How to remove a double chin: 8 best ways to get a facelift

Indications for use

Chin contouring (contour mentoplasty) is created for those who are dissatisfied with its existing shape. These can be either congenital imperfections or acquired ones. These include:

dimples on the chin;
insufficient volume;
narrow, sloping or flat chin;
lack of proportion with other parts of the face;
loose skin;
“blurred” oval face;
damage after injury;
wrinkles;
“heavy” square chin - rough contours in the cheekbone area, more characteristic of men.

Attention! It is recommended to do contour plastic surgery for people who have reached the age of at least 23–25 years.

Indications and contraindications

Successful mentoplasty
The following defects are indications for chinplasty:

irregular, asymmetrical shape;
underdevelopment of bone;
bevel to the side;
excessive weight and too large a size;
deformations due to mechanical damage;
other congenital or acquired anomalies.

The operation is contraindicated for persons with cardiac or pulmonary insufficiency due to the use of anesthesia. Mentoplasty is also prohibited if there are infections or inflammations in the chin area, diabetes, bleeding disorders, or acute diseases of the internal organs.\

Efficiency of the technique

The injection actions are aimed at achieving the following result:

adding volume;
smoothing wrinkles;
elimination of defects - cavities, acne;
formation of a clearer oval face.

The procedure provides not only an aesthetic, but also a rejuvenating effect. But you shouldn’t expect dramatic changes in appearance from contouring. A significant change in the shape of the chin is only possible with surgical intervention - surgical mentoplasty.

Also, the invasive (injection) technique has a short-lived result. The average lifespan of fillers is one and a half years.

Indications ↑

facial asymmetry due to irregular chin shape;
heavy or too big;
acquired or congenital defects;
double chin.

Plastic surgery is suitable for both men and women of all ages.

Chin surgery is often combined with cheekbone correction and rhinoplasty to ensure that the resulting face is completely symmetrical, harmonious and beautiful.

The photo on the left shows a sloping chin, while the photo on the right shows an oversized chin, which creates disproportion due to too small lips.

Photo of a girl with a sloping chin.

The photo shows three women: in the first case, a normal chin, in the second, a double chin, and in the third photo, the woman’s chin is too large.

Preparation

To avoid complications after injection chin correction, you need to give up the following a few days before the procedure:

alcohol;
visits to baths, saunas;
use of drugs that affect blood clotting.

Your doctor may also prescribe a course of antiviral medications or herpes medication for those who are susceptible to infections.

You should definitely inform your doctor about allergies to medications, as well as medications that are taken at the time of the planned mentoplasty. This is necessary in order to determine whether the drugs are compatible with the fillers that will be injected.

Important point! It is recommended to conduct an examination to determine the correctness of the bite. If there are problems with this, they need to be eliminated before chin contouring.

Types of procedure

Invasive mentoplasty is performed using fillers. Depending on the fillers, the procedure is divided into:

injection chin plastic surgery with hyaluronic acid;
plastic with calcium hydroxyapatite.

Features of injections with hyaluronic acid

Gel based on hyaluronic acid is a plastic mass that is easily distributed under the skin.

The action of hyaluronic acid is aimed at:

adding volume;
smoothing wrinkles;
hydration;
stimulation of cell synthesis;
production of elastin and collagen.

Benefits of Calcium Hydroxyapatite

It is naturally present in the human body in bone tissue. It is the heaviest filler for injection plastic surgery. And it works well when you need to make injections with deep periosteal injection.

Peculiarities:

within two months after the invasion, connective tissue grows around the preparation - a semi-natural implant that allows it to keep its shape well;
stimulates collagen production;
influences the formation of fibroblasts and osteoblasts.

Both components biodegrade (dissolve) over time. Calcium hydroxyapatite has a longer lasting effect compared to hyaluronic acid.

Methods of introducing filler

The most commonly used transdermal method is when a needle or cannula is inserted into the dermis in close proximity to the problem area.

There is also a transoral technique - administering the drug by injection through the mouth. Despite the fact that the punctures are not visible externally, this type of chin contouring is almost never used.

Methods used

Chin plastic surgery is performed under general anesthesia. Depending on the tasks set and the specific type of intervention, it takes a different amount of time.

Result of bite correction

Chin reduction

If the chin is too pronounced, the technique of osteoplastic transformation of the lower jaw is used - an operation to reduce it, during which excess bone fragments are removed. The incision can be made:

under the lower lip, inside the oral cavity;
externally, in the natural fold of skin under the chin.

The use of the second method is more appropriate in the case of combining mandibuloplasty and facial rejuvenation. During the operation, special instruments are used, with which the surgeon cuts off unnecessary parts of the bone tissue and removes them.

Enlarging or changing shape

If it is necessary to correct the contours and (or) build up the jaw bones, special implants are used. As a rule, the operation is performed through small incisions (3-4 mm) inside the oral cavity: this avoids the appearance of scars.

Insufficient development of the chin is eliminated in two main ways:

Lower lip and chin correction

by installing an implant under the periosteum;
through the elevation of the bone bridges.

The material used must be optimally suited in terms of density. Today, special dense silicone is used to make prostheses. It has all the necessary characteristics:

takes root easily;
does not react and does not cause rejection by the body;
Suitable for almost all patients.

Another popular material used in mandibular correction surgery is porous implants. They quickly grow into body tissues.

In some cases, implants are replaced with prostheses based on cartilage tissue. Modeling of their shape is carried out by the surgeon directly during the operation itself.

The main advantage of modern materials used to build up jaw bones is that they do not dissolve over time. In other words, the operation gives lifelong results.

Fillers

Gentle methods of chin correction include contouring performed with fillers using a syringe or cannula. It allows you to significantly improve the shape and increase the volume of the lower jaw, but does not provide a radical change in shape.

Another option is possible: using the patient’s own fat cells obtained through liposuction. They are injected into the chin area by injection.

Bite correction

Corrected bite

Surgeries on the jaw to correct the bite are also performed under general anesthesia. A small incision is made in the vestibule of the mouth to expose the jaw bones on both sides. After this, a piece of bone in the back of the upper jaw is removed and the jaw is pulled up. As a result of the correction, the lower jaw begins to close completely and creates optimal contact between the lower and upper rows of teeth. Using special plates and screws, the tightened jaw is fixed in the correct position.

In the presence of a defect such as a lateral open bite, surgical correction is carried out through distraction osteogenesis. The essence of the technique is to gradually move apart the bones in fractures, as a result of which new bone tissue is formed to lengthen the jaw. A special structure, a distractor, is fixed in the oral cavity under the mucous membrane. On the seventh day after surgery to correct the bite, the process of lengthening the bone begins.

Popular drugs

To correct the chin, fillers with the densest structure are used, since they hold their shape best and last a long time. Cosmetologists choose proven brands, among which the following drugs are popular.

Princess Volume (Austria)

The drug Princess Volume is one of the types of the line of the brand of the same name. Based on hyaluronic acid. It has a dense structure - 23 mg/ml hyaluronic acid in the gel. It is an ideal option for chin contouring. The effect lasts from 8 to 12 months. The cost of the drug is about 3,600 rubles.

Juvederm (USA)

Two drugs are suitable for correcting the lower part of the face.

Juvederm Voluma (Yuvederm Voluma). The concentration of hyaluronic acid is 20 mg/ml. Contains lidocaine. The duration of the effect is about 1.5 years. One of the most popular gels.
Juvederm Volift (Yuvederm Volift). It has a slightly lower density - 17.5 mg/ml hyaluronic acid. But it is also used for contour mentoplasty. The drug contains lidocaine.

The cost of Juvederm fillers is about 13,000 per package.

Radiesse (Germany)

A popular filler based on calcium hydroxyapatite . Effective in restoring facial contours. Does not cause rejection. To administer the drug correctly, you need to have sufficient knowledge in the field of contouring. The action lasts for more than a year.

The price of the package is approximately 8,000 rubles.

Surgiderm 30 XP (France)

The drug is based on hyaluronic acid . Effectively replenishes volume and restores facial features. The effect of the product lasts up to 18 months.

You can buy Surgiderm for 8,500 rubles.

Restylane (Sweden)

For injection correction of the chin, the line contains two drugs - Restylane Perlane and Sub Q (SubQ). Both are based on hyaluron.

Dense viscous fillers with hyaluronic acid, which effectively fill even deep wrinkles, model the chin and oval of the face. Valid for one to two years. The cost of the gel is about 7,000 rubles per package.

Yvoire (Korea)

To model the chin, two gels based on hyaluronic acid are produced: Contour and Volume S. Both products are characterized by increased density; Yvoire Contour has the strongest structure in the line. The effect after injection of fillers lasts for 8–12 months. The drug costs approximately 4,500 rubles per package.

other methods

You can get rid of imperfections not only by resorting to surgery, but also by non-surgical techniques.

Platysmoplasty

Platysma is a muscle that is located in the neck, just under the chin. Over time, it weakens, stretches and leads to the appearance of a double chin. The operation to correct this defect is called platysmoplasty.

During surgery, the doctor stretches the platysma and fixes it in this position. The operation can be performed:

by the medial method , when the muscle tissue is pulled outward;
according to the lateral method - the muscle is extended to the front of the neck.

Platysmoplasty is often combined with liposuction of the chin area.

Radiofrequency facial thermage (RF lipolysis)

This is a non-surgical type of correction. I pass a high frequency current through the skin or apply an electric field to it.

The tissue heats up, the collagen fibers are compressed and deformed. This gives impetus to the synthesis of new collagen, which replaces the deformed one. The skin is tightened, its firmness and elasticity are restored.

Injections

Dioxycholic acid, which is injected directly into the area of fat deposits, promotes the breakdown of fat.

It is subsequently eliminated from the body naturally. Make several injections of the drug at a distance of 1 cm from each other.

Liposuction

The essence of the procedure is vacuum suction of fat deposits. The instrument used to pump out fat is called a cannula. Classical

The oldest method of liposuction. Cannulas are inserted into fat deposits through special incisions. They, in turn, are connected to a machine that provides them with negative pressure.

The method is traumatic and is currently almost never used. Often during the procedure, nerve endings and blood vessels are affected.

As a result, rough scar tissue forms under the skin and irregularities on its surface.

Watch the video for the process of liposuction of the double chin.

Tumescent

A common and popular method. Consists of the following steps:

Klein's solution is injected into the fat depot area - 0.9% sodium chloride, lidocaine and adrenaline.
The solution pushes apart the fatty tissue, and adrenaline causes vasoconstriction.
Small diameter cannulas are inserted and connected to a vacuum pump, which pull out the fat.

Syringe

This technique is effective when the fat folds on the chin are poorly expressed. The syringe creates negative pressure and pumps out unwanted deposits.

This technology, despite its simplicity, allows you to achieve excellent results - the neck and chin area becomes very attractive and literally looks younger before your eyes.

Laser

During laser liposuction, the surgeon makes punctures in the ear area. A special light guide and cannulas are inserted through them. Fat deposits are destroyed using a laser.

Then, in a liquid state, using a vacuum apparatus to which cannulas are connected, it is removed from the body.

In addition to getting rid of fat, there is also a good lifting effect - the skin is firm and elastic.

Ultrasonic

With the help of ultrasonic waves, fat is broken down and subsequently turns into an emulsion.

The doctor removes it using long and elastic cannulas. Incisions are made in the mouth. Sometimes the doctor may make punctures in the chin area.

LPG massage

This massage is also called vacuum roller massage. A special attachment of the device exerts a mechanical effect on the problem area. It grips the skin 4-16 times per second.

As a result, the fat layer is effectively broken down, and the skin becomes tightened and youthful.

Electronic lipomodeling

High frequency electric current comes to the rescue in the fight against adipocytes. As in previous methods, liquid fat is pumped out through thin elastic tubes.

The trauma is minimal, since only small punctures are needed to insert the cannulas. After the procedure, the cells are saturated with oxygen and metabolism improves.

Mesotherapy

A very popular procedure. Filler with hyaluronic acid and vitamin mesosolutions are injected into the subcutaneous tissue.

After the procedure, the elasticity of the skin increases and its turgor improves, sagging and signs of age disappear. Usually at least 10 procedures are required.

You can feel the first results after 5 sessions.

Iontophoresis

Microcurrents or pulsed current act on the double chin area. In this case, drugs are injected under the skin to break down fat.

Changes can be noticed immediately, but greater effectiveness can be achieved after 8 procedures. In this case, no punctures are made and the skin is not damaged in any way.

Thread lifting

With this technique, threads are implanted under the skin. They fix problem areas and promote enhanced collagen synthesis in the body.

Absorbable threads are used - polylactic, mesothreads, and non-absorbable - gold.

In the first case, the effect lasts from one and a half to two years. Gold threads are more effective and have long lasting results. Their service life is 3 years.

In the video, watch how a double chin is removed using 3D mesothreads.

Stages of the procedure

The most important step in chin contouring is choosing a doctor. Administration of injections (especially those based on calcium hydroxyapatite) requires high professionalism, knowledge of human anatomy, the specific composition and action of the selected drug, as well as the ability to accurately determine its dosage for each corrected area. The inexperience of the master can lead to consequences that are difficult to correct. And sometimes this can even seriously undermine your health.

When surgery is contraindicated

Surgical correction can solve a variety of problems, however, there are cases when chin surgery is impossible.

Mentoplasty will be canceled if contraindications are discovered at the preparation stage. We are talking about the following violations:

blood clotting disorder;
infectious pathologies;
malfunctions of the immune system;
any dysfunction of blood vessels, heart, kidneys or liver;
oncopathology;
inflammation, eczema or pustular lesions in the area of proposed plastic surgery;
diabetes;
pathologies of the oral cavity (including gum disease, pronounced caries, etc.).

Temporary contraindication – treatment of malocclusion using a brace system. Plastic surgery will be denied to pregnant and breastfeeding women, as well as patients with mental problems.

Rehabilitation period

The recovery period after chin contouring lasts about a week.

What to expect in the first days

Rarely does the patient have no visual changes after the procedure. Frequent consequences of injections are:

swelling;
pain at the puncture sites;
bruises;
redness.

Care

To avoid infection, in the first days you should wipe the puncture sites with an antiseptic. For the same reason, you should not touch your chin with your hands or apply makeup to it.

For two weeks after injection mentoplasty, you should refrain from:

saunas, baths, solariums;
intense physical activity;
local therapy and aggressive procedures.

Failure to comply with these conditions leads to overheating and can cause rapid disintegration of the filler.

In the first two months, you should not massage your face to avoid dislodging the gel.

The result of contouring lasts for 6–18 months. After which the procedure must be repeated. There are also long-acting fillers, in which case the effect can last up to three years.

If it is necessary to introduce an additional dose of gel, the procedure can be repeated after 10–14 days.

Contraindications

You cannot resort to such a procedure if the patient has:

acute infectious, bacterial diseases or exacerbations of chronic diseases;
lesions of the chin - rashes, acne, wounds, etc.;
dysfunction of the circulatory system;
tendency to form hypertrophic scars;
pregnancy and breastfeeding;
fear of injections;
allergy to the components of the drug;
diabetes;
the presence of silicone implants in the chin.

Caution should be exercised when injecting filler into scars, as it is difficult to predict what the result will be.

Attention! You should not perform contouring if less than two weeks have passed since laser resurfacing, peeling, microdermabrasion and other cosmetic procedures. It is also better to refuse a session during menstruation to avoid excessive bruising.

Complications

The reason for their appearance may be a violation of the technology for chin contouring or non-compliance with the rules of the rehabilitation period.

What can happen:

inflammatory processes - appear as a result of infection during or after a session;
the appearance of fistulas, hardenings, nodes - occurs after improper injection of filler based on calcium hydroxyapatite.

The features of fillers based on calcium hydroxyapatite should be taken into account. It is very dangerous if the drug enters a blood vessel - this can lead to embolism, destruction of red blood cells in the blood (hemolysis), platelet aggregation (the initial stage of blood clot formation) and even a heart attack.

Why does filler not work?

Since the fillers chosen for chin correction are the densest, such cases are rare. The reasons may be:

low-quality drug;
introducing it into too deep layers or in insufficient quantities;
individual characteristics of the patient.

Comparison with other anti-aging procedures

There are other ways to rejuvenate the chin.

Botox

Contouring is confused with Botox, but they have significant differences. The Botox technique is based on the injection of botulinum toxin, which relaxes the muscles. This procedure is used to eliminate and prevent the appearance of wrinkles. Botox cannot change the shape of the chin and fill the necessary places with volume.

Surgical mentoplasty

If we compare contour plastic surgery with surgical plastic surgery, the latter has a clear advantage - you can significantly change the shape of the chin by installing a durable implant made of polyethylene or silicone.

This operation is associated with certain difficulties:

general anesthesia is required to install the prosthesis;
long and difficult rehabilitation period;
there may be numbness in the operated area;
there is a risk of implant displacement;
the formation of scars at the suture sites is inevitable;
if the prosthesis is installed near bone tissue, it will gradually collapse.

Surgery does not rejuvenate the skin at the cellular level and is inferior to contouring in this regard.

Thread lifting

The procedure is carried out by introducing mesothreads under the skin in order to form a strong muscle frame without adding volume. This is in contrast to contouring, which can enhance the chin where it is needed.

Hardware lifting

Laser therapy is used to rejuvenate the skin. As with threads, the laser does not create volume.

What you need to know before surgery

It seems that solving the problem of a small chin with an implant is very easy. But don’t forget – a new chin will greatly change the proportions of your face. To get a truly phenomenal result , do not rely on a low price when choosing a surgeon.

The first necessary condition for correct implant installation is planning the operation. For accurate planning, we at Platinental make a stereolithographic model of the skull, on which we try on different types of implants, achieving maximum agreement.

At Platinental we make custom facial implants using something like this. The stereolithographic model of the skull is called.

We use only forms of implants that create an anatomically correct chin profile and seamlessly merge with your own bone

. During the operation, unique developments are used to ensure correct and symmetrical placement of the implant in relation to the native jaw.

The second component of success is the surgeon’s excellent aesthetic taste, his mathematical mind and team. Yes, to place facial implants, a plastic surgeon must work in a team with an oral surgeon and an orthodontist.

At Platinental, when selecting an implant, we take into account a lot of nuances:

Floor. The canons of beauty for women's and men's chins are very different. And if a massive chin gives masculinity to a man’s face, then the surgeon’s art for a woman is to emphasize the line of the lower jaw without making the image heavier.
Bite features
Chin thickness
Depth of lip-chin bend
Nose size and plans for its correction.

Without taking all these variables into account, implant placement will result in an unnatural, asymmetrical or overly large chin, the aesthetics of which will not justify your efforts.

If you are not satisfied with the result

If too much filler is injected or complications arise after contouring, you can try the following methods to neutralize the effect:

to remove hyaluronic acid - administer hyaluronidase or drugs based on it;
To neutralize or reduce the effect after the administration of calcium hydroxyapatite, the manufacturer recommends the use of saline injections. However, reviews indicate that this technique is ineffective and you will have to wait until the filler is completely dissolved. In case of severe side effects, therapy is used aimed at eliminating the problems that have arisen, and not at eliminating the implant.

Opinion of cosmetologists

Cosmetologists also talk about how important it is to inject correctly filler based on calcium hydroxyapatite (Radiesse). They also emphasize the fact that other fillers should be introduced with caution after it. And also, before going for it, it is worth doing an ultrasound to diagnose the presence of remnants of the previous drug. Details in the review:

Fillers do not always cause side effects. The cosmetologist talks about this in another review. The specialist emphasizes that any new drug is an experiment in the cosmetologist’s practice and it is his responsibility to monitor the patient’s condition, eliminating all possible consequences.

Experts also share their experience of administering drugs to patients with poor health. For example, in this review, the cosmetologist strongly disagrees with the use of fillers for those clients who have a history of diabetes. The doctor says that he has seen the consequences of such procedures and that even simple biorevitalization comes with complications.

A doctor who has tried drugs without certificates shares useful information. The specialist emphasizes that cheap products are not the best option.

Patient reviews

The fact that preparations based on calcium hydroxyapatite give good results is reported by a patient who first received injections with this filler in the cheekbones, and then in the chin.

A patient who experienced serious complications after the injection of filler shared her unsuccessful experience of using Radiesse. For this reason, she generally does not recommend using any brand of filler:

Detailed information about the practice of using Radiesse gel is here

And here the patient talks about her unsuccessful experience with lipofilling, and how contouring helped her improve her chin. The only thing she is dissatisfied with is that the result is not permanent and the procedure will have to be repeated.

Another patient shares her experience of having filler injected into her chin, saying that the procedure was unpleasant and a little painful, but she liked the result. And she also shared how, some time after contouring, she was injected with saline solution. Such actions led to the fact that the places where contour plastic surgery had been carried out for a long time became swollen again.

Injection chin plastic surgery is not as popular as lip or facial contouring. Many people don’t even understand why resort to this method of correction. But those who have an incorrect bite, a sloping or very narrow chin and other problems dream of a similar procedure. And it can give good results. Moreover, judging by the reviews, a positive outcome of contour mentoplasty is most often obtained. It all depends on the qualifications of the doctor. It is his experience that will eliminate incorrect administration of the drug and give the patient confidence that everything is going as it should without harm to health and with benefit to appearance.

Photos before and after

The result of chin plastic surgery appears immediately, as can be seen in the before and after photos. Removing fat cells by injection with the introduction of the drug "Omnic" is a good opportunity to restore your former attractiveness in a non-surgical way.

To learn how to deal with the problem of a double chin, watch the video: