Richmond Anti-Aging Clinic
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Chin & Jawline

Double Chin Treatment & Jawline Contouring Richmond, BC

Fat, loose skin or chin shape: the cause decides the treatment

A double chin is fullness under the chin caused by fat, loose skin, a recessed chin or a mix, so the right option depends on which it is. At RAAC in Richmond, BC, a physician assesses you first, then may suggest CoolSculpting for a pinchable fat pocket, Ultherapy or Thermage for loose skin, or chin filler for balance. Results are gradual and vary.

35–60 min
Typical CoolSculpting cooling cycle per area
Same day
Most people return to daily activities
2–3 months
Typical time to a fuller CoolSculpting result; varies
Self-Check

Is This Your Concern?

Select all that apply:

After assessment, our clinical team will suggest a plan based on whether fat, loose skin or chin shape is the main factor.

The Science

What Causes a Double Chin?

A double chin, or submental fullness, can come from fat under the chin, loose skin and weaker muscle tone, or a small or recessed chin that gives soft tissue less support. Aging, genetics and weight changes all play a part, and it is not necessarily linked to being overweight.

1

Genetic Factors

Some individuals naturally store more fat in the submental area due to hereditary factors

2

Aging Process

Loss of skin elasticity and collagen as we age contributes to sagging in the chin area

3

Weight Fluctuations

Changes in body weight can affect fat distribution in the face and neck

4

Lifestyle Factors

Poor diet, lack of exercise, or stress can contribute to fat accumulation

Why Us

How We Approach It

29+
Years
MD
Physician-led
UBC
Clinical Instructor
1

Physician Assessment

Dr. Jiang assesses whether fat, loose skin or chin structure is the main factor before recommending anything.

2

Personalized Approach

Treatment plans are built around your facial anatomy and goals.

3

Several Options

Fat-reduction, skin-tightening and filler options are available in one clinic, so the plan can be matched to you.

4

Natural Results

Focus on achieving subtle, natural-looking improvements that enhance your features

FAQ

Common Questions

Fat under the chin, loose skin and weaker muscle tone, a small or recessed chin, aging and genetics can all contribute. It is not necessarily related to being overweight.
It depends on the cause. A soft, pinchable fat pocket may suit CoolSculpting; loose skin may suit Ultherapy or Thermage; a recessed chin may suit filler for balance. A quick check: if you can pinch a soft pocket under the chin, fat is likely involved, while thin skin that drapes points to laxity. Many people have both, so a physician assessment decides.
CoolSculpting changes appear gradually: first changes may show from about 3–4 weeks and a fuller result around 2–3 months, and many people plan one or two sessions for the area. The result tends to hold while weight stays stable, though weight gain and ageing still change the area. Ultherapy builds over about 2–3 months. Filler shows straight away but is temporary. Outcomes vary and are not guaranteed.
Most options involve little downtime. Temporary redness, swelling, tenderness or bruising can occur, and most people resume normal activities the same day. Sensations differ by treatment, so discuss comfort options at your consultation.
There is a prescription injectable a physician may discuss for a small pocket of fat under the chin. It usually involves more than one visit, can cause marked swelling and tenderness for days to weeks, and is not suitable for everyone. Dr. Jiang can explain at your consultation how it compares with CoolSculpting and the other options above.
People with a localized fat pocket, mild to moderate skin laxity or a recessed chin are often considered. Significant weight to lose, or marked loose skin, may point to other options, including surgery. Treatment is usually postponed during pregnancy or breastfeeding, and CoolSculpting is not used with certain cold-sensitive conditions. A consultation with Dr. Jiang will say what is suitable.
Most people feel intense cold and pulling at the start, which fades as the area goes numb. Afterwards, redness, swelling, tenderness or numbness can occur and usually settle on their own over the following days to weeks. Most people return to normal activities the same day, and comfort options are discussed at consultation.
Yes. Genetics, chin shape and skin laxity can cause fullness under the chin at any weight, so the plan follows the cause rather than your weight. A small or recessed chin, for example, may be balanced with filler, while a soft fat pocket may suit CoolSculpting and loose skin may suit tightening.
It can sharpen the angle between chin and neck when fat or loose skin is the cause, and chin or jawline filler can add definition where bone support is small. The amount of change varies with your anatomy and skin quality, so the expected result is discussed with photos at consultation.

Ready to Define Your Jawline?

Schedule a consultation with Dr. Jiang to discuss your double chin and which options fit.

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