Double chin removal – in brief
| What it treats | Excess fatty tissue and sagging skin under the chin |
|---|---|
| Treatments | Attiva radiofrequency, Morpheus8, Ultraformer III and lipolysis, the choice following a consultation |
| Anaesthesia | Local anaesthetic (Attiva), anaesthetic cream (Morpheus8, Ultraformer III) |
| Number of treatments | Attiva usually 2, Morpheus8 up to 3, Ultraformer III usually 1 |
| Result | More pronounced effect after 4 to 6 weeks, full effect after 2 to 3 months |
| Duration of results | Depends on the treatment, skin condition and changes in body weight; 12 to 18 months after Ultraformer III |
| Recovery | Attiva: minor bruising for a few days, swelling for up to 14 days; Morpheus8: redness for 1 to 3 days; Ultraformer III: no recovery period |
Why a double chin develops
A double chin is influenced by jaw structure, genetics, body weight and skin ageing. It can also appear in young, slim people, as the distribution of fatty tissue beneath the chin depends on genetics. When a double chin is caused by excess weight, it decreases with weight loss. When it is hereditary, diet and exercise do not change it.
After weight loss, the fat pad beneath the chin shrinks, but sometimes excess skin remains and does not retract on its own. The aim of treatment is then to tighten this skin.
Over the years, the skin loses collagen and elastin, and the supporting layer beneath it gives way, causing the tissue to sag below the jawline. Therefore, in younger people this is usually a matter of fatty tissue, whereas in older people it is a combination of fatty tissue and sagging skin.
How to reduce a double chin
The choice of treatment depends on whether fatty tissue or sagging skin is dominant beneath the chin. Treatments are performed on their own or in combination.
Attiva radiofrequency
A thin probe is introduced under the skin via a microcannula, under local anaesthesia, and heats the subcutaneous tissue. The heat reduces minor fat deposits under the chin and contracts collagen fibres, so the skin tightens. The temperature is monitored throughout the treatment by a sensor on the cannula and a thermal camera. A more pronounced effect develops over 4 to 6 weeks, and most commonly 2 treatments are performed. After the treatment, minor bruising at the entry point may occur, which resolves within a few days, along with swelling that can last up to 14 days. Read more on our page about Attiva radiofrequency.
Morpheus8
Microneedles deliver radiofrequency energy up to 4 mm deep into the facial skin. Morpheus8 tightens the skin of the chin and neck and reduces minor fat pads under the chin, making it a good choice when the skin is sagging and there is little fatty tissue. It is performed using an anaesthetic cream, usually in a series of up to three treatments, and the skin remains red for 1 to 3 days. The full effect is visible after about 3 months. Read more on our page about Morpheus8. Treatments for sagging neck skin are described on our page about neck and décolletage rejuvenation.
Ultraformer III
Focused ultrasound acts at a pre-selected depth while the skin surface remains intact. For the double chin, treatment is carried out at two depths. At 4.5 mm, it acts on the SMAS, the supporting layer that holds the facial tissues, so the jawline is lifted and more clearly defined. A deeper cartridge acts on the fatty tissue beneath the chin. The effect develops over two to three months and lasts for 12 to 18 months. Usually, one treatment is sufficient, and you can return to your daily activities immediately afterwards. Read more on our page about Ultraformer III.
Lipolysis
When there is a small, soft deposit under the chin and the skin is firm enough, fatty tissue can also be reduced using injection lipolysis with Lemon Bottle or Aqualyx preparations. The preparation breaks down fat cells only in the treated region. The first changes are visible after 2 to 3 weeks, and the full effect over the next month to two. Most frequently, multiple treatments are needed, and when the skin also requires tightening, lipolysis is combined with the Morpheus8 or Attiva treatment. Read more about the treatment on the page Lipolysis.
Double chin removal before and after
The double chin is reduced, and the jawline becomes more defined. The photographs show patients before and after double chin treatment: the transition between the face and neck is tighter and the contour is more defined.
Treatments
Attiva radiofrequency, Morpheus8 and Ultraformer III
More pronounced effect
After 4 to 6 weeks
Full effect
After 2 to 3 months
Double chin removal cost
The price of double chin removal depends on the choice of procedure, the amount of fat and the degree of skin laxity. The exact treatment recommendation and price are determined after an examination. You can view approximate prices in our Price list.
Have a question?
Frequently asked questions about the double chin
Can a double chin be reduced with exercises or cream?
Neck exercises and creams do not reduce fat tissue under the chin. Weight loss helps when a double chin is caused by excess weight, but loose skin can remain afterwards. When a double chin is hereditary or involves loose skin, treatment is required.
What device is used to remove a double chin?
At Imedic, we use Attiva radiofrequency, Morpheus8 and Ultraformer III. Attiva works directly on the subcutaneous fat tissue, Morpheus8 tightens the skin the most, and Ultraformer III lifts the supporting layer and jawline. The choice depends on whether fat tissue or sagging skin is dominant.
When are the results visible?
Following Attiva, a more pronounced effect develops over 4 to 6 weeks. The full effect of Morpheus8 and Ultraformer III treatments is seen after 2 to 3 months, once the skin has produced new collagen.
How long does the result last?
The result depends on the treatment and how the skin changes afterwards. After Ultraformer III, the effect lasts 12 to 18 months. The removed fat cells do not return, but the remaining ones can enlarge if body weight increases.
Is the treatment painful?
Attiva is performed under local anaesthesia, while Morpheus8 and Ultraformer III use an anaesthetic cream. You will feel warmth during the treatment.
Who should not have the treatment?
The treatment is not performed during pregnancy and breastfeeding, in cases of acute skin infection or malignant disease, or if you are prone to keloids.
Book double chin removal in Belgrade
Imedic poliklinika is located at Kneza Miloša 23, 2nd floor, Belgrade. Opening hours: Monday–Sunday, 9:00–21:00.
Appointments can be booked by phone: 064 237 0707. If you contact us from abroad, we are also available via Viber and WhatsApp on the same number.
Author: Dr Ivica Jeremić
PhD in Medical Sciences (Molecular Medicine and Immunology), rheumatology subspecialist, dermatology resident.
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