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Doc. MUDr. Tomáš Fikrle examining a patient
MUDr. Barbora Divišová performing a procedure
MUDr. Petra Brodská performing a procedure

Submental Injection Lipolysis (Double Chin)

Type

Botox & Fillers

Duration

30 min

Injection lipolysis at Dermafit targets the small fat pad under the chin — the 'double chin' — without surgery. A series of fine micro-injections delivers a fat-dissolving solution into the subcutaneous fat layer beneath the chin, where it breaks down a small amount of fat tissue so the chin contour becomes more defined and the sagging beneath it improves. The injections are shallow and the procedure is described as not painful. Because the fat is reduced gradually, the treatment is usually repeated two to three times to reach the desired result, with the contour refining between sessions. At Dermafit the treatment is performed by a dermatology physician who assesses whether the submental fullness is suited to injection lipolysis or would be better addressed another way. The submental area is one of the most responsive zones for this technique because the fat deposit there is localised and often resistant to diet and exercise.

The submental fat pad — the localised fat that sits beneath the chin and creates the appearance of a double chin — is frequently resistant to diet and exercise because it is largely determined by genetics and anatomy rather than overall body weight. Injection lipolysis offers a non-surgical way to reduce a modest amount of this fat and improve the jaw-to-neck contour. The principle is the direct delivery of a fat-dissolving (lipolytic) solution into the subcutaneous fat layer. Introduced through a series of fine micro-injections spread across the submental zone, the solution disrupts the fat cells locally so that a small volume of fat tissue is broken down and gradually cleared by the body. Because the injections are shallow and the volumes small, the procedure is generally well tolerated and described as not painful. At Dermafit the treatment is carried out by a dermatology physician, who first assesses the nature of the submental fullness. This medical assessment matters: very large fat deposits or fullness caused by lax skin or muscle banding rather than fat are not ideal candidates for injection lipolysis, and the doctor can identify these cases and advise accordingly. Where the fat is localised and the skin still has good tone, the submental area is one of the most responsive zones for the technique. The effect builds slowly as the body metabolises the treated fat. For this reason the treatment is planned as a course — typically two to three sessions spaced apart — with the contour improving progressively between visits until the desired definition is reached. Pricing is per individual plan: the clinic's price list shows submental lipolysis as a consultation-priced service because the cost depends on the amount of fat and the number of sessions, so the total is agreed once the physician has assessed the area. Some localised swelling and tenderness under the chin in the days after each session is expected and settles on its own. The treatment is not given during pregnancy or breastfeeding, over an active infection in the area, or where the fullness is unsuitable for injection — all confirmed at the medical assessment.

Key Details

Target
Submental (under-chin) fat
Sessions
Typically 2–3
Surgery
Non-surgical, injection-based
Performed by
Dermatology physician

Who Is This For?

A localised double chin resistant to diet and exercise, with reasonable skin tone, in patients wanting a non-surgical option

What's Included

Dermatology physician assessment of whether the area suits injection lipolysis
Series of fine micro-injections of fat-dissolving solution under the chin
Individual treatment plan over 2–3 sessions
Aftercare instructions for post-session swelling

Preparation Required

Avoid blood-thinning medication and alcohol on the day to reduce bruising and swelling. Attend a consultation first so the physician can confirm the submental area is suitable for injection lipolysis.

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User-reported price

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Category
Skin Treatments
Duration
30 min
Dermafit — Kožní klinika a centrum estetické medicíny

Dermafit — Kožní klinika a centrum estetické medicíny

Physician-led dermatology and aesthetic medicine clinic in Plzeň offering botox, fillers, mesotherapy, chemical peels and fat-dissolving injections, led by a former University Hospital Plzeň department head.