Is Aesthetic Neck Contouring Right for a Double Chin? Fat, Skin and Muscle Considered

She noticed it first in a group photo, the kind where everyone tilts their head down to fit the frame. A soft fold under the jaw that hadn’t been there in her thirties. Her weight had barely moved. She had tried the chin-lift exercises a coworker swore by. Nothing changed, and the question that followed her to the mirror each morning was not “can this be fixed” but “is surgery even the right tool for what I have?”

That is the honest starting point for anyone wondering whether they are a double chin surgery candidate. A double chin is not one thing. It is a stack of three tissues, fat, skin and a thin sheet of muscle, and each ages and misbehaves in its own way. Which layer is causing the fullness matters far more than how bothered you are by it.

This explainer walks through how surgeons actually sort that out, what the procedures involve, what the following weeks look like, and where the evidence runs thin.

What actually makes a double chin: fat, skin or muscle?

Surgeons call the area beneath the chin the submental region, from the Latin for “under the chin.” Fullness there comes from one or more of three layers, and the treatment for each is different.

The first is fat. A discrete pad of fat sits just under the skin between the chin and the throat, and some people carry a generous one regardless of body weight. Family pattern plays a large role here. Slim people can have a prominent submental fat pad; heavier people can have almost none.

The second is skin. With age, skin loses collagen and elastic fibers, thins, and stretches less readily, changes described in MedlinePlus’s summary of aging skin. Sun exposure and smoking speed this along. Once neck skin has lost its snap-back, it drapes rather than hugs, and removing what lies beneath it can leave it looser still.

The third is muscle. The platysma is a broad, paper-thin sheet of muscle running from the collarbones up over the jawline. In youth its two halves meet neatly under the chin. Over time they can separate and slacken, forming the vertical “bands” visible when someone grimaces, and letting deeper fat bulge forward.

Two less obvious contributors are worth naming. A short or backward-set chin bone shortens the distance between chin and throat, so even a modest fat pad reads as a double chin. A low-positioned hyoid, the small U-shaped bone at the top of the throat, creates an obtuse angle between chin and neck that no amount of fat removal will sharpen. Neither is a fat problem, and both are why a careful physical exam comes before any decision.

How a double chin surgery candidate is assessed in the consulting room

The exam is more hands-on than most people expect, and it is quick. A surgeon will usually ask you to sit upright, look straight ahead, then tilt your chin down and clench your teeth. Each position tells a different story.

The pinch tells them about fat. Gently gathering the tissue under the chin between thumb and forefinger shows how thick the fat layer is and whether it sits above or below the platysma. Fat above the muscle is reachable with liposuction; fat beneath it is not.

The snap-back tells them about skin. Skin that is lifted and released should settle back within a second or so. Skin that hesitates, or that hangs in fine horizontal creases when you look down, has lost elasticity. This single observation often decides whether fat removal alone will look good or leave a deflated fold.

The clench tells them about muscle. Tensing the neck makes separated platysma bands stand out as two cords. If they are prominent, tightening them, a procedure called platysmaplasty, may be part of the conversation.

Beyond the neck itself, the consultation covers weight history, since Mayo Clinic notes liposuction is intended for people near a stable weight rather than as a weight-loss method; smoking, which impairs healing; medicines that affect bleeding; and any history of clotting problems, thyroid disease or previous neck surgery. Photographs from several angles document the starting point.

What the exam cannot do is promise a result. It sorts people into rough groups: those whose fullness is mostly fat, those whose skin or muscle is the limiting factor, and those in whom bone structure means expectations need resetting. The surgeon’s recommendation follows from that sorting, not from how much the fullness bothers you.

What happens during submental liposuction, step by step

Liposuction is the removal of fat through a thin hollow tube, a cannula, attached to suction. Under the chin, the version used is small-volume and precise; the goal is a smoother contour, not bulk removal.

Most submental liposuction is done under local anesthesia with or without light sedation, though general anesthesia is sometimes used, particularly if combined with other procedures. Mayo Clinic describes how the surgeon first injects the treatment area with a solution containing a dilute local anesthetic and a medicine that constricts blood vessels, the tumescent technique, which numbs the area and reduces bleeding and bruising.

The entry points are tiny. Typically one sits in the crease just behind the chin and one or two more behind each earlobe, each a few millimeters long. Through these, the surgeon passes the cannula back and forth in a fan pattern beneath the skin, loosening and drawing out fat while leaving a thin, even layer behind. That residual layer matters: taking too much creates dents or a skeletal look and can make the skin adhere to the muscle in visible ripples.

Some surgeons use energy-assisted devices that apply ultrasound or laser to the fat before suction. Cleveland Clinic notes these variations exist; the evidence that any of them produces meaningfully better contour under the chin than standard technique is limited, and the choice is largely surgeon preference.

The procedure itself is usually brief, often under an hour when done alone. Entry points are closed with a stitch or two or left to seal on their own. A snug compression garment or chin strap is applied before you leave, and you will be asked to keep it on for a period your surgeon specifies.

Neck lift vs chin lipo: when fat removal alone is not enough

Liposuction changes one layer. When skin has stretched or the platysma has separated, addressing only the fat can make the neck look emptier rather than tighter. This is the point at which a surgeon may raise a neck lift.

A neck lift is an umbrella term. Mayo Clinic describes it as a set of procedures that can include removing excess fat, tightening the platysma, and trimming and redraping loose skin, alone or in combination. The skin-tightening element usually requires incisions that begin in front of the ear, run around the earlobe and continue into the hairline behind it, where scars can be concealed. A separate small incision under the chin gives access to the muscle.

Platysmaplasty is the stitching together of the two separated edges of the platysma along the midline under the chin, recreating the sling that supports the floor of the mouth. Some surgeons also release the muscle’s lower edge or partially divide it to soften bands. This is done through the chin incision and is often paired with fat removal above and below the muscle.

Compared with chin liposuction alone, a neck lift involves longer surgery, more often general anesthesia, more visible scarring and a longer recovery. It also addresses problems liposuction cannot touch. The NHS notes that facial lifting procedures are not permanent, since aging continues; the same applies to the neck.

Choosing between them is not about which is better in the abstract. It is about which layer is causing the fullness in your neck. A candid surgeon will sometimes say the thing people least want to hear: that liposuction would be simpler but would not give the result they are picturing.

Who is usually a good double chin surgery candidate, and who is asked to wait

The people most likely to be pleased with chin liposuction alone share a recognizable profile. They have a distinct fat pad that is soft and pinchable. Their skin snaps back briskly. Their platysma bands are faint or absent. They are at or near a weight they have held for some time, and they are generally well.

Age is a less reliable guide than skin quality. Someone in their fifties with excellent elasticity may be a better liposuction candidate than someone in their thirties who has spent years in strong sun. Many people who read “chin lipo” as a quick fix are in fact neck-lift candidates, and vice versa.

Surgeons commonly ask certain people to wait, or advise against surgery altogether. Anyone actively losing or gaining weight is usually asked to reach a stable point first, since further loss can leave fresh skin laxity and gain can refill the area. Smokers are often asked to stop for a period before and after, because nicotine narrows small blood vessels and impairs healing. People with uncontrolled diabetes, bleeding disorders, or those taking blood-thinning medicines need those issues addressed with their prescribing clinician first; no medicine should be stopped for a cosmetic procedure without that conversation.

A different kind of pause applies when expectations do not match anatomy. If the exam points to a receding chin or low hyoid as the main issue, liposuction will not deliver a sharp jawline, and a good surgeon will say so. The same is true when someone is seeking surgery during a period of acute distress, or hoping it will resolve how they feel about themselves more broadly. Body dysmorphic disorder, a condition in which perceived flaws cause distress far out of proportion to their visibility, is a recognized reason to defer aesthetic surgery and to offer other support.

Matching the problem to the procedure: a plain comparison

The table below is a simplifying map, not a prescription. Real necks usually involve more than one layer, and combinations are common. Its purpose is to show why the same complaint, “a double chin,” can lead to very different recommendations.

Main cause of fullness	What the surgeon typically sees	Approach most often discussed	What it cannot fix
Fat above the muscle	Soft, pinchable pad; skin snaps back quickly	Submental liposuction	Loose skin, muscle bands, chin or throat bone position
Loose skin	Slow snap-back, horizontal creases, drape when looking down	Neck lift with skin excision, often with fat removal	Ongoing aging; a receding chin
Separated platysma bands	Two vertical cords on clenching; deeper fullness	Platysmaplasty, usually via a chin incision	Surface fat without accompanying liposuction
Small or set-back chin	Short chin-to-throat distance; normal fat and skin	Chin augmentation, sometimes with liposuction	Skin laxity; a low hyoid angle
Weight in flux	Fullness that changes month to month	Wait for weight to stabilize	Any surgery done too early risks needing revision

Two observations follow. First, the simplest procedure, liposuction, suits the narrowest group. Second, the deciding factor is rarely the amount of fat; it is what the skin and muscle will do once that fat is gone. Surgeons who spend most of the consultation examining rather than describing are usually the ones weighing this correctly. Whatever the map suggests, the recommendation belongs to the surgeon who has examined you, and the choice belongs to you.

Non surgical double chin treatment: what the evidence actually supports

Not everyone with submental fullness wants or needs an operation, and several non-surgical options exist. Their evidence base varies widely, and it is fair to be blunt about that.

Deoxycholic acid is a synthetic version of a bile acid the body uses to break down dietary fat. Injected in a grid pattern into the submental fat pad, it disrupts fat-cell membranes; the body then clears the damaged cells over weeks. It treats fat only, has no effect on loose skin or muscle bands, and typically requires more than one session. Swelling, numbness and bruising after each session are expected, and temporary weakness of the smile on one side has been reported when the injection reaches a nearby nerve. Whether it suits someone, and how many sessions, is a decision for the treating clinician after examination.

Cryolipolysis uses a cooling applicator to chill fat to a temperature that injures fat cells while sparing skin. Under the chin it addresses only modest fat pads. A rare complication called paradoxical adipose hyperplasia, in which the treated area enlarges rather than shrinks, has been described. Evidence for the neck specifically is thinner than for the abdomen or flanks.

Radiofrequency and ultrasound skin-tightening devices heat deeper skin layers to stimulate collagen. Changes tend to be subtle and gradual, and studies are small and often manufacturer-sponsored.

Weight change and exercise deserve an honest word. Losing weight can shrink a submental fat pad if that fat responds to overall loss, though it can also loosen skin. Neck and jaw exercises marketed for a double chin have no reliable evidence behind them; the platysma cannot be trained to retighten its separated edges.

How painful is double chin surgery? Anesthesia and what people feel afterward

People searching this question usually mean two things: what will I feel during, and how much will it hurt after. The answers differ by procedure.

During chin liposuction under local anesthesia, most people describe pressure, pushing and an odd scraping sensation rather than sharp pain, once the tumescent solution has taken effect. The injection of that solution itself stings briefly. With sedation, memory of the procedure is often hazy. Under general anesthesia, used more often for a full neck lift, there is no awareness at all.

Afterward, the typical report is soreness and tightness rather than severe pain. The neck feels bruised, as if it has been pressed hard for a long time, and turning the head or swallowing can be uncomfortable for a few days. Numbness under the chin is expected and can persist for weeks or longer as small sensory nerves recover. Mayo Clinic lists temporary numbness among the common after-effects of liposuction generally.

Pain after a neck lift with platysmaplasty is usually greater and lasts longer, because muscle has been sutured and skin has been lifted over a wider area. The sensation of a tight band around the neck, from both the surgery and the compression garment, is common in the first week.

Your surgical team will discuss pain management with you before the procedure. Many people manage with the plan they are given and find the discomfort peaks in the first two or three days before easing. Pain that increases rather than settles, or that is markedly worse on one side, is not typical and should prompt a call, for reasons covered in the red-flag section later.

Double chin surgery recovery: what the first days and weeks usually look like

Recovery is not a single event but a sequence of stages, each with its own look and feel. The ranges here are typical, drawn from Mayo Clinic and NHS descriptions of liposuction and lifting procedures, and your own course may run faster or slower.

In the first two or three days, swelling and bruising build to their peak. The neck may look fuller than before surgery, which unsettles people who did not expect it. A compression garment or chin strap is worn most of the day; the NHS notes that compression after liposuction is usually continued for several weeks. Sleeping with the head elevated helps drainage. Small amounts of blood-tinged fluid may leak from the entry points.

By the end of the first week, bruising is turning yellow and most people feel comfortable moving about, though not exercising. After liposuction alone, many return to desk work at around this point; after a neck lift, the NHS suggests a longer break is usual, with several weeks before strenuous activity.

Through weeks two to six, swelling recedes unevenly. Firmness, lumpiness and patches of numbness under the chin are normal as the tissues heal and small pockets of fluid are reabsorbed. Gentle massage may be recommended by your team; do not start it without asking.

The contour you will ultimately have takes longer to appear than most people expect. Mayo Clinic notes that after liposuction, the area may take several months for swelling to settle fully, and scars from a neck lift continue to fade over the first year. Judging the result at week three is like judging a painting before the varnish dries.

Risks and complications, explained without either alarm or spin

Every operation carries risk, and the neck has its own particular set. Naming them plainly is not fear-mongering; it is what lets you weigh them.

Bleeding into the tissues, a hematoma, is the most common early complication after neck surgery. A small one is reabsorbed; a large, expanding one is painful, tense and usually needs draining promptly, because pressure on the skin can compromise it. This is why teams ask about blood-thinning medicines and blood pressure beforehand.

Fluid collection, a seroma, is a pocket of clear fluid where fat was removed. Mayo Clinic lists it among recognized liposuction complications; it may be drawn off with a needle in clinic.

Contour irregularity, meaning dents, ridges or asymmetry, is the complication people most often complain about after chin liposuction. Removing too much fat, or removing it unevenly, can leave the skin tethered to the muscle. It can be difficult to correct.

Nerve injury deserves specific mention. The marginal mandibular nerve, a small branch that controls the muscles pulling the lower lip down, runs along the jawline close to the surgical field. Bruising it causes a lopsided smile that is usually temporary but can occasionally persist. Sensory numbness under the chin is expected; motor weakness is not.

Skin problems include infection, delayed healing at incision lines, thickened scars, and, after fat removal in someone with poor elasticity, new or worsened laxity. Smokers face higher rates of wound complications.

General surgical risks, including anesthesia reactions and blood clots in the leg veins, are lower with short local-anesthetic procedures and higher with longer general-anesthetic ones, though never zero. Your surgeon should give you their own figures, in writing, before you consent.

Is double chin surgery worth it? A way to think about the question

No article can answer this for you, and anyone offering satisfaction percentages should be asked where they came from. What can be offered is a framework.

Start with the match between cause and procedure. Where the exam confirms that fat above the muscle is the problem and the skin is elastic, liposuction addresses exactly what bothers the person, with small incisions and a short recovery. Mayo Clinic notes that liposuction results are generally long lasting provided weight stays stable, because removed fat cells do not regrow, though remaining cells can enlarge. In this group the trade-off is straightforward.

Where skin or muscle is the driver, the calculation changes. A neck lift involves longer scars, general anesthesia, a longer recovery and results that the NHS describes as not permanent, since aging continues. People who want the result badly enough may find that entirely acceptable; others may decide the fullness is easier to live with than the recovery.

Then weigh what surgery cannot do. It will not change how you feel about aging in general, it will not stop the process, and it will not alter chin or throat bone structure unless that is specifically planned. People whose distress is focused on a single, visible, correctable feature tend to describe more benefit than those hoping for a broader change in confidence.

Finally, consider timing and readiness. Are you at a stable weight, a non-smoker or able to stop, able to take the recovery time, and doing this for yourself rather than for someone else’s comment? If several of those are shaky, waiting costs nothing. The decision is yours, made with a surgeon who has examined you and told you honestly which group you fall into.

Will insurance pay for double chin surgery?

Usually not, and it helps to understand why rather than simply hearing no.

Health insurers, and publicly funded systems such as the NHS, generally draw a line between reconstructive procedures, which restore function or correct a deformity caused by disease, injury or a congenital condition, and cosmetic procedures, which change appearance in someone who is otherwise healthy. Chin liposuction and neck lifts done for a double chin fall on the cosmetic side of that line in almost every system. The NHS states plainly that cosmetic surgery is not routinely available through its services.

There are narrow exceptions. Submental fullness that results from a medical condition, such as a fatty growth called a lipoma, an enlarged salivary gland, or contour problems after cancer surgery or trauma, may be assessed differently because the aim is to treat a diagnosed condition. Massive weight loss after bariatric surgery sometimes leaves skin excess severe enough to cause skin infections or functional problems, and some insurers consider skin removal in those circumstances. Even then, coverage typically requires documentation from the treating physician, photographs, and a demonstration that the problem is medical rather than aesthetic.

Because policies vary enormously between plans and countries, the only reliable answer comes from your own insurer, in writing, before you schedule anything. Ask specifically whether the procedure code your surgeon intends to use is covered and whether pre-authorization is required. Do not rely on a verbal assurance from anyone in a clinic’s front office.

Where a procedure is self-funded, reputable surgeons provide a full written breakdown that separates surgeon, facility and anesthesia components, and includes what happens if a revision or complication requires further treatment. Ask for it.

What people often get wrong about chin liposuction and neck lifts

Several beliefs circulate widely enough to shape decisions. Most are half-true, which is what makes them stubborn.

“A double chin means I’m overweight.” Often not. The submental fat pad is strongly inherited and can be prominent in lean people. Conversely, plenty of heavier people have a well-defined jawline. Weight is one variable among several.

“Liposuction will tighten the skin too.” Liposuction removes fat. Any apparent tightening comes from the skin’s own elasticity contracting over a smaller volume, and only skin that still has that elasticity will do so. Skin that has lost it may look looser afterward.

“Neck exercises can get rid of it.” The platysma is a thin sheet, not a bicep. No exercise regimen has been shown to reduce submental fat or reunite separated muscle edges. Chewing gum and tongue-press routines have no supporting evidence.

“The fat comes back.” Removed fat cells do not regenerate. Remaining cells can enlarge with weight gain, and aging continues to loosen skin and muscle, so the neck can change again. That is not the fat returning; it is the rest of the neck aging around a smaller fat pad.

“Non-surgical means no risk.” Injections and devices carry their own complications, including nerve effects, prolonged swelling and uneven results. Less invasive is not the same as harmless.

“Younger is always a better candidate.” Skin quality, not age, predicts how liposuction will look. Sun history and genetics matter more than the year on a birth certificate.

“Results are visible immediately.” Swelling can make the neck look fuller for the first week or two. Mayo Clinic notes the final contour after liposuction emerges over months, not days.

Questions to ask your care team before deciding

A good consultation is a conversation, and the quality of your questions shapes the quality of the answers. These are the ones that tend to surface the information people later wish they had asked for.

• Looking at my neck specifically, which layer is causing most of the fullness: fat, skin or muscle? How did you decide that?
• If you are recommending liposuction alone, what do you expect my skin to do afterward, and what would make you change your mind toward a neck lift?
• Is my chin position or throat anatomy limiting what any procedure can achieve? Would you show me on my photographs?
• What anesthesia do you plan, and who will administer and monitor it?
• Where exactly will the incisions be, and how visible are the scars in your own patients at one year?
• What is your own complication rate for this procedure, including hematoma, nerve weakness and contour irregularity? How do you manage each if it happens?
• What does recovery look like week by week for someone with my job and commitments, and when could I exercise, fly, or attend an event?
• What happens if I am not happy with the contour? What is your policy on revision, and who pays for the operating room and anesthesia if one is needed?
• Are there non-surgical options that suit my anatomy, and what does the evidence show for them in the neck specifically?
• What should I do about my regular medicines and supplements before surgery, and who will coordinate that with my prescribing doctor?
• Who do I call, at any hour, if something worries me in the first week?

Bring someone with you if you can, take notes, and ask for the surgeon’s answers in writing where they relate to risks, revisions and after-hours contact. Any reluctance to put those in writing is itself information.

When to call your doctor after neck contouring

Most recovery is uneventful, and a great deal of what people notice, swelling, bruising, numbness, a sense of tightness, firm lumps under the skin, falls within the expected range. A few signs are different in kind and need same-day attention from your surgical team or, if you cannot reach them, an emergency department.

• Rapidly increasing swelling on one side, especially if the neck feels tense, hard and increasingly painful. This can indicate bleeding into the tissues and may need urgent draining.
• Any difficulty breathing or swallowing, a change in your voice, or a sensation that the neck is tightening from within. Treat this as an emergency.
• A crooked smile or weakness of the lower lip that was not present immediately after surgery, or that is worsening rather than improving.
• Fever, spreading redness, warmth, or pus at incision sites, or an incision that opens.
• Skin under the chin or behind the ears turning dusky, purple or black, or developing blisters. This suggests the skin’s blood supply is compromised.
• Pain, swelling or warmth in one calf, or sudden chest pain or breathlessness, at any point in the weeks after surgery. The NHS describes these as possible signs of a blood clot in the leg or lung, which is a medical emergency.
• Pain that escalates after the first few days instead of settling, or that your prescribed plan no longer manages.

You should also call if you feel low, anxious or regretful in a way that is interfering with daily life. A dip in mood during the swollen, bruised phase is common and usually passes, but your team would rather hear from you than not. Keep the after-hours number somewhere you can find it without your glasses on.

Frequently asked questions

Who is a good chin liposuction candidate?

Someone with a soft, pinchable fat pad under the chin, skin that snaps back quickly when lifted, faint or absent muscle bands, and a stable weight. Non-smokers and people in good general health carry fewer healing risks. Age matters less than skin quality. A surgeon’s hands-on exam, not a photograph or a self-assessment, confirms whether you fit this group.

What is the safest procedure to get rid of a double chin?

There is no single safest option for everyone. Shorter, local-anesthetic procedures such as submental liposuction carry fewer general risks than a full neck lift, but they only help when fat is the main problem. Injections and devices avoid incisions yet have their own complications. Safety depends on matching the procedure to your anatomy and on the experience of the team performing it.

Is double chin surgery worth it?

It depends on how well the procedure matches the cause of your fullness and how you weigh recovery and scars against the change. People whose exam confirms a fat-dominant problem and who have realistic expectations tend to describe the most benefit. When loose skin or bone structure is the driver, liposuction alone often disappoints. No reliable satisfaction percentage exists to quote, and anyone offering one should cite its source.

How painful is double chin surgery?

Most people describe soreness, tightness and a bruised feeling rather than sharp pain after chin liposuction, peaking in the first two or three days. Turning the head and swallowing can be uncomfortable briefly. A neck lift with muscle tightening is usually more sore for longer. Numbness under the chin is expected. Your surgical team will discuss a pain plan before the procedure.

What does double chin surgery recovery involve week by week?

Swelling and bruising peak in the first few days, when a compression garment is worn most of the day. Bruising fades over the first week or two, and many people return to desk work after liposuction around then; a neck lift needs longer. Firmness and numbness ease over several weeks. Mayo Clinic notes the final contour takes months as swelling fully settles.

Neck lift vs chin lipo: how do I know which I need?

The deciding factor is your skin and muscle, not the amount of fat. If skin snaps back quickly and muscle bands are faint, liposuction alone may be enough. If skin drapes when you look down or two vertical cords appear when you clench, a neck lift with muscle tightening addresses what liposuction cannot. Only an in-person exam can tell these apart.

Will insurance pay for double chin surgery?

Almost never when it is done for appearance, because insurers and public systems classify it as cosmetic. Exceptions exist for medically diagnosed causes such as a lipoma, salivary gland enlargement, or reconstruction after trauma or cancer surgery, and occasionally for severe skin excess after massive weight loss. Confirm with your own insurer in writing before scheduling.

Is non surgical double chin treatment as effective as surgery?

Not for most people. Deoxycholic acid injections and cooling devices can reduce a modest fat pad over multiple sessions but do nothing for loose skin or separated muscle bands. Skin-tightening devices produce subtle changes and rest on small studies. Non-surgical options suit a narrower group than surgery, and they carry their own side effects. The treating clinician can advise which, if any, fits your anatomy.

Will the fat come back after chin liposuction?

Removed fat cells do not regenerate, so the specific fat taken out does not return. Remaining fat cells can enlarge with weight gain, and aging continues to loosen skin and muscle, so the neck’s appearance can still change over time. Mayo Clinic notes liposuction results are generally long lasting when weight stays stable.

Can a small chin cause a double chin?

Yes. A short or set-back chin shortens the distance between chin and throat, so even a modest fat pad reads as fullness. A low-positioned hyoid bone creates an obtuse neck angle that fat removal cannot sharpen. In these cases a surgeon may discuss chin augmentation, or explain honestly that liposuction alone will not produce the jawline you are picturing.

References

• Liposuction – NHS
• Liposuction – MedlinePlus Medical Encyclopedia
• Aging changes in skin – MedlinePlus Medical Encyclopedia
• Deep vein thrombosis (DVT) – NHS

This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor about your individual situation.