Patients should be adults who have finished growing and can undergo neck lift surgery if approved by Dr. DeJoseph. Fat distribution changes during the adult years, so a younger person with a double chin may find that this tissue naturally dissipates as they age. In other cases, a person may have always noticed their lower face appeared fuller or, due to weight gain, their double chin formed. In younger patients with the main cosmetic concern of adipose tissue accumulation, submental (under the chin) liposuction may be the only step necessary if the skin remains firm and elastic.