by the body.

Kybellamimics are naturally occurring molecules in the body that break down fat. Depending on your individual situation, you may require two or up to six treatments that take approximately 20 minutes each. If your double chin is the result of fat, Kybellacan provides impressive results, but not if the problem is due to skin laxity.


Sagging skin under the chin and eyes gives you an older appearance and skin begins to appear dull around the age of 35. Affordable cosmetic treatments are available to look younger without the need for surgery. Multiple techniques can be used in combination to achieve the look you want.

Ultherapy uses ultrasound technology to firm and tighten. It is effective for reducing a double chin, and multiple facial areas, and can be used in conjunction with dermal fillers. Treatments with dermal fillers can provide immediate results and aid in generating new collagen under the skin.

Don’t Live With a Double Chin

Having a double chin doesn’t mean you’re fat and it doesn’t mean you’re old. A double chin can manifest at any age and tend to run in families. Knowing that it’s easy to monitor yourself and seek the assistance of medical professionals specializing in solutions for your particular situation at the first sign of a double chin.