A fat pocket under the chin
Fullness you can pinch beneath the chin, often there regardless of weight. Treated with Kybella®, which breaks down the fat cells so they do not return.
A sharper profile starts with knowing what is softening it.
Fullness under the chin and a soft jawline are treated at Wise Aesthetics in Carmel, Indiana according to what is causing them. A pocket of fat under the chin is treated with Kybella®, an FDA-approved injectable that breaks down fat cells over a series of 2 to 4 treatments. A jawline that has lost definition is sharpened with filler along the jaw and chin. A wide or heavy lower face from a strong jaw muscle is slimmed with a wrinkle relaxer, and loose skin or neck bands are addressed with tightening treatments or a relaxer. Most clients have more than one of these, and the consultation decides the combination. Individual results vary.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
The area between the chin and the neck is defined by four things, and any of them can soften it. A pocket of fat under the chin is partly genetic and often present at any weight; it is the classic double chin. The skin of the jawline and neck loses firmness with age and can drape rather than hold. The chin and jawbone lose volume and support, so there is less structure for the skin to sit over; a naturally short chin has the same effect from the start. And the muscles play a part: an enlarged jaw muscle (the masseter) widens the lower face, and the thin neck muscle (platysma) can form vertical bands that pull the jawline down.
These need different treatments, which is why "double chin treatment" is not one thing. Kybella® dissolves fat and does nothing for loose skin; filler restores structure and does nothing for fat; tightening firms skin; a wrinkle relaxer slims a muscle or softens bands. The consultation sorts out which of the four you have, and most clients have two.
Under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.
Four causes, four different treatments; the consultation decides which apply to you.
Fullness you can pinch beneath the chin, often there regardless of weight. Treated with Kybella®, which breaks down the fat cells so they do not return.
A jawline without a clear edge, or a chin that sits back. Treated with filler along the jaw and chin to restore the line, sometimes with Sculptra® for gradual support.
A square jaw from an enlarged masseter muscle, often with clenching or grinding. Slimmed over a few months with a wrinkle relaxer injected into the muscle.
Skin that drapes along the jaw, or vertical bands on the neck. Addressed with tightening treatments for skin and a wrinkle relaxer for bands.
Each treatment targets one cause. The plan combines the ones that apply to you.
Fat and structure often go together: Kybella® under the chin with filler at the chin and jawline produces a cleaner profile than either alone. Muscle and structure also pair: masseter slimming above, jawline filler below. Your provider will sequence them.
Journey members receive special pricing on wrinkle relaxers; Essentials and Journey members receive 10% off other treatments.
Your provider will:
Kybella® results develop over 2 to 3 months after each treatment as the body clears the fat. Filler shows immediately and settles over two weeks. Masseter slimming shows over 4 to 8 weeks; neck-band softening within two weeks. Tightening treatments develop over 2 to 4 months after a series. Individual results vary.
Most healthy adults bothered by fullness under the chin or a soft jawline are candidates for at least one option, and the consultation decides which. Treatment may not be appropriate, or may need to wait, if you are pregnant or breastfeeding, have an active infection in the area, have difficulty swallowing or a history of neck surgery (for Kybella®), have certain neuromuscular conditions (for wrinkle relaxers), take blood-thinning medication, have a history of keloid scarring, or have advanced skin laxity better served by surgery. Each treatment page lists its own considerations, and your provider will review your medical history at consultation. This page is general information and is not medical advice.
Where loose skin is the main cause and it is advanced, a surgical neck lift is the honest answer, and we will say so. Persistent jaw pain or clenching is also worth discussing with your dentist.
It depends on the cause. If you can pinch a pocket of fat under the chin, Kybella®. If the jawline has lost its edge or the chin sits back, filler. If the lower face is wide from the jaw muscle, a wrinkle relaxer in the masseter. If the skin is loose or the neck has bands, tightening or a relaxer. Most clients have two of these, and the consultation sorts them out. Individual results vary.
No. Kybella® is FDA-approved for the small pocket of fat beneath the chin, and that is what it is for. It is not a weight-loss treatment and is not used for larger areas of the body. The fat cells it breaks down do not return, but new fat can form with weight gain.
Fat cells cleared by Kybella® do not return, so that result lasts unless you gain weight. Filler, relaxers and tightening are maintained over time: filler every 6 to 18 months, relaxers every 3 to 6 months, tightening as advised. Individual results vary.
More than most injectables. Swelling under the chin is expected and can be marked for several days and noticeable for a few weeks after each treatment, with numbness and firmness that settle over time. Plan treatments around your calendar; your provider will explain what to expect.
Often, yes. If a square or heavy lower face comes from an enlarged jaw muscle, a wrinkle relaxer injected into the masseter slims it over 4 to 8 weeks and often reduces clenching. This use is off-label. If the width is bone rather than muscle, a relaxer will not change it, and your provider will tell you. Individual results vary.
For many clients, yes. Filler at the chin brings it forward and lengthens it in proportion to the face, which sharpens the jawline and makes the neck look slimmer in profile. Results are immediate and typically last 12 months or more with firmer fillers. Individual results vary.
Cost depends on which treatments apply and how many are in your plan. The Kybella®, dermal filler and wrinkle relaxer pages each describe what a typical client pays, and your provider will give you a written cost at consultation. Journey members receive special pricing on wrinkle relaxers; Essentials and Journey members receive 10% off other treatments.
More questions? Read our full FAQs, or call or text 317-569-6448.
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Carmel, Fishers, Westfield, Zionsville and the greater Indianapolis area.
Individual results vary. This page is general information and is not medical advice. Treatment suitability is determined at consultation. Treatments are provided under the medical direction of Dr. Rajiv Sood, board-certified plastic surgeon.