Is It Normal Fat Accumulation Under the Chin? - Surgery

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Is it fat?


Hello.
I am quite overweight, and when I lower my head, I can pinch a movable lump on both sides of my chin.
I press down my head and insert my fingers into the flesh of my chin to pinch it, and it feels bouncy.
I can even pull it towards the edges of my face.
If I don't use two fingers to pinch and just touch or poke it, I can't feel the lump.
However, when I pinch it and then release or poke it with the other hand, it feels like it "bounces" back into the fatty tissue and disappears, feeling bouncy like jelly or fatty pork, and it seems like I could flatten it.
When I look straight ahead or tilt my head up, I can't touch or pinch anything.
When I lower my head, I can only feel it by pinching; I can't feel it by just touching.
The fatty tissue on both sides of my chin feels segmented when touched, and it feels soft and bouncy.
Is this normal fat accumulation? Thank you for your help.

Niming, 10~19 year old female. Ask Date: 2021/06/26

Dr. Chen Jiaming reply Surgery


Your description cannot replace the physical examination conducted by a physician.
Although most lesions are benign, it is essential to have an in-person evaluation to determine the nature of what is actually felt.

Reply Date: 2021/06/26

More Info


It sounds like you are experiencing a common concern regarding fat accumulation under the chin, often referred to as "submental fat" or a "double chin." This condition can be quite normal and is influenced by several factors, including genetics, body weight, and overall body fat distribution.

When you describe the fat under your chin as "movable" and "jelly-like," this is typical of subcutaneous fat, which is the layer of fat located just beneath the skin. The fact that you can only feel it when you tilt your head down and that it disappears when you look straight ahead or tilt your head back suggests that this fat is not a solid mass but rather a layer of fat that shifts with your movements. This is a normal characteristic of subcutaneous fat, which can vary in thickness and texture from person to person.

Several factors can contribute to the accumulation of fat in this area:
1. Genetics: Some individuals are genetically predisposed to store fat in certain areas of their bodies, including under the chin. If family members have similar features, this may be a contributing factor.

2. Body Weight: Being overweight or obese can lead to increased fat deposits in various areas of the body, including under the chin. Weight loss can help reduce this fat, but it may not always eliminate it completely.

3. Aging: As we age, skin loses elasticity, and fat distribution changes. This can lead to sagging skin and the appearance of a double chin, even in individuals who are not overweight.

4. Posture: Poor posture can also contribute to the appearance of a double chin. Slouching can cause the skin to sag and may make the fat under the chin more noticeable.

5. Diet and Lifestyle: A diet high in calories, sugars, and unhealthy fats can contribute to overall weight gain, which may include fat accumulation under the chin. Regular exercise and a balanced diet can help manage body weight and fat distribution.

If you are concerned about the appearance of fat under your chin, there are several options to consider:
- Weight Management: Maintaining a healthy weight through diet and exercise can help reduce fat in this area. Incorporating cardiovascular exercises and strength training can be beneficial.

- Targeted Exercises: While spot reduction is often considered a myth, certain exercises can help strengthen the muscles in the neck and jaw area, potentially improving the appearance of a double chin. These may include chin lifts, neck rolls, and jaw exercises.

- Cosmetic Procedures: For those seeking more immediate results, cosmetic procedures such as liposuction, Kybella (an injectable treatment that dissolves fat), or neck lifts can be options to consider. It is essential to consult with a qualified healthcare provider or a plastic surgeon to discuss the risks and benefits of these procedures.

In conclusion, the accumulation of fat under the chin is generally normal and can be influenced by various factors. If you are concerned about your appearance or if there are any changes in the texture or feel of the area, it may be worthwhile to consult with a healthcare professional for further evaluation and personalized advice. Remember, maintaining a healthy lifestyle is key to managing body fat and overall well-being.

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