Belkyra Versus Liposuction


Stubborn double chin fat is a common problem as we age or gain weight and for many patients, it can be difficult to get rid of. Yet these factors are not always the primary cause. Poor posture or genetics may also play a role. In fact, anyone with a family history of having loose skin beneath the chin is more likely to develop a double chin.

So what is the best solution to restore and contour the jawline?


There are many reasons why people develop a double chin, however, there is usually only one reason to rid yourself of one.

According to most medical surveys, double chins are one of the primary concerns people have with their appearance. Though diet and exercise can assist with the health of the skin, the actual tightening up of the area will likely require a skilled plastic surgeon to permanently remove the submental fat that now is a prominent feature and contour the chin and neck to a more attractive and youthful profile.

Of the most popular and effective procedures are liposuction [double chin reduction] or fat-dissolving injections [Belkyra] containing prescribed deoxycholic acid as the active ingredient.

It is important to understand the vast differences each presents in the actual procedures, recovery time, and overall costs. Additionally, fat dissolving injections should not be administered on patients under 18 years of age or women who are either pregnant or breastfeeding.

Let us walk you through each process.


Liposuction is a one-time procedure and removes fat cells permanently. The results are likewise immediate, with the full-scale effect revealed once major swelling and bruising subsides with 10-14 days. The region, however, will remain slightly swollen for another four-six weeks. But it is important to remember that liposuction is still regarded as a surgical procedure regardless if the treatment area is just your chin. Most patients undergo the procedure as an outpatient at our Burwood clinic.

 Liposuction requires a local anaesthetic to be administered into the area around the chin. It is important to note that this method is not only safer than general anaesthesia but also allows a faster recovery time.

A discreet incision is made underneath the skin and a small stainless steel cannula is inserted to aid the removal of fat between the skin and muscle through a gentle suction process.

Sutures are removed within seven days of surgery and a compression bandage is worn for up to two-three weeks during the recovery period. The discreet scars from the few, tiny incisions will not be noticeable and will quickly fade.


The most common side-effects following surgery include significant bruising and swelling around the region where the fat was removed along with possible stiffness in the jaw and temporary numbness. The primary symptoms will subside within 10 days though patients often experience mild swelling for several more weeks.

You will also be asked to wear a compression bandage for a minimum of three weeks, and at night for up to six weeks.

The results? The benefits are immediate and long-lasting [subject to weight fluctuation].  To further optimise the effects, we also recommend that you undergo a series of Broadband Light [BBL Therapy] for extended skin-tightening treatments.

Liposuction is a one-time fee and is priced from $2500*

* Subject to the patient’s unique requirements. Individual results may vary.

Below is our senior dermal therapist, Michele Hetherington, photographed four weeks after undergoing a double chin reduction with Dr Chang.






Fat dissolving treatments are performed in surgical clinics and leading skin salons. Ideal for patients who have moderate to severe submental fullness beneath the chin, the treatment involves up to 40 small needles being administered into the area.

The effects are also not immediate though the fat reduction will become more apparent within four weeks. Further treatments [anywhere from four to six] will be required every six weeks to achieve a full-scale effect. In the same way as liposuction, the fat cells will be permanently removed.

Additionally, patients are left with a temporary and pronounced ‘sack’ beneath the chin immediately after the procedure, an anomaly that occurs when the deoxycholic acid breaks down fat cells over the ensuing weeks [usually subsiding within three-four weeks]. As no incursions are made, there will be no scarring.

Pain:  Before commencing the treatment, ice or a topical numbing cream will be applied. Without it, the procedure is very painful and will not suit patients with a low threshold for pain.


The treatments also present risks for patients who may temporarily experience mild or moderate side-effects. This will include bruising, pain, swelling, tingling, numbness, redness, itching and hardness at the injection sites. Nevertheless, the method is less invasive than liposuction and may be a better option for patients who are happy to undergo the procedure over six to eight months.

The cost for one session is priced around $900, though it will depend on the size of the area that requires treatment along with the number of sessions that will follow.

On average, the fat dissolving treatment will exceed $3800* with the results less dramatic than liposuction.

* Subject to the patient’s unique requirements. Individual results may vary.