The appearance commonly called a double chin is a fullness caused by fat accumulation under the chin, skin laxity and loosening of the neck muscles occurring together. Changes in this area, medically called the submental region, reduce the definition of the jawline and soften the transition between face and neck.
A double chin is not related to weight alone. It can also be seen in thin people; inherited fat distribution, skin elasticity that decreases with age and the anatomical features of the jaw structure play a role in it.
This procedure gives a more predictable result in people whose concern stems mainly from excess fat and whose skin elasticity is preserved. The assessment looks at the following:
Important: No. If skin laxity is pronounced or the neck muscles have separated, removing fat alone may not create the desired jawline; it may even make the laxity more visible. In that case, neck lift or face and neck lift approaches come into consideration.
Making this distinction at the examination is decisive for choosing the right method.
1. Examination. The area under the chin, the jawline and the neck are assessed together; the source of the fullness is determined.
2. Planning. Whether liposuction alone or an additional procedure is required is discussed. The limits of the expected change are clearly defined.
3. Procedure. Fat tissue is reduced with fine cannulas through a small entry point under the chin. The choice of anesthesia (local + sedation or general) is determined by the scope of the procedure.
4. Follow-up. Healing is monitored through the use of a facial compression garment and follow-up appointments.
As with every surgical procedure, this one has possible risks:
This list does not cover all possibilities. Your personal risk profile and medical history are assessed in detail at the examination and shared with you as part of the consent process.
What is commonly called "double chin treatment" most often means removing fat from the submental (under-chin) area. However, if the double chin appearance does not result from fat alone, liposuction by itself may not be sufficient; in that case a different approach is needed.
Yes. Fat accumulation under the chin is not directly proportional to weight; inherited fat distribution and jaw structure also play a role in this appearance. For this reason, a double chin can also be seen in thin people.
Weight loss may reduce regional fullness, but because fat distribution under the chin is individual, it does not always provide the desired improvement. In addition, rapid weight loss can change the appearance by increasing skin laxity.
Fat cells that have been removed do not return; however, the remaining tissues may gain volume with weight gain. Also, because the decrease in skin elasticity continues with age, the appearance may change over time.
The entry point is small and located under the chin; it fades over time. Still, as with every surgical procedure, a scar does not disappear completely.
Specialist in Plastic, Reconstructive and Aesthetic Surgery. A graduate of Selçuk University Faculty of Medicine; he completed his specialty training at the University of Health Sciences, Afyonkarahisar Health Application and Research Center. He works at Antalya Yaşam Hastanesi (Şirinyalı, Muratpaşa / Antalya).
