Body and medical concerns · London

Double Chin

It is the photo taken from slightly below, or the moment on a video call when you glance down at your notes. Four different things create a double chin, weight being just one, and matching the treatment to yours at Wimpole Street brings back a clean line from chin to neck.

At a glance

  • Causes Submental fat, skin laxity, weak platysma, jaw position
  • Treated at Wimpole Street, London
  • Course 1 to 3 sessions
  • Downtime None to 7 days
  • First step Assessment of fat against skin

What it is and why it happens

Most people assume a double chin is about weight, which is why it can linger even after weight loss, and why the right diagnosis makes such a difference.

Four things create submental fullness and they occur in different combinations. Submental fat is a discrete pad beneath the chin that is stubbornly resistant to diet and exercise, and in many people it is genetic and present at a perfectly normal body weight. Skin laxity produces the same silhouette without any excess fat, particularly after weight loss. A weak or separated platysma, the sheet of muscle across the front of the neck, loses the definition that once held the jaw edge. And a recessed chin or small jaw creates the appearance of fullness without either fat or laxity being the issue.

Pinch beneath your chin. If you can grasp a distinct pad, there is fat. If the skin comes away thin and loose with little substance, it is laxity. Knowing which you have is what makes the result.

Regents Park Aesthetics assesses which of the four is driving yours. Most of the device options for this sit at our Wimpole Street clinic, in the Harley Street medical district.

The jawline and submental area marked with lifting arrows
Know your type

Which type is yours?

Submental fat

A distinct pad you can pinch

Submental fat

Genetic in many cases and present at a normal weight, which is why it stays put through diet and exercise. Fat dissolving injections reduce it directly. The most straightforward type to treat and the one with the clearest result.

Skin laxity

Loose, thin, little to pinch

Skin laxity

Common after weight loss and with age. The silhouette is the same with little fat involved, so radiofrequency or ultrasound tightening is the answer, firming the skin into a crisper line.

Platysma laxity

Vertical neck bands, lost jaw definition

Platysma laxity

The muscle sheet across the neck has weakened or separated, so the jawline loses its edge and vertical cords appear. Anti-wrinkle injections along the jaw and upper neck release the downward pull and sharpen the edge.

Recessed chin

Weak chin projection in profile

Recessed chin

A question of structure. A small or set-back chin shortens the distance between chin and neck, creating fullness in profile. Chin filler projects it forward and frequently transforms the profile in a single appointment.

How we assess and treat

Assessment at Regents Park Aesthetics is done sitting upright and in profile as well as straight on, because a double chin shows most in profile, exactly the way you see it in photographs.

The pinch test does most of the diagnostic work. A distinct pad between the fingers means fat. Thin loose skin with little substance means laxity. Both together is the most common finding over forty.

We check chin projection in profile, because a recessed chin is very often the main driver, and bringing it forward can change the whole profile.

We also ask about weight trajectory. If you are actively losing weight, treatment is timed for when you reach your goal, since further loss changes both the fat and the skin.

A treatment room set up for injectables, with prepared syringes on the desk
Your options

Which treatment for your type of double chin?

As a guide, this is how we typically match each type to a treatment. Your own plan is always confirmed at consultation, and where a type is best treated by a surgeon, your clinician points you to the right door.

Type
Recommended treatment
Why
Skin laxity
Tightens the envelope, which reducing fat alone would leave slack
Platysma laxity
Relaxes the neck bands that pull the jawline down
Recessed chin
Projecting the chin lengthens the jawline and the fullness reads as less

Treatments that address it

Fat Dissolving Injections An injectable that breaks down fat cells permanently, placed into the fat pad, cleared by the body over weeks. Best for a discrete pinchable pad, with about a week of swelling after each session. Morpheus8 Radiofrequency to 4mm, which reduces fat and tightens skin in the same treatment. The best single option where you have both fat and laxity, which most people over forty do. Three sessions. Chin Filler For a recessed chin, projecting it forward to lengthen the chin-to-neck line. Frequently the treatment that transforms a profile when everyone assumed the answer was fat reduction. £400.
Practitioner injecting filler into the lips with a fine needle Morpheus8 handpiece applied to the face during treatment
On consultation £500 £400
Discrete fat pad Larger fat pad Recessed chin
Yes Yes No
No No No
2 to 4 1 to 2 1
7 days swelling None 48 hours

Before and after

Profile of the under chin area before EmFace, showing submental fullness
Before
The same profile after four EmFace treatments, the under chin tighter and better defined
After
Under the chin
After a course of EmFace

Submental fullness after a course of EmFace. Clinical image supplied by BTL. Individual results may vary.

Can you treat it at home?

Weight loss reduces submental fat where the fat is weight-related, while a genetic pad stays put. Plenty of slim people have one, which shows it is about more than weight.

Posture makes a genuine difference to appearance if not to anatomy. Time spent looking down at a phone shortens the front of the neck and accentuates fullness, and it is worth noticing how much of your day is spent in that position.

Neck exercises and jaw-toning devices are best skipped. Fat and skin are usually the structures that need treating, and some devices work the platysma in a way that makes the lower face look heavier.

Skincare on the neck helps texture. Retinoids and SPF applied to the neck as well as the face slow the thinning that contributes to laxity, a lovely long-term habit.

A fat pad or a lax platysma is reached in clinic, which is why this is one of the concerns where clinical treatment makes the biggest difference.

Moisturiser being smoothed along the jawline and neck
Questions, answered

Frequently Asked Questions

Four things: submental fat that is frequently genetic, skin laxity, a weak or separated platysma muscle, and a recessed chin. They occur in combination, and identifying which dominates decides the treatment.

It helps where the fat is weight-related, while a genetic pad stays put. Plenty of slim people have a double chin, which shows it is about more than weight.

Pinch beneath your chin. A distinct pad between your fingers is fat. Thin loose skin with little substance is laxity. Over forty it is commonly both.

For a discrete fat pad, fat dissolving injections. For fat plus laxity, Morpheus8. For a recessed chin, chin filler. For lost jaw definition from the platysma, anti-wrinkle injections along the jaw.

Morpheus8 from £500, chin filler £400, a Nefertiti lift £350. Fat dissolving is quoted at consultation based on the size of the area.

Yes, on a discrete fat pad, and the fat cells treated are gone for good. Expect substantial swelling for about a week after each session and two to four sessions in total. They are available at our Wimpole Street clinic.

Two to four for fat dissolving, three for Morpheus8, one for chin filler. Most plans combine two approaches.

Clinic treatment does far more. Fat and skin are what need treating, and some jaw-toning devices build muscle in a way that makes the lower face look heavier.

It is the best single option where you have both fat and skin laxity, because it reduces fat and tightens in the same treatment. It is at our Wimpole Street clinic.

Where the chin is recessed, frequently dramatically. A set-back chin shortens the chin-to-neck distance and creates fullness in profile with no excess fat present. It is the cause most often overlooked, and one of the most rewarding to treat.

If you are actively losing, yes. Further loss changes both the fat and the skin, so treatment is timed for when you reach your goal.

Yes, submental liposuction or a neck lift, and for significant fullness with substantial excess skin that remains the most complete answer. Your clinician talks it through at the consultation and points you to the right door where surgery suits you best.

Regents Park Aesthetics

Feel like yourself, on a good day.

A medically led clinic where every plan starts with an assessment and every injectable is placed by a medical professional, so the result looks like you on your best day.

Address19 Wimpole Street, London W1G 8GE
Telephone020 7580 4813