
Assessment
A physician establishes whether the fullness is fat, skin, muscle or chin projection. This is the whole treatment. Get it wrong and no amount of product helps.

An injectable that permanently reduces fat under the chin. Effective, uncomfortable for a few days, and genuinely wrong for a good number of the people who ask for it.

This one is permanent, which is exactly why we assess it harder than anything else on the list.
Belkyra is deoxycholic acid, a substance the body uses to break down dietary fat. Injected under the chin it destroys fat cells locally, and those cells do not come back. That permanence is the appeal and also the reason it deserves a careful assessment.
The treatment only works on fat. If the fullness under your chin is loose skin, a weak chin projection, or the position of the muscle band, Belkyra will not help and may make loose skin more obvious. Working out which it is takes an examination, not a photograph.
What it treats
And a few things they do not. If your concern is not here, the consultation is where we work out what would actually help.
Injectables and FillersFat sitting under the chin that has not responded to weight loss. The one thing this treatment does well.
Where the fat pad blurs the line between jaw and neck in profile.
Often genetic, often unresponsive to diet, and the clearest indication for treatment.
How it works
Four steps, in this order. Nothing is treated until it has been assessed, and nothing is repeated until it has been reviewed.

A physician establishes whether the fullness is fat, skin, muscle or chin projection. This is the whole treatment. Get it wrong and no amount of product helps.
Results
This is the most swelling of any treatment here, and it is expected. The area will feel firm and look fuller than before. Plan around it.
Swelling reduces substantially. Some firmness and numbness under the chin can persist and is normal.
The reduction becomes visible. This is when we assess whether a further session is worthwhile.
Treated fat cells are gone for good. Significant weight gain can still change the area, since remaining cells enlarge.
Before and after
Photographs of our own patients in Mississauga, unretouched and shown in the same light. Results differ between patients and none of these is a promise of your own outcome.
View the gallery
Submental fullness under the chin
Jawline and under chin profile
When we say no
We do not treat in these situations, and we will say so in the consultation, which you are not charged for.
Questions

Yes. The treated fat cells are destroyed and do not regenerate. Substantial weight gain can still change the area because the remaining cells enlarge.
More than any other treatment we offer. The area will look fuller and feel firm for several days. Most people take the first two days quietly and are presentable within a week.
Two to four, spaced about six weeks apart, depending on how much fat is present. We assess after each rather than selling a package up front.
No. It removes fat. If your skin is already lax, reducing the fat beneath can make that more noticeable, which is why the assessment matters so much.
The injections sting for a few seconds each, and the area aches afterwards. Numbing helps considerably. Most people describe the days after as uncomfortable rather than painful.
Then we say so at the consultation and explain what would actually help. That happens frequently with this treatment.
Also in this room
Wrinkle RelaxersBotox, Dysport and Xeomin, placed by a physician led team to soften expression lines without switching them off.
Dermal FillersHyaluronic acid placed for structure rather than volume.
Collagen StimulatorsRadiesse and Sculptra work by prompting your own collagen rather than adding volume directly.
Hyperhidrosis TreatmentA medical treatment for excessive sweating of the underarms, palms and soles.Mississauga, Ontario
A consultation is a clinical examination, not a sales appointment. Bring your questions and expect straight answers about what will and will not work, including when the answer is that you do not need us yet.
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