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Why Should You Have Your Neck and Under-Chin Treatments Performed at Dr. Bucky’s Practice? Performing more than 400 facial procedures a year, Dr. Bucky is a renowned leader in surgical and nonsurgical rejuvenation of the face and neck. Dr. Bucky remains at the forefront of plastic surgical innovation by consistently attending and lecturing at annual continuing education courses. Our Aestheticians and Nurse Injectors have five times the average cosmetic training and exposure, enabling them to treat with the utmost safety and efficacy. Our team provides comprehensive pre- and post-surgical care for all patients, including vitamins and supplements, skin care products, lymphatic massage, and more, for individualized treatment.

Good Results Make A Great DifferenceGreat Results Make All the Difference

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Neck and Under-Chin Treatments

The accumulation of fat underneath the chin is a common concern for many men and women. Despite numerous attempts at a healthy diet and regular exercise, this stubborn fat buildup—commonly referred to as a “double chin”—tends to remain unchanged. In addition to submental fat, many individuals experience loose, sagging skin in the neck region that also proves resistant to diet and exercise. “Tech Neck” is a major aesthetic focus today with the advent of the “selfies” and our scrutinization of every angle of our profiles, as well as the mere effect of having our heads lowered a majority of the day looking at our phones, tablets and smartphones.

At our practice, Dr. Louis P. Bucky and our team offer several effective methods for reducing submental fat and significantly improving the appearance of the entire neck and under-chin region to create a smooth, contoured profile. Depending on your specific needs and goals, our surgical and non-surgical options can be performed alone or in combination with one another to help enhance the contour of your chin and neck with long-lasting, natural-looking results.

Double Chin Reduction

When diet and exercise prove to be ineffective, the following treatments and procedures can often be excellent solutions for diminishing the appearance of a double chin.

CoolSculpting® with CoolMini™

CoolMini™ is an innovative new CoolSculpting® applicator recently cleared by the U.S. Food and Drug Administration (FDA) to non-surgically contour the neck and reduce fat underneath the chin. This non-invasive treatment uses controlled cooling to freeze targeted fat cells while leaving surrounding tissues unharmed. Over time, the fat cells dissolve and are expelled from the body via natural processes, ultimately revealing a slimmer, more toned appearance. Optimal results can often be achieved after just one to two treatments with the CoolMini™ applicator (spaced about one to two months apart), and since no surgery and/or injections are required, most individuals can answer emails and watch TV at our offices during the 45-minute treatment and resume normal daily activities right after.


FDA-approved for individuals 18 and older, KYBELLA™ is a revolutionary injectable treatment designed to reduce the appearance of a double chin through the non-surgical destruction of submental fat cells. Treatment consists of carefully placed injections into targeted fat buildups beneath the chin, effectively breaking down localized fat cells over time for a slimmer chin profile. A total of approximately four to six treatment sessions scheduled at least one month apart may be necessary to achieve ideal results, but retreatment thereafter is generally not necessary as the final outcomes are typically long-lasting, and many times permanent. Currently, KYBELLA™ is the only nonsurgical injectable treatment to receive FDA approval for the reduction of submental fat.

Liposuction of the Neck

Liposuction of the neck offers significant improvement to the contour and definition of the neck. Performed by Dr. Bucky, this procedure is designed to remove excess fat accumulations present in the neck, underneath the chin, and along the jawline for a refined and rejuvenated aesthetic. As a surgical procedure, recovery and downtime may be slightly longer than that of non-surgical alternatives, but most individuals are able to resume their normal daily routines relatively quickly. Ultimately, neck liposuction has proved to produce exceptional, natural-looking outcomes with long-lasting – often permanent – results that can enhance one’s entire facial appearance.

Neck Skin Tightening

For loose, inelastic skin in the neck and under-chin region, the following non-surgical treatments can often be effective skin tightening options.

EndyMed™ 3DEEP™ RF

Suitable for all skin types EndyMed™ radio frequency treatments are a non-surgical, non-invasive treatment designed to tighten skin through the stimulation of new collagen growth. During the procedure, clinically-proven 3DEEP™ RF technology will be utilized to deliver temperature-controlled energy deep into the dermal and subdermal layers of skin in the targeted area. Over time, this energy works to encourage the natural production of collagen within the skin, ultimately producing a tightening effect on the skin’s surface for a smoother, firmer appearance. Patients can return to normal daily activities immediately after treatment, and about six sessions spaced at least a week or two apart are generally needed to achieve optimal results.


Intensif™ is an innovative EndyMed™ handpiece that works to achieve smoother, more youthful-looking skin via targeted radiofrequency energy (RF) and advanced micro-needling. Cleared by the FDA, this minimally invasive skin resurfacing technique is used to deliver controlled heat into the dermis through several tiny micro-needles. The heat effectively triggers the natural growth of new collagen and elastin, both of which can help improve the skin’s health and appearance for a tightened, more toned aesthetic in the under-chin and neck region. The majority of individuals are able to resume regular routines and activities soon after treatment, though significant sun exposure as well as the application of makeup and certain ointments should be avoided for approximately 24 hours to help protect the skin. The rejuvenative effects of Intensif™ should gradually improve as new elastin and collagen continue to be produced over time, and ideal results generally become apparent after about four to six months.

Comprehensive Combination & Customized Under-Chin & Neck Rejuvenation

When submental fat and skin laxity in the neck are both present, several of the above techniques can often be combined to comprehensively address your concerns. Below are descriptions of two procedural combinations that have proved to be particularly effective for rejuvenating the appearance of the under-chin and neck region.


While both KYBELLA® and EndyMed™ 3DEEP™ RF can achieve excellent results independently, Dr. Bucky and our team have found that pairing these complementary procedures helps to create an optimal outcome for most individuals seeking under-chin and neck rejuvenation. Depending on the extent of one’s submental fullness and skin laxity, this combination technique generally consists of three KYBELLA® treatments and two adjunctive EndyMed™ 3DEEP™ RF sessions.

To begin the process, the innovative KYBELLA® solution is first injected into targeted fat accumulations under the chin to destroy fatty tissue and reduce excess volume in the area. Approximately two weeks later, patients are instructed to return to our office to meet with an aesthetician for an EndyMed™ 3DEEP™ RF treatment. During this procedure, a special handpiece is gently guided over the skin throughout the under-chin and neck region as it delivers temperature-controlled radiofrequency energy into dermal and subdermal tissue layers. This RF energy heats deep tissues until they reach a temperature that is ideal for the stimulation of natural collagen production, which helps create a tightening effect on the surface of the skin over time. As an added benefit, the heating component of EndyMed™ 3DEEP™ RF often provides a soothing and relaxing sensation for individuals who may still be experiencing minor swelling or tenderness following their KYBELLA® injections.

After another two weeks has passed, patients are asked to come in for a second round of KYBELLA® injections, followed by an EndyMed™ 3DEEP™ RF treatment two weeks later. This schedule is repeated again for a third round of KYBELLA®, though a tertiary EndyMed™ 3DEEP™ RF session is not typically necessary. As fat cells break down and new collagen continues to grow, the results of this combination treatment should gradually improve, ultimately revealing a leaner, more youthful under-chin and neck appearance.

CoolMini™ & EndyMed™

The combination of CoolMini™ and EndyMed™ is also a great option for addressing excess fat and skin laxity in the submental region. To perform this treatment, the CoolMini™ applicator is first used to target and eliminate localized fat buildups underneath the chin through a controlled freezing process that leaves surrounding tissues undamaged. The EndyMed™ handpiece is then utilized to direct heated RF energy into the dermis, successfully encouraging the natural production of new collagen in the targeted region. Over time, the effects of both non-surgical procedures tend to improve as excess fat cells exit the body and new collagen continues to form, ultimately resulting in a smoother, more toned skin appearance and enhanced under-chin/neck contour.

Contact Our Office

For more information about our neck and under-chin treatments, or if you would like to schedule a consultation with our board-certified plastic surgeon to find out which procedure(s) may be best for your needs and goals, please do not hesitate to contact us today.

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