How to eliminate a double chin: discover the most effective aesthetic treatments

• May 5, 2025
• By Fernando Amato

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How to Eliminate a Double Chin: Modern Techniques for a More Defined Neck

A double chin, also known as submental fat, is a condition that affects not only facial appearance but also the self-esteem of many patients. Fortunately, with advances in aesthetic medicine and plastic surgery, there are now various effective and safe ways to treat a double chin, according to each patient's individual profile.

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⭐ Article Highlights:

• 💉 Various techniques, from non-invasive to surgical, for all degrees of submental fat
• 🔥 Technologies like Morpheus8, FaceTite, Acutite, Lipolaser, and Lipossound provide skin retraction and definition
• 🧠 Modern surgical approaches also treat deep structures such as glands and muscles
• 🛠️ The correct choice of procedure depends on the patient's anatomy, age, and expectations
• 🩺 Specialized medical evaluation, however, is essential for natural and lasting results

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What causes a double chin?

A double chin is therefore caused by the accumulation of fat between the chin and the neck, and may be associated with:

• Superficial fat (pre-platysmal)
• Deep fat (subplatysmal)
• Skin laxity
• Platysmal muscle bands
• Displacement of the submandibular gland

The plastic surgeon's assessment, however, is crucial to determine which of these structures are involved, which defines the choice of the ideal treatment.

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Treatment options for how to eliminate a double chin

❄️ Non-Invasive Techniques

These include cryolipolysis, microfocused ultrasound, and external radiofrequency, indicated for mild cases of fat with good skin elasticity.

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💉 Minimally invasive techniques

Using fine needles or cannulas, such as:

• Kybella (deoxycholic acid)
• Lipolytic enzymes
• Morpheus8 (radiofrequency with microneedling)
• FaceTite / Acutite (subdermal radiofrequency)
• Lipolaser (endolaser)
• LipoSound (ultrasound-assisted liposuction)

These techniques then treat pre-platysmal fat and improve skin laxity, with good recovery and progressive results.

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Double chin liposuction

Liposuction, however, remains an excellent option for removing localized fat in the submentum. Thus, it can be associated with the technologies above (e.g., FaceTite or Lipolaser) for better skin retraction.

Indications: patients with superficial fat, firm skin, and absence of muscle laxity.

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Facelift: deep plane + deep neck

For moderate to severe cases, where there is:

• Significant skin laxity
• Visible platysmal bands
• Subplatysmal fat
• Descent of the submandibular gland

However, the most complete treatment is the facelift with a deep plane approach, involving Deep Plane and Deep Neck Lift.

🔬 Deep plane facelift

This repositions the deep layers of the face (SMAS), providing natural and long-lasting results, while preserving facial expressions. Thus, it is ideal for improving the jawline and the lower third of the face.

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🔎 Deep neck lift

This is the extension of the surgery to the deep neck region. It involves:

• Resection of subplatysmal fat (deep fat under the muscle)
• Plication of platysmal bands, correcting visible bands in the neck
• Resection of the submandibular gland, when its volume negatively affects the cervical contour
• Associated liposuction, if necessary

⚠️ This procedure, however, requires accurate surgical anatomy knowledge and specialized technical expertise.

Benefits:

• Deep and long-lasting rejuvenation
• Significant improvement in cervicofacial contour
• Correction of muscle laxity, deep fat, and sagging salivary glands

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When to seek a specialist?

Only a plastic surgeon with experience in face and neck surgery can accurately assess which structure is causing the double chin and recommend the best treatment.

👉 Schedule your consultation with Dr. Fernando Amato, a facial contouring specialist, for an individualized evaluation.

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Conclusion

In summary, eliminating a double chin effectively and safely involves more than just “removing fat.” Thus, a double chin can be caused by multiple factors, and each patient requires a specific approach. Therefore, the combination of techniques, whether minimally invasive or deep surgical, is the path to natural, lasting, and safe results — always with specialized medical supervision.

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Frequently asked questions

1. What is the difference between traditional and deep plane facelift?

The deep plane, however, acts on deep layers, providing more natural and long-lasting rejuvenation.

2. When is a deep neck lift indicated?

In patients with severe laxity, deep fat, and visible muscle bands.

3. Is it possible to resect the submandibular gland during a facelift?

Yes, when it is enlarged and impairs the neck contour.

4. Does Morpheus8 replace surgery?

In cases of mild laxity, it can be an alternative. Advanced cases require a facelift.

5. Which technique treats deep (subplatysmal) fat?

Only surgeries like the deep neck lift allow access to this fat.

6. Does FaceTite treat muscles and glands?

No. Only the superficial fat layer and skin.

7. Does double chin liposuction solve everything?

No. It treats superficial fat. Cases with laxity need supplementation.

8. Does a facelift leave a visible scar?

Scars are hidden behind the ear and in the scalp.

9. What is the recovery time for a deep facelift?

About 15 days for return to social activities, and up to 30 days for physical activities.

10. How long do the results last?

8 to 12 years, depending on the technique, care, and genetics of the patient.

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