A double chin can appear for many reasons. Genetics, ageing, weight changes and skin laxity all contribute to fullness beneath the jaw. Even individuals who are fit or at a healthy weight may notice that this area remains prominent. A double chin can soften the jawline, reduce definition and affect the overall balance of the face.
At the practice of Dr. Matteo Vigo, several effective options are available to reduce submental fat, tighten the skin and sculpt the jawline. Each treatment plan is personalised because every patient has a different facial structure and a different reason for developing a double chin. The goal is always a natural, balanced and harmonious result.
Understanding double chin concerns
Fullness in the under chin area can be caused by:
- Localised fat pockets
- Age related skin laxity
- Weak chin projection
- Genetic predisposition
- Reduced skin elasticity
Treatment must match the underlying cause. For some patients, reducing fat is enough. Others may need skin tightening along with contouring. This is why a detailed evaluation with Dr. Vigo is essential.
Treatment options for double chin removal
Liposuction for precise fat removal
Submental liposuction is one of the most effective and predictable methods to reduce a double chin. A tiny entry point is created and a fine cannula is used to remove unwanted fat with precision. Liposuction is ideal for patients who have good skin elasticity but stubborn fat that does not improve with diet or exercise. The jawline becomes sharper and the neck profile appears more refined.
Energy based tightening for loose skin
Some patients experience sagging skin rather than excess fat. In such cases, energy based tightening treatments such as Renuvion J Plasma or advanced radiofrequency devices can help. These technologies contract the deeper tissues and encourage collagen production to create a firmer and more lifted neck and jawline.
Combined contouring for optimal definition
For individuals with moderate fullness and some laxity, a combination approach often provides the best outcome. Fat removal and tissue tightening can be performed in the same session to achieve a smoother and more defined profile. Combined treatments are especially helpful for patients who want a strong, well contoured jawline.
Chin augmentation for structural balance
Sometimes the appearance of a double chin is influenced by a naturally small or recessed chin. In such cases, adding definition with a chin implant or filler can greatly improve facial balance and reduce the look of fullness under the jaw. This is a structural solution that enhances harmony across the entire lower face.
What to expect during the procedure
Procedures such as liposuction or tightening are usually performed under local anaesthesia with sedation or general anaesthesia depending on the treatment plan. Dr. Vigo focuses on precision and symmetry while contouring the area. Techniques are selected to achieve natural refinement without giving an overtreated appearance.
Recovery and results
Recovery varies with the chosen approach. Mild swelling or bruising may appear for a short period. Patients who undergo liposuction or tightening may need to wear a supportive garment for several days.
Results include:
- A slimmer and more defined under chin area
- A sharper and more sculpted jawline
- Smoother neck contours
- A younger and more refined side profile
Improvements become clearer as swelling settles. Energy based tightening continues to improve for several months as collagen develops.


