Dr. Paulo MichelsPlastic Surgeon

Face · Abu Dhabi & Dubai

Double Chin Liposuction

Medically reviewed by Dr. Paulo Michels, Board-Certified Plastic Surgeon· Updated 18 July 2026

Double Chin Liposuction — editorial photography, Dr. Paulo Michels plastic surgery

Double chin liposuction (jowl liposuction) removes excess superficial fat from the lower face and neck through small hidden incisions, creating a more defined jawline and improved profile. Performed by Dr. Paulo Michels in Abu Dhabi, it can stand alone or be combined with a facelift or neck lift, with most patients back to light activities in about a week.

Double chin liposuction — also known as jowl liposuction — is an aesthetic procedure designed to remove excess fat from the lower face and neck, creating a more defined jawline and improving the profile’s contour. It is one of the most sought-after treatments for patients who want to restore a youthful, elegant lower face, and Dr. Paulo Michels performs it either as a standalone procedure or combined with a facelift or neck lift for complete facial rejuvenation.

What is double chin liposuction?

The procedure targets fat deposits below the jaw. Through a thin cannula, excess fat is removed from the lower face and neck, refining the jawline and improving the oblique profile of the neck — a slimmer, more contoured appearance for the lower face.

Why anatomy matters — superficial vs. deep fat

The neck has two main fat compartments, and understanding the difference is central to choosing the right procedure.

Fat compartment Location Treatment
Superficial fat Between the skin and the platysma muscle The most common cause of a double chin — removable through liposuction
Deep fat Below the platysma, rich in blood supply and lymph nodes Cannot be addressed with liposuction alone; a neck lift may be needed for muscle tightening and fat removal
  • Excess superficial fat without sagging skin — the most common indication, when fat creates a heavy or undefined appearance in the lower face
  • Ageing — natural loss of jawline definition over time; liposuction can restore a youthful contour
  • Genetics — some patients develop a double chin regardless of weight or age

An important note: this procedure does not treat loose skin or platysma muscle laxity. A consultation with Dr. Paulo Michels is essential to assess suitability and expected outcomes — patients with very loose neck tissue may need a neck lift (cervicoplasty) to remove excess skin and adjust the platysma muscle.

Who is a good candidate?

Ideal candidates are in good overall health, have localised fat in the lower face and maintain realistic expectations. Candidates with good skin elasticity typically see the best jawline definition, because the skin adapts smoothly to the new contour.

How is the procedure performed?

  1. Anaesthesia — local anaesthesia with sedation or general anaesthesia, depending on the case
  2. Incisions — small, strategically placed incisions under the chin and near the earlobes
  3. Fat removal — a liposuction cannula removes excess fat from the lower face and neck
  4. Closure and compression — incisions are closed and a compression garment is applied to reduce swelling and support healing

Will there be scars?

Scars are minimal and discreet, typically located under the chin, and often become nearly invisible over time with proper care. Their final appearance depends on surgical technique and precision, the surgeon’s experience, postoperative care and individual healing tendencies. Additional treatments, such as healing creams or laser therapy, may be recommended to enhance scar appearance.

What is the recovery like?

  • Immediately after surgery — mild swelling, bruising and discomfort for a few days
  • Compression garment — worn to minimise swelling and support the treated area
  • Activity — avoid strenuous activity for the first few weeks; most patients return to light daily activities in about one week
  • Lifestyle — a healthy diet and lifestyle help maintain optimal results

Risks and complications

Double chin liposuction is generally safe. Possible risks include temporary swelling or bruising, infection, haematoma or seroma formation, nerve injury (rare) and asymmetry. Most complications are preventable through careful preoperative planning and strict adherence to postoperative instructions.

Questions, answered

Double Chin Liposuction in Abu Dhabi — your questions

What is double chin liposuction and how does it improve the jawline?+

It is a surgical procedure that removes excess fat under the chin and along the jawline to create a sharper contour and slimmer profile. Very small incisions are made under the chin or near the ears, a thin cannula is inserted, and the unwanted fat is gently suctioned out — revealing the natural bone structure that the fullness was hiding.

Is double chin liposuction painful, and what is recovery like?+

Patients generally do not feel strong pain during the procedure because local anaesthesia or sedation is used. Afterwards, mild swelling, bruising and discomfort are normal for a few days. A compression garment supports the area, most people walk the same day and return to light daily activities in about one week, and the final contour becomes visible over several weeks as swelling subsides.

Is liposuction suitable if I also have loose skin or neck sagging?+

Liposuction is effective for removing excess fat, but it does not tighten loose skin or lift sagging muscle. If there is significant skin laxity, Dr. Paulo Michels may recommend combining liposuction with a neck lift or platysmaplasty, which removes excess skin and tightens the muscle layer for a smoother result.

Why can some double chins not be treated with liposuction alone?+

The neck has two fat compartments. Superficial fat, between the skin and the platysma muscle, is the most common cause of a double chin and can be removed by liposuction. Deep fat, below the platysma, is rich in blood supply and lymph nodes and cannot be addressed with liposuction alone — a neck lift may be needed for muscle tightening and deeper fat removal.

Will there be visible scars?+

Scars are minimal and discreet, typically located under the chin, and often become nearly invisible over time with proper care. Scar quality depends on surgical technique, the surgeon's experience, postoperative care and individual healing; treatments such as healing creams or laser therapy may be recommended to refine their appearance.

Does BMI, age or skin elasticity affect candidacy and the final outcome?+

Yes. Good skin elasticity allows the skin to adapt smoothly to the new contour, giving better jawline definition. Patients with a high BMI may need weight management first, and older patients with reduced elasticity may need an additional procedure such as a neck lift. These factors are evaluated at consultation to set realistic expectations.

What are the risks of double chin liposuction?+

The procedure is generally safe. Possible risks include temporary swelling or bruising, infection, haematoma or seroma formation, rare nerve injury and asymmetry. Most complications are preventable through careful preoperative planning and adherence to postoperative instructions.

How much does double chin liposuction cost in Abu Dhabi and Dubai?+

The investment depends on the clinic, the surgeon's expertise and the anatomical complexity of each case. The total increases when the plan involves more comprehensive jawline contouring or is combined with procedures such as a neck lift. A definitive quote is provided only after a thorough consultation, once the volume of localised fat and your tissue characteristics have been assessed.

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Consultation

Considering a double chin liposuction?

Bring your questions to a private consultation with Dr. Paulo Michels at Elyzee Hospital, Abu Dhabi.