The double chin develops from localised fat accumulation — genetically determined, barely influenced by sport or diet. Dr. Fetai removes it minimally invasively under local anaesthesia: a small stab incision, 20 minutes, no general anaesthesia, no overnight stay. Patients from Düsseldorf, Cologne and NRW.
Medically reviewed · Dr. Nusret Fetai · Specialist in Dermatology · 2025
A sharp chin is not a trend.
It is the only border separating face from neck.
— Dr. Nusret Fetai
Not just weight. In over 60% of cases it's genetics, anatomy or skin structure — even in slim people.
A receding chin or a short neck muscle insertion is inherited. Sport doesn't change anything — surgery does.
Beneath the chin lies an anatomically isolated fat pad that does not respond to diets. Even at BMI 20.
With age the neck skin loses elasticity. Even if the fat disappears, the contour sags. Dr. Fetai combines with collagen stimulation.
Hours of looking at the phone weakens the platysma. The fat tips forward. A generation, a new phenomenon.
No hospital feeling. You sit with Dr. Fetai in the consulting room, drink water, see your photos. He draws lines on your neck.
A very fine needle, the first prick burns briefly. Then nothing more. Dr. Fetai fills the region with tumescent fluid.
2 millimetres, exactly in the natural fold under the chin. You feel nothing. Dr. Fetai feels every millimetre.
A single fine stitch, a pressure dressing. You stand up. You see yourself in the mirror — and see already: the contour.
You drive yourself. You drink coffee. The next day you work. After 7 days the suture comes out. After 6 weeks you see the final result.
A schematic explanation in 12 seconds — what takes 45 minutes in practice.
Six assumptions we encounter every day — and what is actually true.
"A double chin is always a matter of weight loss."
Over 60% of double chins are genetic or anatomical — even at BMI 20. Only surgery solves the cause.
"Double-chin surgery needs general anaesthesia."
With Dr. Fetai only local anaesthesia. You are awake, talk with him, go home after 30 min rest.
"Kybella / fat dissolving injection is just as good."
Kybella needs 3–6 sessions. Manual liposuction: 1 session, definitive result. And more precise.
"The scar is visible."
The incision is 2 mm, in the natural fold under the chin — even after 4 weeks hard to find with a magnifier.
"The skin hangs afterwards."
With good skin elasticity the neck tightens on its own. Otherwise Dr. Fetai combines with collagen stimulation.
Vibrating machines are too coarse in the neck area. Manual micro-cannulas let Dr. Fetai feel every millimetre.
These five questions clarify whether the manual double-chin liposuction really helps you.
If yes: you most likely have an anatomically isolated fat deposit — the ideal indicator for manual lipo.
The frontal forgives — but the 3/4 profile shows the truth. Exactly here the treatment makes the largest visual jump.
Pinch the neck skin, it springs back → very suitable. A fold stays → combination with biostimulator recommended.
That is the main age group for good results. Younger: often not needed. Older: possible, but often combined with skin tightening more sensible.
The dressing is hardly visible under clothes. That is the only 'restriction' of the entire treatment.
The removed fat cells do not come back. With stable weight the result lasts a lifetime.
Exact costs depend on the individual finding. You receive a transparent quote in the personal consultation, free and non-binding.
Office work next day possible (with dressing and scarf). For visible client contact we recommend 3-5 days.
Makeup: from day 3. Sport light: from day 10. Sport intense: from week 4. Sauna/Pool: from week 4.
As with any procedure: possible are hematomas (rare, 2-3%), transient sensory disturbances (3-5%, regenerate fully). Local anaesthesia eliminates anaesthetic risks completely.
What truly defines the contour under the chin — and why superficial understanding leads to mediocre results.
Under the chin lie three anatomically distinct fat compartments: superficial-submental, deep-submental (under the platysma) and perimandibular.
Manual micro-liposuction addresses only the superficial compartment — medically correct and safe. Going deeper means injury risk to the marginalis nerve.
The platysma is a flat muscle running from collarbone to lower jaw. With age it loses tension.
During liposuction we relieve the platysma from fat pressure. With heavy platysma laxity we combine with Nefertiti Botox lift.
Jawline definition depends not only on fat — but on the jaw bone angle (gonion angle). At 120° the face appears rounder, at 105° more striking.
With flat angle liposuction often isn't enough — we combine with filler on the jaw branch.
Neck skin has higher density of elastin fibers than face skin.
With very mature skin (over 60y) we combine with Sculptra neck treatment.
Face processing in the brain is one of the most researched neural circuits.
The FFA in the right temporal lobe processes faces in under 170 milliseconds — faster than any other visual element. Your jawline is part of this neurological 'fingerprint'.
Kanwisher · MIT FFAPrinceton University research shows: a clear jaw-neck separation is processed in the brain as a signal for 'vitality and self-confidence'. This evaluation happens in 100 ms — before any conscious thought.
Todorov · Face ValueWe see our face daily in the mirror — and our posterior cingulate cortex adapts. When the contour changes, we notice it first in photos.
Self-Perception Neuroscience"Patients often come with the sentence: 'I don't recognise myself in photos.' That's neurologically a very precise observation — the selfie angle activates a different brain region than the mirror frontal view. It's not 'bad photos'. It's honest neural information. After a double-chin OP something measurable happens: the patient recognises herself in selfies. That's the real success."
In profile, one line decides everything: chin-neck angle.
Patients see the pad first on photos, not in the mirror.
Dr. Fetai works manually — 0.5 mm micro precision.
Outpatient, 7-10 days compression, gradual contour over 8-12 weeks.
"A neck is not a detail. It is the stage on which the face stands."
— Dr. Nusret Fetai
Reserve 30 minutes. We discuss your anatomy, your expectations and whether manual double-chin liposuction is really the right path for you.
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