A double chin is often more than a fat problem. Reduced chin projection and neck skin laxity are equally common contributors — and each requires a different treatment.
get startedA double chin refers to the appearance of submental fullness — a soft or indistinct jaw-to-neck transition caused by excess fat, reduced chin projection, neck skin laxity, or a combination of all three. It's one of the most common body concern areas patients bring to CAMI, and one where identifying the correct driver before selecting a treatment makes the difference between a meaningful result and a partial one.
Patients come in about double chin when it's become the dominant visual concern in photos or when the jaw-to-neck transition has softened enough to change how their face reads from the side. Many have been self-conscious about it for years.
Submental fullness has three primary contributors that often occur together.
Submental fat: Genetically distributed fat in the tissue beneath the chin. Some patients have significant submental fat from early adulthood regardless of overall body weight. Others accumulate it with weight gain or as fat redistributes with hormonal change.
Reduced chin projection: A chin that is naturally less projected — or one that has lost projection with age through bone resorption — creates a foreshortened chin-to-neck distance that makes the submental area appear fuller than it structurally is. This is one of the most commonly missed contributors to apparent double chin.
Skin laxity: Loose skin in the neck and submental area from aging, weight loss, or sun damage can create or amplify the appearance of a double chin independent of fat volume.
Patients with double chin concerns typically describe:
Submental fullness typically increases with age as chin bone resorption reduces projection, soft tissue descends, skin laxity increases, and fat redistributes toward the central body. Patients who had minimal submental fullness in their 30s often notice it developing progressively through their 40s and 50s as all three drivers compound simultaneously.
Weight fluctuation accelerates the process — significant weight gain deposits fat in the submental area, and significant weight loss can leave skin laxity that makes the area appear loose even after the fat is reduced.
Double chin treatment is matched to the primary driver.
At CAMI, double chin treatment starts with a lower face and neck assessment. How much is fat versus chin projection versus skin laxity determines the entire protocol. For many patients, addressing chin projection with filler produces enough visual improvement that fat reduction becomes unnecessary. For others, fat reduction is the right first step, with skin tightening added if laxity is present.
We sequence treatment to maximize impact and avoid over-treating. The most effective approach is usually the most targeted one.

Care guided by experience, precision, and a deep understanding of natural beauty.
get started