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This question is so individual! The answer will vary with age, weight, and anatomy of the patient. If there is great skin elasticity (like in younger patients), the answer may be as easy as an in-office liposuction procedure. Another option might be Kybella, which is usually done in a series of injections, and is nonsurgical. For those patients with less skin elasticity, the problem is usually not just extra fat but also extra skin. That brings up the possible need for a surgical procedure like a minifacelift, which incorporates both removal of fat along with tightening of the excess skin in order to get a smooth result.