Injectables & Facial Contouring
Under-Chin Fat Reduction
Reduces fullness beneath the chin (submental fat) using an injectable or a device-based approach, helping to sharpen the profile and jawline.
Under-chin fat reduction in Vancouver
Understanding Under-Chin Fat Reduction.
A fuller area under the chin can linger through weight loss, exercise and family genetics. Under-chin fat reduction gently reduces that pocket for a sharper profile and a cleaner line from chin to neck.
We offer two approaches, an injectable medication and a cooling-based device, and match the route to your anatomy, your recovery time and your goals.
Both work best on a true pocket of fat, so we start by gently examining the area to confirm that's what you have.
Concerns & Goals
Concern guides connected to this treatment.
Treatment options at our clinic
- Belkyra: an injectable for moderate to severe fullness under the chin in adults, authorized by Health Canada for this use and placed by our experienced physicians. It allows precise shaping, with a period of noticeable swelling afterwards.
- CoolSculpting: controlled cooling for a pocket that can be drawn into the applicator, when keeping visible recovery to a minimum is a priority. No needles are involved.
Both reduce fat specifically. Loose neck skin and neck bands are treated with other options, which can be planned alongside.
What under-chin fat reduction can improve
- A persistent double chin that hasn't changed with weight loss or exercise
- A soft transition between chin and neck in profile
- Fullness under the chin in a slim person, where the pocket is out of proportion to overall build
- A jawline blurred by fat sitting under the chin
- Profile balance, especially in photographs from the side
For loose or crepey neck skin, neck bands or a recessed chin, our team can recommend treatments designed for those goals.
Who may benefit
Under-chin fat reduction suits people with a defined pocket of fat under the chin, good skin quality, a stable weight and a wish for gradual, natural-looking change.
The injectable suits people who'd like precise shaping and can plan for some visible swelling. The cooling device suits people who'd like minimal recovery and whose fat can be drawn into the applicator. Where skin laxity, a swallowing difficulty, a thyroid or salivary gland finding, or previous neck surgery is part of the picture, your physician tailors the plan.
Your medical history, medications and previous treatments are reviewed at your consultation to confirm which option suits you.
Your consultation
We examine by hand to tell fat apart from skin laxity and muscle banding, which shapes your whole plan.
We review your history, including any difficulty swallowing, blood thinners, bleeding tendency, previous neck or chin surgery, thyroid conditions and cold-related blood disorders.
We plan around your calendar. Injectable swelling can be noticeable, so if you have an important event coming up, we'll time things around it.
You leave with a clear recommendation of one route and the reasons behind it.
Cosmetic consultations are complimentary. When you book a treatment, we take a card on file. New clients pay a $150 deposit that goes toward their treatment, and a $150 no-show fee applies if an appointment is missed.
What to expect during treatment
Injectable. The area is marked and numbed, and one of our experienced physicians places a series of small injections across the fat pad. Stinging or burning is common during and shortly after, and swelling starts within hours.
Cooling device. Dr. Gidon Frame or one of our trained technicians places an applicator under the chin. The first minutes feel intensely cold, then the area goes numb, and most people go straight back to their day.
Either way, a course of sessions is usual.
Results and planning
What improves: the volume of fat beneath the chin, and with it the sharpness of your profile and the line from chin to neck.
When change appears. Both approaches let your body clear treated fat cells gradually, over weeks to months, and improvement builds across a course. With the injectable, early swelling settles before the new contour shows.
Your plan. More than one session is usual, spaced at intervals your physician sets. Once you're happy with the contour, ongoing maintenance isn't routinely needed, and a stable weight protects your result.
What shapes your result: the amount and depth of fat, skin quality, age and weight stability. Individual results vary.
Anti-Aging Medical & Laser Clinic
Looking for the right next step?
Anti-Aging Medical & Laser Clinic can help you understand this treatment, explore related technologies and concerns, and build a plan around your goals.
Recovery and aftercare
After the injectable, swelling can be noticeable for a week or two, with bruising, tenderness, numbness and some firmness as things settle. After the cooling device, redness, tenderness and numbness are typical and usually milder. Sleeping with your head elevated helps.
Contact the clinic promptly for an uneven smile, any difficulty swallowing, skin that breaks down or discolours, fever or worsening pain, or a firm area that grows in the months after cooling treatment.
Common side effects
Swelling, bruising, tenderness, numbness, firmness and redness are common with both approaches, and are usually more pronounced after the injectable. Numbness can last several weeks.
Less common risks
With the injectable, less common risks include temporary weakness at one corner of the mouth from nerve irritation, difficulty swallowing and injection-site skin injury. With the cooling device, they include paradoxical adipose hyperplasia (an uncommon enlargement of treated fat that needs further treatment), prolonged numbness and late-onset pain. Your physician explains the risks of your chosen route. This is not a complete list.
Suitability
Some medical conditions, medications, previous neck procedures and changing weight can make treatment unsuitable or a reason to wait. Your physician reviews this with you before either option is offered.
Where skincare fits
Skincare looks after the skin over your new contour. Daily sun protection on the neck and a good moisturizer keep the skin comfortable and supple as it adapts.
If neck skin texture or crepeyness is also a concern, we can plan treatments for it alongside, and our team can recommend products from our online shop.
Technologies Used
Technologies that may support this treatment.
Anti-Aging Medical & Laser Clinic
Why patients choose our clinic
- Two approaches available, so your recommendation is based on your anatomy.
- Injections performed by our experienced physicians, Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher.
- Cooling sessions by Dr. Frame or our trained technicians, under Dr. Frame's medical direction.
- A careful hands-on examination to separate fat from skin laxity and muscle banding.
- Clear guidance on recovery, so you can plan around your calendar.
- Physician-led care in Vancouver since 2003.
FAQ
Questions about Under-Chin Fat Reduction.
A quick hands-on examination tells them apart. Fat feels like a pocket that can be gently gathered, loose skin moves differently, and neck bands show when you tense the neck. Many people have a mix, and your plan is built around what's there.
The cooling device. Most people return to normal activity the same day, with redness and numbness as the main after-effects. Injectable swelling can be noticeable for a week or two, so we'll help you time it around your commitments.
The nerve that moves the lower lip runs close to the treated area, and irritation can weaken one corner of the mouth for a while. It's uncommon and usually temporary, settling over weeks to months. Let us know promptly if it happens so we can follow it closely.
An uncommon reaction to cooling treatment where the treated fat becomes larger and firmer, usually months later. It doesn't settle on its own, and the CoolSculpting page explains how it's managed. We discuss it with you before you choose the cooling route.
Injections are performed by our experienced physicians: Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher. Cooling sessions use no needles and are delivered by Dr. Frame or our trained technicians, under Dr. Frame's medical direction.
Reviews
What patients say about the clinic experience.
Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.

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Visit our clinic in Vancouver, BC.
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
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Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
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Why Anti-Aging Medical & Laser Clinic?
- A medical clinic with physicians and experienced medical-aesthetic providers on the team.
- Science-informed assessment, treatment planning, and realistic expectations.
- Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
- Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
- Personalized skincare and product consultations based on your goals and routine.
- Home-care guidance to support your skin between in-clinic appointments.
- Professional skincare products available through the Anti-Aging Vancouver shop.
- Clear guidance on treatment options, preparation, downtime, aftercare, and next steps.
- Ongoing follow-up so your plan can evolve as your needs and goals change.