Fat that settles under the chin rarely goes away with dieting alone, which is why it remains a long-standing concern for many. If surgery such as liposuction feels like too much of a commitment and a single injection seems insufficient, it is worth knowing the options in between. This article explains, step by step, how SKINIQUE Clinic's double chin program combines contouring (fat-dissolving) injections, under-chin Ultherapy, Virtue RF, and V-line Botox — and the rationale behind each stage.
The Two Paths to a Double Chin
Aside from inherent bone structure, volume under the chin usually stems from two factors: accumulated fat, or skin and fascia that have loosened and sagged with age. To see improvement, you therefore need both an approach that reduces fat and one that lifts the sagging tissue. SKINIQUE Clinic's double chin program bundles the devices and injections responsible for each of these goals into a single course. Ultherapy, an ultrasound device, delivers energy down to the fascial layer to induce contraction of loosened tissue, while Virtue RF, a radiofrequency microneedling device, targets the dermis and subcutaneous fat layer, stimulating collagen and elastin production while helping reduce fat tissue. Contouring injections and V-line Botox are then added to refine the overall line.
Before Treatment: A Face-to-Face Consultation with the Director
The first step of the program is an in-person consultation with the director who will perform the procedure. Even a widely known treatment may not suit the condition of your own chin, so the process starts by determining whether fat or sagging is the main cause and selecting only the components you need. Whichever clinic you choose, we recommend one criterion above all: whether you can discuss your options thoroughly with the medical staff before treatment.
Once the treatment plan is set, the skin is cleansed and numbing cream is applied; after a waiting period, the main procedure begins.
Step 1 — Contouring Injection
For those who choose the full program, treatment proceeds in the order of contouring injection → under-chin Ultherapy → Virtue RF → V-line Botox. There is a reason the contouring injection comes first: beyond its own role in improving fat metabolism, creating a hydrated environment in the tissue under the chin allows the heat energy of the ultrasound that follows to be delivered more efficiently. The sequence is designed so the two treatments complement each other's action.
Step 2 — Under-Chin Ultherapy
Next comes Ultherapy, a lifting treatment that uses ultrasound energy to contract the fascial layer. Because the amount of chin fat and skin thickness differ from person to person, tips with different treatment depths are selected to match your condition. Using the device's DeepSEE imaging, the practitioner watches a cross-section of the skin on screen throughout the procedure to confirm the energy is reaching the intended layer.
Because details such as the angle of the tip and pressure control affect the outcome, each area is treated meticulously, drawing on accumulated hands-on experience.
Step 3 — Virtue RF
Ultherapy is followed by Virtue RF. It delivers radiofrequency energy into the skin through fine microneedles, aiming deeper than typical skin-firming treatments to address not only the dermis but the fat layer as well. The goal is to induce collagen production to reinforce elasticity while helping reduce fat tissue.
Step 4 — V-Line Botox
For those who wish, Botox is added as the final step. It consists of masseter Botox for a developed jaw muscle, corner-of-the-mouth Botox to tidy a drooping mouth line, and Dermotoxin placed along the jawline. Working in complement with the preceding device treatments, it helps refine the impression of the entire facial line. That said, the degree and duration of results vary from person to person.
Wrapping Up
Improving a double chin comes into focus when both causes — fat and sagging — are addressed together. If you prefer a non-surgical approach, combining contouring injections, Ultherapy, Virtue RF, and V-line Botox to suit your condition is worth considering, and the right combination is determined through consultation. Detailed costs are available on the Treatment Prices page. If you are wondering which combination fits your under-chin concern, feel free to reach out via chat to discuss the right plan for your condition.
This article was written by Dr. Park Tae-hyung, Chief Director of SKINIQUE Clinic and Senior Director of the Korean Society for Laser, Dermatology and Trichology. First published Jun 20, 2023 · Last reviewed Aug 24, 2026
This article provides general medical information. Skin conditions and responses to treatment can vary by individual; decisions about whether and how to treat should be made through a medical consultation.