A double chin, also known as submental fat, occurs when a layer of fat forms below the chin and jawline. It can be caused by weight gain, but sometimes loose skin develops over time and contributes to the appearance of a double chin. It can be challenging to eliminate excess chin fat or sagging skin without professional treatment.

Cosmetic Laser Dermatology is a top San Diego cosmetic dermatology center and skin care clinic. Our board-certified dermatologists customize patient care with innovative technology and treatment options to achieve younger and natural-looking skin.

Douglas Wu, MD, PhD, is an expert dermatologist with specialty training in cosmetic surgery. He dives into contouring treatments for eliminating double chins in a Cosmetic Laser Dermatology webinar.

The Aging Jawline

The chin and jawline are prominent, face-defining features where many patients seek help to create flawless lines. Well-contoured chins and jawlines need three things:

  • Definition: Clear demarcation between the face and the neck. When age or genetics come into play, many individuals lose definition in this area.
  • Contour: Shape and size. Individuals may have a preference for stronger or softer contour lines, but overall the contour should be clear and harmonious with the rest of the facial features.
  • Simplicity: A smooth curve from the mandibular angle to the chin. The chin and jawline should be simple, distinct, and sharp.  

Aging of the jawline is a combination of a complex interplay between the skin, muscle, and other facial layers. Overtime the jawline ages through:

  • Development of skin laxity
  • Loss of collagen
  • Accumulation of excess fat

Therapeutic Options for the Aging Jawline

Loose skin with wrinkles or folds, excess fat, or a combination of both skin laxity and an accumulation of bulk combine to obscure the chin and jawline. These concerns can be addressed with various therapeutic options that Dr. Wu listed in his presentation.

Skin Tightening Options

Skin tightening options are ideal for patients with loose skin and excess wrinkles or folds under the chin. It is not ideal for patients with fat or bulk around the chin and jawline, as fat is not effectively treated by tightening the skin. Possible skin tightening procedures include:


This is a minimally-invasive treatment option for excess chin fat and sagging skin on the lower face, developed by the experts at Cosmetic Laser Dermatology. ThermiSculpt³ is a proprietary treatment that combines ThermiTight, liposuction, and injectable dermal fillers to provide comprehensive contouring of the chin and jawline. ThermiSculpt³ is less extensive than a neck lift and offers dramatic contour and definition without surgery.

chin contouring before and after results in San Diego, CA


This is a non-invasive, safe, and effective procedure used to tighten facial and neck skin. Ultherapy uses micro-focused ultrasound energy with visualization to see exactly what is being treated in real-time. It is an FDA-approved non-surgical lifting and tightening tool used on the face, neck, and chest. The focused energy can be targeted on various levels to spur new collagen growth to help tighten skin.  

Thermage double chin reduction treatment results in San Diego


Thermage is similar to Ultherapy, but instead of using focused ultrasound energy, it uses radiofrequency energy. The treatment device transfers heat into the skin that supports collagen growth without damaging surrounding skin cells. This helps tighten and lift the skin in the face and neck area. This procedure takes up to six months to see full treatment effects and produces a natural and noticeable tightening of the chin and jawline.

RF Microneedling

Radiofrequency (RF) microneedling is an innovative treatment that tightens sagging skin, reduces wrinkles, and improves overall skin texture. It uses a combination of tiny needles and radiofrequency energy to penetrate deep in the skin and promote collagen production, revitalizing and reducing skin laxity.

Fat Reduction

Excess bulk cannot be tightened; it needs to be reduced and removed with different treatment options. Effective fat reduction treatment options include:

CoolSculpting Elite

This is a popular non-invasive body contouring method that reduces excess fat under the chin, jawline, and other areas of the body. It is an FDA-approved treatment that does not require incisions, anesthesia, or downtime. CoolSculping Elite freezes fat cells without damaging surrounding tissue, and your body naturally flushes the unwanted fat cells for a more toned and contoured shape.

double chin removal treatment results in San Diego, CA


Kybella is an FDA-approved, injectable treatment specifically designed for double chins and jowl formation. This series of injections breaks down and destroys fat cells under the chin, which is naturally disposed of by the body. The extremely precise needle can deliver the treatment into pinpointed fat pockets for noticeable improvement.

chin contouring before and after results in San Diego


Liposculpture is a minimally-invasive treatment that removes stubborn fat deposits with long-lasting results. We use tumescent liposuction, which infuses the treatment area with fluid to loosen fat cells before removing them, ensuring a precise result. Micro-cannulas eliminate the fat cells without significant damage to surrounding skin and tissue. Recovery from liposuction is typically just a few days and the results can be long-lasting.  

Rejuvenate Your Jawline with Treatment From Our San Diego Skin Care Clinic

Cosmetic Laser Dermatology works closely with patients to identify which procedures will address their unique concerns and provide natural and younger-looking skin. We serve San Diego, La Jolla, North County, Del Mar, and surrounding areas. Contact our skin care clinic today to schedule a consultation and determine which chin contouring treatment is right for you. 

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Reshape & Tighten Your Neck With ThermiSculpt
In this webinar, Dr. Groff will educate you on how the experts at Cosmetic Laser Dermatology can provide life-changing results without surgery through ThermiSculpt.

Speaker: Dr. William F. Groff
Date/Time: Tuesday, April 30th, 2024 at 5:30 pm PST / 8:30 pm EST

Register here.