Double Chin

A double chin can show up even when your weight hasn’t changed. Many people first notice it in photos or on video calls, where the angle highlights fullness under the chin that doesn’t feel like it belongs there.


This is a very common concern and one that has more to do with anatomy and aging than lifestyle. For most patients, addressing a double chin is about improving definition and balance, not chasing perfection.

At a Glance

Also Known As

Submental fat

Key Insight

Not just a weight issue — can affect anyone

Goal

Improved contour and jawline definition

Learn More

A double chin, also known as submental fat, is a common condition where excess tissue develops beneath the chin and along the upper neck.

What causes the appearance: This fullness can be caused by a combination of:

  • Fat accumulation below the chin
  • Skin laxity leading to loose, sagging skin
  • Changes in muscle support
  • Loss of overall structural definition

An important point: Though some people associate a double chin with extra weight, it’s actually more than a weight issue. Everyone’s anatomy is different, which is why a double chin can appear even in people who are otherwise lean and fit. Simply losing weight won’t necessarily make a double chin go away.

The appearance of a double chin can be attributed to several factors, and often it’s a combination of causes rather than just one.

Genetics — Family history plays a significant role in where your body stores fat and how your skin ages. Some people are simply predisposed to submental fullness.

Natural aging — Over time, skin loses elasticity and begins to sag, causing the skin to droop and the chin to look heavier. This is a normal sign of aging.

Skin laxity — As collagen and elastin decrease, the skin under the chin loses its ability to stay firm and tight.

Weight gain — Increased body weight can lead to fat accumulation in the submental area, though this isn’t always the primary cause.

Medical conditions — In some cases, a double chin may be a side effect of certain medical conditions that affect weight distribution or skin quality.

As skin and underlying support structures change over time, fullness under the chin can become more noticeable — even without significant weight changes.

Some lifestyle strategies may help reduce the appearance of a double chin, but they typically cannot eliminate it completely.

Strategies that may help:

  • Maintaining proper posture (reduces the appearance of neck fullness)
  • Adjusting diet and maintaining a healthy weight
  • Neck exercises to strengthen underlying muscles

The reality: While these approaches may provide modest improvement, they usually cannot completely remove submental fat or address skin laxity. To fully eliminate the double chin and achieve a defined contour, most patients require a non-invasive procedure.

This is especially true for people whose double chin is primarily caused by genetics or skin laxity rather than weight.

A double chin can change how the face and neck look, particularly in profile or from certain angles.

Patients often say it:

  • Softens or blurs jawline definition
  • Makes the lower face appear heavier
  • Shows up more noticeably in photos or video calls
  • Creates a disconnect between how they feel and how they look
  • Makes them self-conscious about certain angles

 

These concerns are very common. Treating a double chin is usually about restoring contour and definition — not dramatically altering the face.

A consultation at Lazaderm is focused on thoughtful evaluation and education.

During your visit, your provider will:

  • Assess the balance of fat, skin laxity, and structural support
  • Determine what’s contributing most to the appearance
  • Review your medical history
  • Discuss treatment options (Kybella, CoolSculpting, or combination approaches)
  • Help you understand what kind of improvement is realistic
  • Explain the differences between treatment options

 

You’ll have time to ask questions and decide what feels right for you.

Treatment for a double chin can provide significant improvement, though results vary based on anatomy and the primary cause of fullness.

What to understand:

  • Kybella results are permanent once fat cells are destroyed
  • CoolSculpting results are also permanent for treated fat cells
  • Skin laxity may require additional or complementary treatments
  • Multiple treatment sessions may be needed for optimal results
  • Individual anatomy affects outcomes

 

The goal is a more defined, balanced lower face that still looks natural.

Treatment Options

At Lazaderm, we offer Kybella and CoolSculpting to treat the look of a double chin. The most effective treatment depends on whether fullness, skin laxity, or both are contributing to the appearance. A consultation allows your provider to evaluate the area and recommend the best approach.

Kybella

Kybella is an FDA-approved injectable medication specifically designed to dissolve unwanted fat and define the contour of the neck.

How it works: Kybella contains deoxycholic acid, a naturally occurring molecule that helps break down dietary fat. When injected into the submental area, it destroys fat cells, which are then naturally processed and eliminated by the body.

Key benefits:

  • FDA-approved specifically for submental fat
  • Permanent results — once fat cells are destroyed, they’re gone
  • Non-surgical treatment
  • Quick procedure with no significant downtime
  • Gradually improves contour over several weeks

 

Treatment details:

  • Multiple sessions are typically needed (usually 2-4, spaced about a month apart)
  • Results develop gradually as the body processes the destroyed fat cells
  • Most patients see noticeable improvement after 2-3 treatments

 

Safety: Kybella is a safe procedure when performed by a licensed, experienced provider. Our physicians at Lazaderm are highly trained to ensure patient safety and optimal results.

CoolSculpting

CoolSculpting is an FDA-approved, non-invasive procedure that uses controlled cooling to reduce fat in the submental area.

How it works: CoolSculpting uses cryolipolysis technology to freeze and destroy fat cells without damaging surrounding tissue. The treated fat cells are naturally eliminated by the body over the following weeks and months.

Key benefits:

  • FDA-approved for double chin treatment
  • Non-invasive — no needles, no surgery
  • No downtime required
  • Permanent fat reduction in the treated area
  • Comfortable treatment experience

 

Treatment details:

  • Treatment typically takes about 35-60 minutes for the submental area
  • Results develop gradually over 1-3 months
  • Some patients achieve desired results in one session; others may benefit from additional treatments

 

Additional areas CoolSculpting treats: While we’re discussing double chin treatment here, CoolSculpting can also address stubborn fat in other areas including flanks (love handles), belly, underarms, inner and outer thighs, bra fat, back fat, and underneath the buttocks.

Choosing Between Kybella and CoolSculpting

Both treatments permanently reduce submental fat, but they work differently and may be better suited to different patients.

Kybella may be preferred when:

  • You prefer an injectable treatment
  • You have a smaller, more targeted area of fat
  • You’re comfortable with multiple treatment sessions
  • You want gradual, natural-looking change

CoolSculpting may be preferred when:

  • You prefer a completely non-invasive approach (no needles)
  • You want to treat the area in fewer sessions
  • You’re also considering treating other body areas
  • You prefer a single, longer appointment over multiple shorter ones

Combination approach: Some patients benefit from combining treatments or adding skin-tightening procedures if laxity is also a concern.

Your provider will help you understand which option is best for your anatomy, goals, and preferences.

Supporting Treatments for Skin Laxity

If skin laxity is contributing to your double chin alongside fat, additional treatments may be recommended.

When skin tightening helps:

  • After fat reduction, if loose skin remains
  • When the primary issue is sagging rather than fat
  • To enhance and maintain results from Kybella or CoolSculpting

Options may include:

  • Vivace RF Microneedling for skin tightening
  • PDO Thread Lift for lifting and collagen stimulation
  • Laser treatments for skin quality improvement

Concerns related to a double chin often overlap with jowls and changes along the jawline, which is why treatment plans are typically holistic rather than focused on a single area.

Talk With a Provider Near You

If a double chin is something you’ve been noticing or thinking about addressing, a consultation can help clarify your options. At Lazaderm, consultations focus on education, safety, and helping you feel confident in your care decisions.