Submental Fullness and Double Chin Treatment in Toronto
By Basil Russo, Founder, Bar Beauty Medical, 46 Fort York Blvd, CityPlace Toronto. Clinically reviewed by Shahram Mafazi, Master Injector at Bar Beauty Medical. Phone 416-923-1200 · Book at barbeautymedical.janeapp.com · 5.0 stars across 222 Google reviews.
You take a profile photo and your chin and neck blur into each other in a way that does not match what you see straight on in the mirror. That is submental fullness. Most people call it a double chin.
It is one of the most common concerns we see, and one of the few where a single treatment, done correctly, can produce a clear visible change. The key word is correctly. A double chin treated with the wrong approach is one of the most disappointing outcomes in this field, because the swelling is real and the benefit is not.
We run Bar Beauty Medical on Fort York Blvd in CityPlace, and we have treated Toronto patients since 2018. The double-chin consult is straightforward once the diagnosis is right, and getting the diagnosis right is the whole job.
Book Your Consult Online → Call 416-923-1200
What is submental fullness?
The fullness under your chin is not always one thing. It can be any mix of:
- Submental fat just under the skin, the pad sitting above the angle between jaw and neck.
- Deeper fat below the platysma muscle, which an injectable cannot reach.
- Skin laxity, loose skin draping below the jawline.
- Platysmal banding, vertical cords of neck muscle.
- A recessed chin, which makes the area look fuller by contrast.
- Prominent salivary glands at the jaw angle.
This matters because the injectable fat-dissolver works on the first one only. It does not treat deeper fat, skin laxity, muscle bands, a recessed chin, or glands. The first job at your consult is working out which of these is actually driving your double chin, because that decides whether treatment will help.
Why do people get a double chin?
- Genetics. A strong family pattern, often visible from early adulthood.
- Weight gain or fluctuation. Facial and submental fat respond readily to weight change.
- Age. Fat shifts, skin loosens, and tissue from above descends.
- Posture. Chronic forward head posture, sometimes called tech neck, makes it look worse.
- A recessed chin. Less chin projection makes the same fullness look more prominent.
- Skin laxity. The overlying skin loses its ability to retract.
What treatments do we offer for a double chin in Toronto?
The main treatment is injectable, with non-injectable options for the parts an injectable cannot fix. The right plan is matched to your diagnosis rather than applied to everyone.
Kybella and Belkyra, the injectable fat dissolver
Belkyra is the Health Canada name, and Kybella is the US trade name, for the same injectable deoxycholic acid that physically destroys fat cells under the chin. Once those cells are gone, they are gone. Across a short course of sessions spaced about four to six weeks apart, the submental fat reduces.
This is one of the highest-satisfaction treatments we do when the diagnosis is true subcutaneous submental fat, and one of the most frustrating when it is applied to the wrong cause, which means weeks of swelling and bruising for no benefit. That is why we are careful at the assessment stage.
- Kybella (Belkyra): $170 per session. See also Belkyra Toronto.
- Sessions: usually two to four, spaced four to six weeks apart.
- Downtime: real. Expect one to two weeks of swelling that can be visible, with some bruising. Temporary numbness is possible.
- Reversibility: none. The fat cells are destroyed, which is the point.
Chin filler for a recessed chin
When the fullness is partly the optical effect of a recessed chin, chin filler that projects the chin forward straightens the profile and reduces the apparent fullness without touching the fat at all.
- Chin filler: from $150 (Chin Reshape) to $600.
Jawline filler for definition
Restoring the jaw border with jawline filler sharpens the angle between jaw and neck, which reduces how full the area below reads.
- Jawline Sculpting: $260, with the amount set at your consult.
Botox to the platysma, the Nefertiti lift
When platysmal bands add to the appearance, Botox to the platysma relaxes the downward pull and gives subtle definition. Botox is $10 per unit, and we offer a dedicated Nefertiti Lift.
Morpheus8 for skin laxity
When loose skin is part of the picture, Morpheus8 radiofrequency microneedling across the neck tightens and remodels the skin over a course.
- Morpheus8 Neck: $300. Face and Neck: $600.
PDO thread lift
For mild to moderate laxity, PDO threads reposition tissue and stimulate collagen. See the price list for current pricing.
CoolSculpting, an option we refer out
CoolSculpting has a small applicator approved for submental fat. We do not run CoolSculpting at Bar Beauty Medical, so if you specifically want cryolipolysis we will point you to a clinic that offers it. For most submental fat, the injectable route is more precise for this small area.
Neck lift surgery, when we refer out
For significant fat combined with significant laxity and prominent neck bands, a surgical neck lift produces a result no injectable can match. When that is the right call, we refer.
Injectable versus non-injectable for a double chin
Kybella or Belkyra, chin filler, jawline filler and platysma Botox are injectable. The fat-dissolver removes subcutaneous fat, and the others reshape the chin and jaw or ease the muscle pull. Morpheus8 and PDO threads are non-injectable, and they address loose skin rather than fat. A double chin that is mostly fat is an injectable problem, and one that is mostly loose skin is not, which is why the diagnosis comes first.
What combination approach makes sense?
For moderate submental fullness with normal chin projection and mild laxity, a typical plan is:
- A Belkyra course of two to three sessions to reduce the fat.
- Jawline definition with filler along the border.
- Platysma Botox if bands contribute, every three to four months.
- A Morpheus8 neck course if skin laxity is adding to the look.
- At home, attention to posture and daily mineral SPF.
What results can I expect, and how soon?
- Days 1 to 14: noticeable swelling, often visible.
- Weeks 4 to 6: swelling resolves and the early result appears.
- Around weeks 4 to 6: the next session, if you are doing a course.
- Months 3 to 6: the final result after the full course.
What you can expect: a visible reduction in submental fat after a Belkyra course, a more defined angle between jaw and neck, and better profile and video-call photos.
What you cannot expect: a result if deeper sub-platysmal fat is the issue, correction of fullness that is really skin laxity, which needs Morpheus8 or surgery, or permanent results if you gain significant weight, since the remaining cells can enlarge. Belkyra is also gradual, not a same-day change.
Who is a good candidate, and who is not?
The best candidates have a clear pad of subcutaneous submental fat with reasonable skin tone. Treatment is not the right move in these cases:
- Pregnancy or breastfeeding.
- Fullness driven mainly by deeper fat, skin laxity, or glands, which need a different approach.
- Active infection in the area.
- Trouble swallowing or a bleeding concern that has not been cleared.
- Body dysmorphic concerns, which our MD screens for.
What does double chin treatment cost in Toronto?
Cost depends on which combination fits your diagnosis, and we publish every price. For exact, current pricing on Kybella/Belkyra, chin filler, jawline sculpting, and Morpheus8, see our price list. Botox for the platysma is $10 per unit. A Belkyra course is several sessions, so we map the total at your consult. Financing through Affirm is available if you would rather spread it over monthly payments.
Full pricing at barbeauty.ca/price-list.
What happens at your consult?
Intake and photos from the front, profile, and three-quarter. A hands-on assessment to separate subcutaneous fat from deeper fat, skin laxity, bands, chin projection, and glands. A clear explanation of which contributors are dominant, a plan matched to that, and a screen for body dysmorphic concerns. If Belkyra is not the right tool for your anatomy, we will tell you.
Who treats you?
Master Injector Shahram Mafazi performs the Belkyra and filler treatments, with Jasmine Saggu, RN, supporting injectable care. Julia Barabas, our Glow Specialist, leads Morpheus8. Medical oversight comes from Dr. John David Henneberry-Fudge MD FRCPC.
Common questions
Is Kybella permanent?
The fat cells it destroys do not come back. Significant weight gain can still enlarge the cells that remain, so a stable weight protects the result.
How many sessions will I need?
Usually two to four, spaced four to six weeks apart, depending on how much fat is present.
How much swelling should I expect?
Real swelling for one to two weeks after each session, which can be visible. It is part of how the treatment works, so plan your calendar around it.
Does it hurt?
There is a burning sensation for a few minutes after injection as the product activates. We use numbing and ice, and it settles quickly.
What is the difference between Kybella and Belkyra?
They are the same medication. Belkyra is the name used in Canada and Kybella is the US name.
Will Kybella tighten loose skin?
No. It removes fat. If loose skin is part of your double chin, that is treated with Morpheus8 or, in larger cases, surgery.
Do you offer CoolSculpting for a double chin?
No. We do not run CoolSculpting, and we will refer you if you specifically want cryolipolysis. For this small area the injectable approach is usually more precise.
Can men get double chin treatment?
Yes, often. The approach is the same, matched to the anatomy.
Will neck exercises or chewing gum fix a double chin?
Not meaningfully. They will not remove a subcutaneous fat pad. Treatment is matched to the actual cause.
Should I lose weight first?
If you are actively losing weight, it is usually worth getting closer to a stable weight first, because facial fat can keep changing and you would otherwise redo the work.
Is treatment safe for darker skin tones?
Yes. Belkyra is not affected by skin tone. For energy-based skin tightening in deeper skin tones we use conservative settings to limit pigment risk.
How do I book?
Online at barbeautymedical.janeapp.com or by phone at 416-923-1200.
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Bar Beauty Medical · 46 Fort York Blvd, Toronto, ON M5V 3Z9 · 416-923-1200 · 5.0 stars · 222 Google reviews.
How we treat it at Bar Beauty: Kybella, Body FX and Morpheus8.