Double Chin Treatment in Coquitlam, BC

A double chin is caused by a combination of factors that vary between individuals. Genetics is one of the most significant — many people are predisposed to accumulating fat beneath the jaw regardless of their overall weight or body composition. Age plays a major role as declining collagen and elastin production causes the skin under the jaw to lose firmness and sag progressively. Excess body weight contributes by increasing overall fat storage including in the submental region. Posture is a lesser-known but real contributing factor — chronic forward head positioning weakens the neck and chin muscles over time, allowing the overlying skin to lose tone and definition.

No. A double chin can develop in people of any weight and body type. Genetic predisposition is one of the most common reasons people accumulate submental fat — many slim, otherwise healthy individuals develop a double chin simply because their family history predisposes them to it. Age-related skin laxity and postural factors can also create the appearance of a double chin independent of fat accumulation. This is why treatments that address both fat and skin laxity are often the most effective approach.

Lipodissolve is a minimally invasive injectable treatment that uses a fat-dissolving compound — typically deoxycholic acid — delivered directly into the submental fat beneath the chin. The compound permanently destroys the targeted fat cells, which are then naturally cleared by the body over the following weeks. Most patients require a series of two to four sessions spaced several weeks apart for optimal results. Once the fat cells are destroyed they do not regenerate, making Lipodissolve a long-lasting solution for genetically driven or stubborn submental fat.

This depends on the treatment and the degree of submental fat or laxity present. Lipodissolve typically requires two to four sessions spaced four to six weeks apart. Ultherapy often produces meaningful results within a single session, with collagen remodelling continuing for up to six months. Thread Lift produces an immediate visible improvement. Your provider at Smile Well Medical & Spa in Coquitlam will assess your chin, skin laxity, and fat distribution and give you a clear treatment plan with realistic session expectations during your consultation.

Downtime varies by treatment. Lipodissolve injections typically cause swelling, mild bruising, and tenderness beneath the chin for several days to one to two weeks following each session — this is a normal part of the fat reduction process and resolves on its own. Ultherapy requires no downtime. Thread Lift may involve a few days of mild swelling and tenderness. Your provider at Smile Well Medical & Spa will discuss what to expect for your specific treatment plan before you proceed.

For patients whose double chin is primarily driven by excess body weight, improving diet and incorporating regular exercise can meaningfully reduce submental fat over time as part of overall fat loss. However, for patients whose double chin is primarily genetic, age-related, or driven by skin laxity, lifestyle changes alone are unlikely to produce significant visible improvement in jawline definition. Professional treatments at Smile Well Medical & Spa in Coquitlam address these specific underlying causes more directly and effectively.

Yes — and for many patients, a combined approach produces the most comprehensive and satisfying result. For example, Lipodissolve reduces the fat volume beneath the chin while Ultherapy or Secret Needle RF microneedling tightens the overlying skin — addressing both the fullness and the laxity that contribute to the double chin appearance. Jawline filler can further sharpen the mandibular border to enhance the visual result. Your provider at Smile Well Medical & Spa will recommend the most appropriate combination based on the specific causes and characteristics of your double chin.