2026-11-03
Busan Double Chin Liposuction & Lifting: Struggling With a Double Chin That Stays Even After Losing Weight?
Explains why a double chin can persist after dieting, how fat and sagging differ as causes, and how liposuction, Velodi II lifting, and platysma muscle plication address each one.

Have a question? Send us a message on Naver Talk Talk!

Hello, this is Four Seasons Plastic Surgery Clinic. ^^
If the area under your chin looks thick in your profile photo,
or the skin beneath it looks loose and sagging,
and your jawline still isn't defined even after losing weight,
it's worth looking closely at the cause of your double chin.
A double chin isn't always just a fat problem.
Sometimes the cause is fat under the chin,
and other times it's a decline in skin elasticity or sagging, such as a loosened platysma muscle.

A double chin may not have just one cause.
It's easy to assume a double chin is simply caused by weight gain,
but in reality, several factors often work together to create it.
The causes of a double chin can be broadly divided into three categories.
A thick layer of fat under the chin,
a sagging platysma muscle that supports the underside of the chin,
and clusters of tiny fat cells gathered around the platysma muscle.

Excess fat layer
If you naturally carry more fat under your chin, or you gain weight,
fat can collect in this area and form a double chin.
The line between the jawline and neck becomes blurred,
and the face can look larger than it really is.
Platysma sagging
When fat under the chin and platysma sagging work together,
the jawline can become blurred.
In this case, removing fat alone may not be enough to create a noticeable change,
so we also evaluate the condition of the muscle.
Fat granules
These are small clusters of fat cells attached to the muscle layer.
Double chin that remains after dieting: is it fat or sagging?
If the area under your chin hasn't changed even though you've been dieting,
it may be because the double chin isn't only a fat problem.
When platysma sagging and fat granules around the muscle work alongside the fat layer,
the contour under the chin may remain even after you lose weight.
Skin elasticity also plays a role.
As we age, the collagen and elastin in our skin decline,
and the skin under the chin loses its firmness.
When the tissues that support the chin and neck loosen, the skin and fat can sag downward,
making the double chin look more pronounced.
Repeatedly looking down at a smartphone or holding the head bowed for long periods,
as well as having a small chin or a short jawline in your facial structure, are also considered factors that make a double chin more noticeable.

So, a double chin can be broadly divided into fat-related and sagging-related issues.
If the fat layer under the chin is thick, Busan double chin liposuction,
which removes unnecessary fat, may be the first option to consider.
If skin elasticity has declined or the platysma muscle has sagged,
removing fat alone may not produce enough change in the jawline.
That's why methods that improve elasticity or tighten the muscle,
such as Velodi lifting and platysma muscle plication, can also be considered.

Check the boundary between your chin and neck in profile.
When the platysma muscle sags, the boundary between the chin and neck blurs,
and the area under the chin can look droopy.
Even with excess fat spread across the face, the neck can look short and dull.
In severe cases, the chin outline may be indistinct, making you look chinless.
If the boundary between the chin and neck is unclear in profile,
platysma muscle plication may be considered in addition to liposuction.
If the neck and jawline are well defined,
platysma muscle plication is generally not needed.
In these cases, consider a consultation for Busan double chin liposuction!
01. Your jawline has collapsed,
and the boundary between your neck and face isn't clear.
02. Facial fat won't go away, even with dieting.
03. Your facial contour looks uneven.
04. Your face carries more fat than the rest of your body.

How is Busan double chin liposuction performed?
If the cause is mainly fat, Busan double chin liposuction is usually the first option we would consider.
It is a procedure that uses a cannula to remove unnecessary fat under the chin.
After the cannula removes the fat, we also perform a second step to detach the fat granules attached to the muscle layer.

Velodi II Lifting: Firming Skin Stretched After Liposuction
The area under the chin is one where skin elasticity can decline after liposuction.
Velodi II Lifting is a lifting treatment that uses radiofrequency energy.
After Busan double chin liposuction, energy is delivered to the dermis of the stretched skin.

Platysma Muscle Plication: Gathering the Sagging Platysma to Sharpen the Jawline
If the platysma muscle has sagged along with the fat,
removing fat alone may not produce enough change in the jawline.
Platysma muscle plication is a procedure that, starting with liposuction, directly gathers and ties the sagging platysma muscles together.
While excess fat is removed, the sagging platysma is pulled taut and held in place,
which can help create a more defined jawline.
01. Incision under the chin
After checking the sagging under the chin and the length of the chin, make an incision of about 2–3 cm beneath the chin.
02. Liposuction
Subcutaneous fat between and beneath the muscles on both sides is suctioned out.
03. Platysma muscle tying
The platysma muscles on both sides are pulled toward the center and tied together,
creating a more defined jawline.
Frequently Asked Questions | Four Seasons Plastic Surgery Clinic Q&A
Is it better to remove more fat?
What matters more than the total amount removed is how precisely the unnecessary fat is refined.
A personalized plan that considers each person's fat volume, muscle position, and skin thickness always comes first. ^^
Are there cases where liposuction alone isn't enough?
If the platysma muscle has sagged along with the fat under the chin,
removing fat alone may not produce enough change in the jawline.
In this case, you may consider platysma muscle plication, which gathers and tightens the sagging muscle, alongside liposuction.
By removing excess fat while firming the platysma muscle,
you can expect a more defined jawline.
How can you tell if muscle plication is necessary?
If the boundary between the chin and neck is unclear in profile,
muscle plication may be worth considering.
If the neck and jawline are clearly defined,
muscle plication is generally not necessary.
However, whether it's truly needed should be determined through an accurate analysis of fat volume, platysma muscle condition, and skin elasticity.

















