Double Chin: Causes and Treatments
People do not all develop double chin the same way, nor they will need the same procedures to treat it. Double Chin is a fairly common condition wherein a layer of fat forms below the chin. Many people are not comfortable with the way the double chin appears as well as how it feels, and often seek solutions to rectify this feature, either through active weight loss or via surgery.
It is erroneously believed that only people who have a curvier build may be prone to this condition, there are a number of factors that influence the formation of this feature. Genetics could be a cause of double chins. Weight gain, bone structure, muscle tone and facial ageing are factors that influence the formation of double chins.
Ageing changes the structure of the skin and the subsequent loss of collagen results in sagging. Fat accumulation and fluid retention increase soft tissue volume in an undesirable manner. Owing to the different causes leading to the formation of double chin, treatments need to be modified according to each patient.
The Importance of Tissue Evaluation
Structured assessment of the tissue components is a key step in gauging the best way a double chin can be treated.
The following areas need to be assessed:
- Bone Structure
The chin size is variable, some have a larger bone structure whereas some are more petite. A small chin may cause redundancy of soft tissues.
The amount of muscle varies in each person, and treatments must be modified accordingly.
- Fat pads
The presence of fat pads under and above the platysma muscle changes from person to person, hence, the surgeon must take this factor into account.
- Skin excess
Ageing can cause an increase in skin laxity, and the correct removal of excess skin is important to ensure the procedure produces the desired results.
Chin & Neck Procedures
Often double chin can occur if the patient suffers from skeletal deficiency, such as a recessed or weak chin. In cases such as these, the patient would often require chin augmentation with fillers, fat grafting, implants or chin enhancement surgery which is also known as genioplasty.
This type of surgery works by placing an implant onto the patient’s chin bone to augment it.
Neck Corset Platysmaplasty
There is a thin sheet muscle that is located just under the skin of the neck and jawline which is called the platysma muscle. Over time the platysma begins to sag, which then leads to issues such as a double chin, turkey necks and jowls. Patients with this sort of muscle issues require what is termed as neck corset platysmaplasty. This type of surgery works on tightening and reconstructing the muscle to rejuvenate the neck region.
Most commonly, when the double chin is the cause of excessive fat accumulation, then the condition can be resolved with liposuction. This procedure takes 60 minutes on average, and can be performed under local anaesthetic and sedation or general anaesthetic.
Through the use of cannulas excess fat is removed, and the jawline is redefined to reveal a smoother, firmer and contoured neck. However, it must be noted that liposuction results may vary depending on the skin quality, elasticity and skin excess. In addition, some patients may present with deep fat pads, under the platy muscle and will need open fat removal surgery.
Non-Surgical Treatments and Radiofrequency
For patients who have only a mild excess of skin, non-surgical treatments, such a radiofrequency, cryolipolysis or fat dissolving injections can be used to tighten and firm skin without having to undergo surgery. The recovery period for such treatments is very short and suits a busy lifestyle.
Patient safety and satisfaction is taken very seriously by me and my team. We are committed to offer you excellent care throughout your treatment journey and achieve great results. I hope that this blog has been useful and has given you more information about the factors associated with double chin. Have more questions? Don’t hesitate to reach out to me, and book an appointment.
About Dr Rodrigo Teixeira
Dr Rodrigo Teixeira, MD, FRACS is a Plastic Surgeon in Melbourne, highly experienced in Cosmetic Surgery, Rhinoplasty and Facial Surgery. Dr Teixeira is a fellow of the Royal Australasian College of Surgeons (RACS), member of the Australian Society of Plastic Surgeons (ASPS) and Australasian Society of Aesthetic Plastic Surgeons (ASAPS). Internationally, he is a member of the American and the International Societies.