Double Chin Treatment - Pros and Cons of Surgical and Non-Surgical Solutions

More on Kybella™ and liposculpture for double chins:
prasadcosmeticsurgery.com/dou...
For more on liposuction, please go to:
prasadcosmeticsurgery.com/lip...
For more about Dr. Prasad's background and training, please go to:
prasadcosmeticsurgery.com/dr-...
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. talks about the various causes for lack of definition and excess fat under the chin, and describes the advantages and disadvantages of non-surgical and surgical options for addressing submental chin fat:
0:20 - Introduction
0:41 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience in facial rejuvenation and enhancement
1:24 - What is a double chin?
1:57 - Different causes of a double chin
3:03 - Dr. Prasad talks about Kybella™ as a non-surgical solution for submental fat
3:29 - How Kybella works on fat cells under the chin; and number of treatments needed
4:06 - The disadvantages of Kybella™
5:02 - How liposculpture or facial lipo is performed
5:37 - What constitutes as an “invasive” procedure
5:53 - Why Dr. Prasad is more inclined towards liposculpture as a solution for double chins
6:17 - Quick results with liposculpture, in contrast to Kybella™
6:33 - The downside of aggressive liposuction or aggressive reduction of fat
7:16 - Why a thin layer of fat is good for facial skin
7:33 - How fat reduction can be done more precisely with liposculpture than Kybella™
7:56 - What to expect after a liposculpture procedure
8:05 - Dr. Prasad discusses who is an ideal candidate for this type of procedure
8:44 - How the position of the hyoid bone can affect the appearance of the neck
9:23 - How loose platysmal bands and excess skin can also affect the appearance of the neck
10:41 - The importance of a proper diagnosis to avoid unnecessary complications
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[@tvkdvchannel7991]

Thank you doctor! you cleared my decision to take lipo procedure instead of kybella!

[@AmiyaPrasadMD]

You're welcome, TVKDV Channel! I make these videos so people can make better, and more informed decisions about cosmetic procedures.

[@lillymoreno1078]

TVKDV Channel yes save your money. I did 3 sessions of kybella and saw no results

[@lightningandthunder2861]

@@AmiyaPrasadMD Dr 2 weeks ago I did a my elevate procedure (lipo+laser tightened+ sutures from one ear to another ear) swelling is pretty much gone but it hurts when I yawn I can feel the sutures also under chin I have two bumps. Seems like that will remain as I see no changes in that bump. After a week of this procedure my doctor told me that I don’t need to wear faja anymore. Please advise

[@AmiyaPrasadMD]

Hi@@lightningandthunder2861, Sorry to hear about your problem. As I would need to diagnose the cause of the bumps, a physical examination would be needed before I can give you specific advice. I hope you understand.

[@mitzidonahue4925]

Wow! This was so informational! Dr. Prasad is knowledgeable!

[@AmiyaPrasadMD]

Thank you for your kind words, Mitzi Donahue! Glad you found the video informative!

[@Peter-ol9bt]

excellent overview, thank you

[@AmiyaPrasadMD]

You're welcome, Peter Lawson! Glad you found the video helpful!

[@lisagrubaugh]

Great info and easy to understand. Thank you!

[@AmiyaPrasadMD]

You're welcome, Lisa Grubaugh! Glad you found the video helpful!

[@lightningandthunder2861]

@@AmiyaPrasadMD please advise me. I had a neck lipo today while my doctor was doing my neck lipo she mentioned that I have lot of scars tissue, I had Jplasma 2 years ago under my neck and chin & that must have caused me scaring, now am so worried that my neck lipo will not work or give me bumps due to scars after Jplasma. Please advise

[@AmiyaPrasadMD]

Hi@@lightningandthunder2861, Sorry to hear that, but the best person to advise you is your current doctor as she has assessed your skin, and scar tissue up close, and I have not. I hope this clarifies things for you.

[@pinkwillow5588]

Excellent video....wow!

[@AmiyaPrasadMD]

I'm happy you found the video helpful, Pinkwillow 55!

[@sreekalak4953]

This section was informative

[@AmiyaPrasadMD]

I'm glad you found the video helpful, Sreekala K.

[@SuperBlackBlonde]

This was great information. Thank you

[@AmiyaPrasadMD]

You're welcome, Nasha! Glad you found the video informative.

[@lightningandthunder2861]

Amiya Prasad, M.D. i need your opinion i m 50 years old 5’5 tall weighs 130 pounds. Most people think i am only 40. I met several plastic surgeons regarding my jowls & double chin. 2 surgeons said that i need lipo+ platysmaplasty but 2 other surgeons said I don’t have platysma muscles so there is nothing to tight there that I only need lipo & that can give me definite jowl & chin Please advise dr.

[@AmiyaPrasadMD]

Hi@@lightningandthunder2861, I can't say which is my recommendation because unlike the other doctors, I haven't seen you, or examined your neck area, jawline, and chin. I suggest you go with the doctor you trust the most, and gave you the best explanation of why you need a certain procedure or not. I hope this helps you.

[@TheNatasha70007000]

I've had 2 lots of Kybella. It hurt so much and I looked like a bullfrog for months. It didn't work so now I am going to have liposuction. I would have saved so much money if I just got lipo first up. (2 lots of cool sculpting as well)

[@AmiyaPrasadMD]

Hi Natasha Asz, Sorry to hear that. Kybella can take up to 5 treatment sessions, with swelling and bruising that can last because of up to 50 injection pokes needed. Liposculpture can be done in a single session lasting about an hour, or even less. I made a newer video explaining that minor surgery done with local anesthesia can be more convenient than repeated non-surgical injections - kzbin.info/www/bejne/r2XTaKGLmq5_q5I

[@mati261000]

Hello Dr. Prasad. Thank you for your very informative video. It's advised to do submental exercises after submental lipo in order to smooth lumps? Thank you so much for your time and response.

[@AmiyaPrasadMD]

Hi mati261000, I don't normally advise facial exercises for lumps after submental lipo because all my patients usually need is some compression after the procedure to prevent lumps. I hope this helps you.

[@karenzambrano1990z]

Wow dr thank you so much

[@AmiyaPrasadMD]

You're welcome, Karen Zambrano! I'm glad you found the video helpful!

[@Nashiiika]

Great video! Thanks doc! How much is the lipo?

[@AmiyaPrasadMD]

Thanks Nashita Ramkissoon! Glad it helped you! There is no set cost for liposculpture as the extent needed does vary in people. Our offices are located in Manhattan, which you can call at [phone], and Garden City, Long Island at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@theworshipsinger]

Great info. Do you have anything for someone with just moderate skin laxity?

[@AmiyaPrasadMD]

Hi theworshipsinger, Moderate skin laxity below the chin may be helped with suspension suture. You can refer to this video about it - kzbin.info/www/bejne/fnywaIB9nZ1jiK8

[@cathyrzeszutek8251]

Thank you for yet another informative video

[@AmiyaPrasadMD]

You're welcome, Cathy R! Glad it helped you. Thank you for watching!

[@cathyrzeszutek8251]

@@AmiyaPrasadMD Seriously - you are awesome! My short term bucket list has a visit/consult with you!

[@cathyrzeszutek8251]

Is there any way I can send you a pic of my "eye luggage" for your opinion?

[@cathyrzeszutek8251]

@@AmiyaPrasadMD Is there any way I can send you a picture of my "eye luggage" for your opinion?

[@AmiyaPrasadMD]

Hi@@cathyrzeszutek8251, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ but this is not a formal consultation. A formal, one-on-one Skype video consultation with me can arranged through prasadcosmeticsurgery.com/skype-virtual-consultations/ I hope to hear from you soon.

[@MsAda27]

Thank you doctor, I had liposuction for my double chin/neck 4 weeks ago. After the first week it appeard a swelling like a bump line under my chin and it is still there. I still feel the whole area numb and like it is streching. Is it normal? Will the swelling/bump dissappear?

[@AmiyaPrasadMD]

Hi MsAda27, Sorry to hear about your problem. This is not a normal reaction to submental liposculpture. Since I can't diagnose the problem in a physical examination, I suggest you follow up with your doctor who performed it. I hope this helps you.

[@khalidalsayed3131]

Thank you doctor. I’ve watched most of your videos, they are really useful. I wanna know roughly how long do I need to keep the facial garment after the surgery. Also, I live overseas how to get an appointment with your clinic

[@AmiyaPrasadMD]

Hi khalid alsayed, For facial liposculpture under the chin, the facial band is not used for more than two weeks, and usually less than that, depending on the patient. We do have international patients every day in our practice. Our offices are located in Manhattan, New York City which you can call at [phone], Garden City, Long Island at [phone], or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@khalidalsayed3131]

Amiya Prasad, M.D. Thanks for your reply doctor. As it looks, maybe I need a micro treatment with my chin. So, how much it would approximately cost? Plus! I wanna know the office I could visit to take a consultation from you personally. Thank you,

[@AmiyaPrasadMD]

Hi@@khalidalsayed3131, We have no set costs as the extent of treatment does vary, but we can get back to you regarding price range. Our offices are located in Manhattan, New York City which you can call at [phone], Garden City, Long Island at [phone], or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@L0veepanicc]

Amiya Prasad, M.D. what is your opinion on trusculpt id for double chin?

[@AmiyaPrasadMD]

Hi@@L0veepanicc, While I do use radiofrequency devices like Pelleve for collagen stimulation, I don't use RF devices like Trusculpt for fat reduction. I personally find Coollipo to be a more predictable treatment. hope this clarifies things for you.

[@simplymarilyn5295]

I like your honesty, Doctor! Thank-you, for this informative video. My daughter wants to be rid of her double chin but the cosmetic surgeon said that "he would not give her a neck lift because she is only 38yrs old......He recommended "cool sculpting". What is your opinion in this?

[@AmiyaPrasadMD]

Hi Simply Marilyn, Thanks for the compliment, and for watching! CoolLipo is a brand name for what I feature in the video as facial liposculpture, or facial liposuction, so it is an effective and quick treatment for double chins. I would have to defer to your doctor's judgment as he has examined your daughter's condition, and I have not. I hope this clarifies things for you.

[@simplymarilyn5295]

@@AmiyaPrasadMD .....Thank-you, it does!

[@AmiyaPrasadMD]

You're welcome, @@simplymarilyn5295!

[@vontrap6942]

COOLSCULPTING DOES NOT WORK!!! I know a doctor personally and he said in very clear terms that it does not work. I have also had many clients that have used it with ZERO results. Well it gave a much lower bank balance. The way they get away with the scam is by saying that everyone reacts differently. So when it doesn't work, they are not liable. The ONLY way to remove fat from under the chin for a guaranteed result is lipo as it is actually removing material.

[@AmiyaPrasadMD]

Hi@@vontrap6942, I read the previous comment incorrectly. Coollipo is what I perform in my practice, which is facial liposculpture/liposuction. CoolSculpting is a separate procedure which I don't perform. I agree that fat volume needs to be removed for the procedure to be effective in treating double chins.

[@mariavalladarez77]

Where is this office Dr?

[@hamna.taj63]

Hi can you please let me know what is the typically price for liposuction?

[@AmiyaPrasadMD]

Hi Hamna Taj, Cost of liposuction does depend on the area being treated, as well as the extent needed. Our offices are located in Manhattan, New York City which you can call at [phone], and Garden City, Long Island at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.

[@raultennis5904]

Thanks for the video... So double chin could be caused either by fat cells or by skin laxity. Cause may not be definitely known until Doctor actually opens the skin. If it is primarily due to fat, the Doctor will typically lipo the fat cells. If it is primarily due to laxity, he could just lift the excess chin and likely forgo the liposuction (since there is minimal fat). Is that the idea?

[@AmiyaPrasadMD]

Hi Raul Tennis, Double chins and skin laxity are two separate issues. You can watch these videos about treating sagging skin in this area: kzbin.info/www/bejne/fnywaIB9nZ1jiK8 kzbin.info/www/bejne/aKXMc2mZiJWDrZI kzbin.info/www/bejne/q4Stcqyhgbehb6c

[@ladybugjones76]

Hi what do you think about laser lipo for double chin?

[@AmiyaPrasadMD]

Hi La Madama, I feature the results of laser-assisted liposculpture in the video, so yes it can be an effective and convenient treatment for double chins. I hope this clarifies things for you.

[@odettg9106]

Hello Dr. I did my double chin lipo 5 mths ago and never saw results why is that I notice that some patients they did 3 Incisiones on my procedure they just did one below my chin..and planning to do my 2nd round with the same doctor do you think it's safe to do a 2nd or 3rd until I see results?..I did use my faja for 3 weeks and them for 2 more weeks at nights only

[@AmiyaPrasadMD]

Hi Odett G, I can't recommend a third treatment since liposculpture for a treating a double chin normally takes a single treatment, and perhaps a second if there was residual fat or complication from the first treatment. Fat cells are permanently removed with liposculpture. If your doctor is not an expert with liposculpture, I suggest you get a second opinion from another doctor which is not just asking them online, but actually seeing them for a physical examination. I would need to perform a physical examination before I can make specific recommendations for you. I hope this helps you.

[@veeelaque]

Hi Dr Prasad and team, I might have missed something here but I didn't see a lot of elaboration on the cons of lipo. From my research, there are 'nerve' risks associated with chin lipo, can you please advise? Also recovery time and mandatory banding for six weeks for healing, is this the process for after the procedure? Thanks in advance, Julie

[@AmiyaPrasadMD]

Hi julqueshzr, The risk of nerve injury is very low when liposculpture is performed properly. Wearing a band in the chin is normal for recovery, but I have my patients use it for no longer than 2 weeks, so 6 weeks is quite long. I hope this clarifies things for you.

[@veeelaque]

@@AmiyaPrasadMD Hi Dr Prasad and team, Thanks so much for your clarification. I live in Australia so our terminology is a bit different to the US. I keep trying to find places that do liposculpture however there aren't very many. Can you advise on the main difference between general submental lipo and VASER lipo? (I see only vaser lipo being offered in Australia). Regards, Julie

[@AmiyaPrasadMD]

Hi@@veeelaque, VASER has been around for awhile, but it's the doctor's skill and judgment in using these tools that are important, not the tool itself. I have found that many of my middle aged patients have less submental fat than they first thought, so I can use a laser to melt fat and tighten the skin at the same time, without an invasive procedure. Again, this is about the doctor's skill and judgment in choosing the right device and procedure for the individual patient's needs. I hope this clarifies things for you.

[@veeelaque]

@@AmiyaPrasadMD amazing info. Thank you so much. Subscribed :)

[@AmiyaPrasadMD]

You're welcome,@@veeelaque! And thanks for watching!

[@davidsalem2896]

This dude has hair growing from his glasses!!

[@khushbugurung7565]

😄

[@vixi92]

Do you recommend anyone of your experience in London please . It is hard to chose a surgeon without knowing their true experience . Many might show you fake photos claiming they preformed the work and notice some photoshopping.

[@vontrap6942]

Stay off Harley Street!!! It is a well know fact that a lot of the plastic surgeons have little to no experience. You have to research the crap out of the Doctor you want to see.

[@Kne2450]

@Amiya Prasad, M.D. What are your thoughts on the laser Sculpsure for submental area?

[@AmiyaPrasadMD]

Hi Nats Eksig, Sculpsure is a 1064 YAG laser, so while I don't have this particular brand, I do have the laser. What I like about the one I use is that the wand it has allows me to be more precise. This laser is often used in the submental area for middle aged patients, where they have less fat than they think they have, where liposculpture to remove the fat may leave their skin sagging and/or wrinkled. The advantage of using this laser is that it can be used for moderate fat reduction, while tightening the skin at the same time. I hope this clarifies things for you.

[@Kne2450]

Amiya Prasad, M.D. Thank you for your reply. I’m considering the 25 minute Sculpsure treatments for my submental area vs the more aggressive fat removal mode of liposuction. I understand that fat cell death is about 24% with Sculpsure. I was also looking at Coolsculpting but have decided against it considering the possibility of indefinite nerve numbness due to freezing the area. I’m so grateful to have found your channel.

[@AmiyaPrasadMD]

You're welcome, @@Kne2450! Just keep in mind that use of these devices and techniques are not as much dependent on the device, but the skill of the doctor using them. In the end, these devices are just tools, and it's the hands and judgment of the doctor that determine results. I hope this helps you.

[@choubeila2996]

Doctor... Can this procedure be done without anastesia at all ?? If you don t have too much fat

[@AmiyaPrasadMD]

Hi chou chi , At least topical anesthesia is needed for Kybella injections because it does require many needle entries for treatment. Facial liposculpture is a surgical procedure, but not a long one as it can be done under an hour, so it will need local anesthesia. A patient feeling pain and discomfort without anesthesia will be at least fidgety during the procedure, which will affect results, and may cause injury. I hope this clarifies things for you.

[@rafaelgomez1989]

Great detailed info..would LIPO be BEST FOR FAT REMOVAL as well as AGE RELATED LOSE OF FIRMNESS ???? .my concern is the LONG NEEDLE & AGGRESSIVE MOVEMENT I've seen in some other videos

[@AmiyaPrasadMD]

Hi Rafael Gomez, An examination is needed to determine what the best treatment for your situation is, but I normally perform liposculpture for patients who are within 10lbs of their ideal body weight, and have previously lost weight through diet and exercise. I hope this helps you.

[@rafaelgomez1989]

@@AmiyaPrasadMD hello, thank you so much for your quick & informative response...best regards Dr. !!!@

[@AmiyaPrasadMD]

You're welcome, @@rafaelgomez1989!

[@nirvana6099]

I have double chin plus fat in my neck around my thyroid , making my neck look fat and making my thyroid look enlarged. Do you remove fat from around the thyroid without disturbing my thyroid? How long does it take to be back to normal ? Post operative ? Once the fat is surgically removed , will it come back in that area when I gain weight ?

[@AmiyaPrasadMD]

Hi Nirvana, It's important that you get within 10 pounds of your ideal body weight before considering cosmetic procedures, otherwise the procedure won't be effective, and results won't last as long. If fat is already covering the thyroid, there may be more pressing health issues that should be addressed before cosmetic procedures. I hope this helps you.

[@KellyRosas-zu6cv]

I want to schedule one appointment.

[@AmiyaPrasadMD]

Hi @KellyRosas-zu6cv, Certainly! You can contact us through our offices or websites to arrange for an appointment. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@Chouayang2012]

Hi Dr. Thank you so much for this informative video. I just had a BBL + chin lipo a week and sadly I see no results in my chin at all. I know it is still very early and swollen but I am depressed about it. I paid $1500. Is this normal for patients not to see any results the first week or 2? I didn't have any pain but had A LOT of bruisings in my neck area. I just don't see any results.

[@AmiyaPrasadMD]

Hi Choua Yang, Sorry to hear about your problem. Temporary swelling in the chin area may be obscuring your results. I suggest you wait a little longer for swelling to resolve, and then assess results. If you have any concerns, you should follow up with your operating doctor who knows your anatomy and details of your surgery. I can't perform a proper diagnosis of your problem without seeing your face, and the records of your procedures. I hope this helps you.

[@nc2764]

Dr. Prasad - I’m 53 and thin, have platysmal bands and minimal jowls. I recently had a consultation with a surgeon who recommended Lipo for this. You mentioned neckline lipo is generally recommended for younger patients and that this could further affect the appearance of my platysmal bands. ? He said I’m not ready for a facelift. What would you recommend?

[@AmiyaPrasadMD]

Hi N C, I hope you understand that a proper second opinion would require me to do a physical examination, just as your consultation with a surgeon who recommended liposculpture. Without an examination, I must defer to the recommendation of the surgeon who examined you. I hope this helps you.

[@nc2764]

@@AmiyaPrasadMD not helpful, sorry. Just in general, for a 50+, thin woman whose only issue is some loose skin along jawline/under chin, wouldn’t lipo of this region potentially create further sagging ?

[@AmiyaPrasadMD]

Sorry@@nc2764, I hope you understand that contradicting your doctor's advice without actually seeing you in consultation is unethical. Slim women over 50 still have different facial aging issues.

[@lyfesaquarium]

Any thoughts on trusculpt?

[@AmiyaPrasadMD]

Hi lyfesaquarium, The science behind Trusculpt is similar to what I do with a long pulsed 1065 YAG laser, which is reaching a target temperature and control for the treatment area, for an optimal outcome. In my opinion, it's the doctor's experience and application of the device that's important, and not the device itself. Trusting your doctor's experience to deliver the results is more important than their choice of device. I hope this clarifies things for you.

[@BA-vj1qj]

Thanks ! Is double chin liposculpture done only using a syringe and a canula? or is it connected to a suction machine or a laser machine?

[@AmiyaPrasadMD]

Hi F A, The liposculpture machine comes with its own cannulas which are used. I hope this clarifies things for you.

[@BA-vj1qj]

@@AmiyaPrasadMD Thank you for the clarification! what do you think of the old method using only a syringe and a cannula (not connected to any machine) to remove small amounts of fat?

[@AmiyaPrasadMD]

Hi@@BA-vj1qj, Fat needs to be surgically excised, or liquefied before safe removal. A syringe and cannula alone is not a safe or predictable way of fat removal. I hope this clarifies things for you.

[@BA-vj1qj]

@@AmiyaPrasadMD Thank you so much! I was asking because I am interested in skin rejuvenation using micro fat. My surgeon said that during this procedure fat is taken using a syringe and cannula. So, I was wondering if you recommend it? or you think it can cause irregularities in the skin?

[@AmiyaPrasadMD]

Hi@@BA-vj1qj, I don't perform fat transfers, which are commonly called stem cell treatments, for skin rejuvenation, and would use the more simplified and predictable platelet-rich plasma (PRP) possibly combined with a laser treatment or hyaluronic acid for skin rejuvenation. You can refer to these videos about it: kzbin.info/www/bejne/i4KQZ51_m8ZmsLM kzbin.info/www/bejne/iZ28gX6QpNusas0

[@madirae01]

Are fat disolvers safe for non alcoholic fatty liver patients ?

[@AmiyaPrasadMD]

Hi madirae01, While dissolving fat under the chin can be done for you, submental fat accumulation can be due to your fatty liver condition, so you may want to address issue first. I hope this helps you.

[@zenahaddadin]

Does under chin liposuction will cause loose skin for someone who is 40?

[@AmiyaPrasadMD]

Hi Zena S, While there is a good chance your skin can still bounce back at this age, your skin condition, as well as the amount of extra volume under your chin will affect the ability for skin to bounce back on its own. I hope this clarifies things for you.

[@angelamarkopoyloy7546]

whats your view on vaser for the the treatment of double chin?

[@AmiyaPrasadMD]

Hi Angela Markopoyloy, It is possible to use Vaser to treat double chins. With the added heat, skin contraction is a factor that needs to be considered, and the heat does make it easier for the performing doctor to glide through the fat, but it does take skill on the doctor's part to avoid any potential issues with adding heat to liposculpture. I hope this clarifies things for you.

[@angelamarkopoyloy7546]

@@AmiyaPrasadMD Thank you for your prompt reply. It is imperative that an experienced doctor performs these procedures then!!! Heat can definitely cause issues...

[@AmiyaPrasadMD]

You're welcome,@@angelamarkopoyloy7546, and you're definitely right, so you need to have this discussion with prospective doctors if you choose to have the procedure.

[@Saucedaof]

Doc i been having this problem that I can’t see no fix or haven’t seen a video that talk about it, it’s about my jaw line .When I take a picture I see that there not similar one side is longer than the other and it make my lips go opposite side it’s like if my chin was more to my right side, is there a fix for that or a video you’ve made similar to that ?

[@AmiyaPrasadMD]

Hi ohyeahyeah, Chin projection is a factor in the jawline. It's hard to assess your situation with your description alone, and without a physical exam. You can refer to these videos which may help you: kzbin.info/www/bejne/fpnJeKl-e7yEkKM kzbin.info/www/bejne/gpeyp6GHop5qh8U kzbin.info/www/bejne/moGYmH-Ohp54ecU

[@aleenaasif1564]

Hello Dr Prasad, is coolsculpting a better option than Chin lipo?

[@AmiyaPrasadMD]

Hi @aleenaasif1564, Coolsculpting is still liposculpture, but they are both tools in the hands of the doctor. Results, and safety of liposculpture are determined by the expertise, and experience of the doctor using the tools. I hope this clarifies things for you.

[@normaramirez6987]

what is the cost?​@@AmiyaPrasadMD

[@AmiyaPrasadMD]

Hi@@normaramirez6987, We don’t have set costs for treatment as each patient has different needs, and some treatments are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@pikababe__]

Are you located in Florida?

[@AmiyaPrasadMD]

Hi Roxy Coco, Sorry, I only practice in New York and Virginia. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@mcclamc]

How does surgeons know that they're not hitting a nerve with the tube? I read that some people with this procedure had facial paralysis from nerve injury

[@AmiyaPrasadMD]

Hi chevette mcclam, Avoiding hitting a nerve is done through the knowledge and experience of the doctor performing the procedure. Nerve damage from liposculpture is exceedingly rare, so if you're considering this treatment, I advise you ask your doctor how often it actually occurs as it hasn't occurred in my patients. I hope this clarifies things for you.

[@oscarinio]

what is the price of the submental liposculpture ?

[@AmiyaPrasadMD]

Hi oscar estrada, We don't have a fixed price for any treatment as the extent of treatment differs with each individual. You can reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.

[@lizlizzy103]

Can you recommend someone in California?

[@AmiyaPrasadMD]

Hi@@lizlizzy103, Although I do know doctors in California, we all have different aesthetic styles and approaches. I suggest you see or research several doctors in your area, and choose who matches the style you like, and you feel you can trust. I hope this helps you.

[@Zer00Fighter666]

Dr. Can you talk about Buccal surgery as well, and can it be done with the liposuction of the double chin?

[@AmiyaPrasadMD]

Hi Zer00, I don't usually perform or advise buccal fat removal as buccal fat is eventually lost with aging. I only perform buccal fat removal when it has descended and is affecting jawline definition and contour. Buccal fat removal is a separate procedure from liposculpture of submental or chin fat. I hope this clarifies things for you.

[@user-ii6xi4ex5p]

what do you think about coolsculpting?

[@AmiyaPrasadMD]

Hi sc, The examples using facial liposcupture in the video uses CoolLipo/Coolsculpting. However, the device is not as important as the doctor wielding it, as the device is just a tool the doctor uses to achieve the desired result. I hope this clarifies things for you.

[@joeservice1968]

Can you have multiple lipo procedures for this area?.

[@AmiyaPrasadMD]

Hi Joe service, There usually isn't much residual fat after a liposculpture procedure under the chin, and fat cell removal is permanent. Fat cells don't regenerate, but remaining fat cells can gain volume. Procedures after submental liposculpture are usually for the skin not retracting as expected, so a skin tightening, or skin lifting procedure may be needed. I hope this clarifies things for you.

[@joeservice1968]

@@AmiyaPrasadMD Thanks for the reply. So there isn't any harm to more procedures if there was a little fat left over?. Thanks.

[@AmiyaPrasadMD]

Hi@@joeservice1968, You normally don't want to remove all the fat as it can lead to a hollow or unnatural appearance. There is healing time needed between liposculpture procedures if a repeat procedure is needed as it is still surgery, so swelling and other post-surgical healing issues need to resolve before an accurate assessment of results. I hope this clarifies things for you.

[@joeservice1968]

@@AmiyaPrasadMD thanks for your response.

[@AmiyaPrasadMD]

You're welcome,@@joeservice1968

[@mariavalladarez77]

And the prices

[@AmiyaPrasadMD]

Hi Maria Valladarez, We don’t have set costs for treatment as each patient has different needs, and some treatments are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@mjbuccima]

Hi Dr.Prasad I just had a cosmetic surgeon look at me and suggested the jplasma submental fat and laxity of neck for me I’m 62 and they told me this would be better than kybella but as you were saying about the bands on neck I have a few but not bad

[@AmiyaPrasadMD]

Hi Mary Bucci, As I have not seen your chin and neck area, I will have to defer to the judgment of your doctor who has examined you. I hope the video did clarify some of the treatment options for the neck and chin before you went for consultation.

[@SuperBlackBlonde]

In which state are you located ?

[@AmiyaPrasadMD]

Hi Nasha, Our offices are located in Manhattan, New York City which you can call at [phone], and Garden City, Long Island at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@balwinderrattu8604]

Hi sir

[@AmiyaPrasadMD]

Hi Balwinder Rattu, Is there something I can help you with?

[@tylerpenn545]

So if you have a low hyoid bone you’re pretty much screwed?

[@AmiyaPrasadMD]

Hi Tyler Penn, A low hyoid bone may appear to be chin fat, but it doesn't always mean that something can't be done to reduce lower chin volume. A proper examination is needed to see what can be done in cases with a low thyoid bone. I hope this clarifies things for you.

[@tylerpenn545]

Amiya Prasad, M.D. No, I was at an underweight BMI and still had the 30 degree angle. Luckily I have a beard, that helps. I have to stay very lean and keep a beard...

[@AmiyaPrasadMD]

Hi@@tylerpenn545 , I see. I hope it works out well for you.

[@pricklypear1111]

How many people develop ridges and lumps after liposculpture? It looks painful and torturous

[@AmiyaPrasadMD]

Hi Avcodad, Our patients don't develop lumps or ridges from liposculpture. I do the procedure with local anesthesia, and LITE IV sedation, so it's not painful, and you are in a relaxed, twilight state of consciousness, but not unconscious. I hope this clarifies things for you.

[@nivanahbradford3056]

I hate this it got me fatter