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If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

디유성형외과 DU plastic surgery · 너DU 예뻐질 수 있어,디유성형외과의원 · June 27, 2025

Hello. This is D.U Plastic Surgery. ​ If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This ​ ​ Today, we want to help solve a concern that many people real...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 디유성형외과 DU plastic surgery

Original post date: June 27, 2025

Translated at: April 25, 2026 at 6:08 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello. This is D.U Plastic Surgery.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 1

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

Today, we want to help solve a concern that many people really find frustrating.

This is about people who got chin Botox but were disappointed because it did not change as much as they wanted.

In fact, among the clients I meet in the clinic, there are several every month who ask, "Doctor, I got Botox injections, so why is the fullness under my chin still there?"

Many people think that just getting Botox injections in the chin area will make the double chin disappear neatly, but in reality, that is not the case quite often, and I want to say that first.

Chin Botox mainly plays the role of easing excessive contraction of the neck muscles, but the reason for a double chin may not be simple muscle over-tension alone.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 2

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

Understanding How Chin Botox Works and Its Limitations

Chin Botox injections work by acting on the platysma, a neck muscle, to suppress muscle contraction. When this muscle becomes excessively developed or tense, it can pull the jawline downward and make it look like a double chin.

However, the important point here is that not all double chins are caused only by muscle issues.

If there is a lot of fat under the chin, if the skin is sagging, or if the shape of the jawbone itself creates the look of a double chin, then it is difficult to improve with Botox injections alone.

This is similar to trying to solve a structural problem in a house with paint alone.

The duration of Botox’s effect is also an important factor to consider. In general, it lasts about 3 to 6 months, so ongoing management is needed, and if the underlying cause is not addressed, the effect fades and the area returns to its original state.

A Clear Understanding of the Various Causes of a Double Chin The first step in finding the right solution is to accurately identify the cause of the double chin.

It can be broadly divided into four main causes.

The first is a double chin caused by fat accumulation. As people age, metabolism slows down or weight increases, and fat naturally builds up under the chin as well. In this situation, no matter how much Botox you get, the fat itself will not disappear, so a fundamental improvement is difficult.

The second is sagging caused by reduced skin elasticity. When we are young, the skin is firm, so even if we gain a little weight, the jawline remains defined, but as we age, collagen and elastin decrease, the skin loosens, and it begins to look like a double chin. This can be considered part of the natural aging process along with the effects of gravity.

The third is a muscle-related issue, where the muscles under the chin become weak or abnormally tense, causing the jawline to become blurred. In such cases, Botox may help to some extent, but muscle-strengthening exercises or other supportive treatments may also be needed.

The fourth is a skeletal issue. If the jawbone is small or set back, it can look like a double chin no matter how much you diet. In such cases, Botox cannot solve the problem at all, and fundamental skeletal improvement may be necessary.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 3

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

Types of Double Chin Surgery and Their Characteristics and Scope of Application

Double chin surgery is largely divided into liposuction and thread lifting, and it is important to understand the characteristics and scope of each accurately.

Liposuction is a method that directly removes fat accumulated under the chin. Through a small incision of about 2 to 3 mm, a thin tube called a cannula is inserted to suction out the fat.

This method can produce immediate and clear results for a double chin caused by fat, but if skin elasticity has decreased, the skin may actually look even looser, so careful judgment is needed.

Thread lifting uses specially made PDO threads or collagen threads to lift sagging skin and fascia. It is effective for a double chin caused by reduced skin elasticity and can also help improve skin texture by promoting collagen production. However, if there is a lot of fat, thread lifting alone may have limitations.

Recently, there have been many cases where these two methods are used together. Depending on the cause and condition of the double chin, doing liposuction and thread lifting at the same time or in stages can produce more natural and satisfying results.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 4

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

The Important Reason You Should Have Surgery with an Experienced Medical Team

I want to emphasize that double chin surgery may look simple on the surface, but in reality it is a very precise and delicate procedure that requires highly refined technique.

The reason is that the anatomical structure of the face must be understood accurately, and a customized surgical plan must be created while considering individual differences.

If surgery is performed by a medical team with insufficient experience, various problems can occur. A typical example is removing too much fat, which can make the neck look hollow, or removing it unevenly, which can cause left-right asymmetry.

In addition, important nerves and blood vessels pass through the area under the chin, so if anatomical knowledge is insufficient, there is also a risk of damaging these structures and causing sensory abnormalities or functional impairment.

On the other hand, experienced and skilled medical professionals have several important advantages.

First, through an accurate diagnosis, they can suggest the most suitable treatment for the individual. Second, even during surgery, they can make fine adjustments to create natural results. Third, they can minimize the risk of complications and are able to respond appropriately if an unexpected situation arises.

Key Checkpoints to Confirm Before Surgery If you are considering double chin surgery, there are several important things you should confirm before the procedure.

First is the qualifications and experience of the medical team. It is a good idea to check whether they are board-certified plastic surgeons, how much experience they have with double chin surgery, and whether they have related society activities or published research papers.

It is also an important point to check whether the medical team personally handles the consultation and the surgery.

Second is the quality and content of the consultation. If it is a proper clinic, they will take enough time to provide a thorough consultation.

They should not simply recommend surgery; they should also present non-surgical alternatives and honestly explain the pros and cons of surgery, the expected results, and possible side effects.

Third is the post-operative management system. Check what the regular follow-up schedule is after surgery, how the response system is set up in case of side effects or problems, and whether there is a system that can be contacted in an emergency.

Fourth is the facility and safety of the medical institution. It is also important to check whether the operating room is managed according to infection control standards, whether equipment and facilities for emergencies are in place, and whether the institution is accredited.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 5

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

The Recovery Process and Effective Management Methods

The recovery process and care after double chin surgery have a very large impact on the final result, so they are just as important as the surgery itself.

Immediately after surgery, swelling and bruising due to the natural inflammatory response are a normal part of the process. Although this varies from person to person, most people recover to the point where daily life is possible in about 1 to 2 weeks.

However, it takes about 3 to 6 months to see the final result, because time is needed for the tissue swelling caused by surgery to fully subside and for the new tissue to stabilize. During this period, several important care guidelines should be followed.

The most important thing is that drinking and smoking must be strictly avoided. Alcohol and nicotine interfere with blood circulation and increase the inflammatory response, which can delay recovery and raise the risk of side effects.

You should also avoid intense exercise and high-temperature environments such as saunas and jjimjilbangs, because these activities can raise blood pressure and worsen swelling.

Wearing a compression band or compression garment is also a very important part of aftercare. If you wear it consistently for the period recommended by the medical team, swelling goes down faster and the surgical area takes shape more neatly.

Also, sleeping with your head slightly elevated helps reduce swelling, and applying cold compresses appropriately is also effective for easing swelling.

Practical Benefits Compared with the Cost of Treatment The cost of double chin surgery varies considerably depending on the surgical method, scope, and medical institution. In general, simple liposuction costs around 2 million to 4 million won, and it may be higher if thread lifting is performed together.

At first, the cost may feel burdensome, but from a long-term perspective, surgery may actually be more reasonable when considering economic efficiency.

In the case of Botox, it needs to be continuously administered every 3 to 6 months, and the cost per session is about 200,000 to 300,000 won. If you assume you keep receiving it for several years, the total cost may become similar to or higher than the cost of surgery.

What is more important is the qualitative difference in effect. Surgical treatment, which addresses the fundamental cause, and Botox, which only provides temporary symptom relief, are bound to produce fundamentally different results. In the case of surgery, a semi-permanent effect can be expected, and with the natural aging process in mind, satisfying results can be maintained for a fairly long time.

In addition, intangible values such as psychological satisfaction and increased confidence are also factors to consider. These are important benefits that cannot be easily evaluated by simple financial calculations.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 6

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

The Importance of a Personalized Treatment Plan

Just as every person has a different facial structure and different features, it is very important to understand that the cause of a double chin and the best solution are completely different from person to person.

For some people, simple liposuction alone may be enough to achieve satisfying results, while for others, a combination of liposuction, thread lifting, and additional supportive treatments may be necessary.

There are many factors to consider when creating a personalized treatment plan. First, differences in skin elasticity and recovery ability by age group must be considered.

In younger age groups, skin elasticity is better, so liposuction alone is often sufficient, but after middle age, thread lifting or other supportive treatments may also be needed.

Gender differences are also an important consideration. In general, men tend to have more developed muscles and thicker skin, so a different approach may be needed compared with women.

A person’s lifestyle and occupational characteristics can also affect the treatment plan. The surgical method and timing should be determined while considering recovery time and the timing of returning to daily life.

The structural characteristics of the jawbone are also very important. If the jawbone is small or recessed, there may be limits to soft tissue surgery alone, and sometimes a chin implant or other supportive treatment may need to be considered together.

Core Principles for a Natural and Balanced Result The most important goal in double chin surgery is to achieve a natural and harmonious result. This means that it is not simply about removing the fullness under the chin, but about considering the overall facial proportions and balance.

If correction is done too aggressively, it may look unnatural, and the overall aesthetic balance can be broken due to disharmony with the surrounding areas.

Experienced and skilled medical professionals understand these aesthetic principles well, so they comprehensively analyze a person’s facial proportions and features and perform correction at the most appropriate level.

For example, they plan surgery while considering the angle between the jawline and neckline, the profile seen from the side, and the faceline seen from the front.

A person’s age, gender, and occupational characteristics are also factors that should be considered for natural results. For example, if someone is older, correcting too much to make them look younger can actually seem unnatural, and for people whose profession requires a natural image, a more conservative approach may be needed.

The surgical technique itself also has a major influence on natural results. In liposuction, the fat must be removed evenly and smoothly, and in thread lifting as well, the lift must be natural without excessive pulling.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 7

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

Objective Comparative Analysis with Other Treatment Methods

There are various non-surgical options in addition to surgical methods for improving a double chin, and it is important to compare them after understanding their pros and cons accurately.

Non-surgical treatments using radiofrequency or ultrasound have the major advantage of almost no recovery time and little disruption to daily life.

However, their effects are relatively limited and gradual, so multiple treatments are needed to see a noticeable change, and the duration of the effect is shorter than with surgery.

Fat-dissolving injections can provide a relatively simple and partial reduction in fat, but they take a long time to show effects, vary greatly from person to person, and may sometimes cause unexpected side effects.

Thread lifting has characteristics somewhere between surgery and non-surgical treatment. Compared with surgery, recovery is faster, but compared with non-surgical treatment, some recovery time is needed, and the duration of the effect is also moderate.

On the other hand, surgical treatment requires recovery time and has a higher initial cost, but it has the advantage of producing clear and lasting results.

In particular, when there is a large amount of fat accumulation or severe skin sagging, surgery may be the most effective solution.

Preventing Side Effects and Responding Safely to Surgery Every medical procedure comes with some degree of risk, and double chin surgery is no exception.

However, these risks can be minimized through an experienced medical team, proper preparation beforehand, and systematic aftercare.

The most common side effects are infection and bleeding. To prevent these, it is important to strictly follow the precautions before and after surgery.

Before surgery, you should stop smoking and drinking and discontinue medications that may affect blood circulation. After surgery, you should take the prescribed antibiotics regularly and keep the wound area clean.

Sensory changes due to nerve damage or facial asymmetry are also possible side effects, but if you have surgery with an experienced medical team that understands the anatomical structures accurately, the likelihood can be significantly reduced.

Also, if such problems do occur, in most cases they gradually recover over time.

Severe side effects such as skin necrosis or scar formation are very rare, but to prevent them, it is important to strictly avoid smoking after surgery and to avoid excessive irritation to the wound area.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 8

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

Specific Criteria for Choosing a Successful Medical Institution

To successfully undergo double chin surgery, choosing the right medical institution and medical team can be said to be the most important first step.

The first thing to check is whether the attending medical professional is a board-certified plastic surgeon and whether they have sufficient experience and expertise in double chin surgery.

Related society activities, published papers, and participation in academic research can also be good indicators for judging the expertise of the medical team.

Second is evaluating the quality and content of the consultation. Check whether they take enough time to provide a thorough consultation, present various treatment options objectively, and honestly explain the pros and cons of surgery, the expected results, and possible side effects.

Third, it is important to check whether the medical institution’s facilities and equipment are prepared according to safety standards, whether the operating room’s infection control system is operated systematically, and whether equipment and a response system for emergencies are in place.

Fourth is how systematic the aftercare system is. Check whether there is a clear regular follow-up schedule, whether there is a system that can respond quickly if side effects or problems occur, and whether a contact system is in place for emergencies.

Lastly, the overall reliability and reputation of the medical institution matter as well. The professionalism and friendliness of the medical team and staff, reviews and satisfaction from other clients, and any history of medical accidents or disputes can all be important criteria.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 9

If Botox for the Double Chin Did Not Work, it is highly likely that the cause of the fullness under the chin is beyond what Botox can solve.

In such cases, if you identify the underlying cause through an accurate diagnosis and choose the appropriate solution for it, you can definitely achieve satisfying results.

However, before choosing surgery, careful consideration and preparation are necessary.

I hope you can find the direction that is most suitable for you through a consultation with an experienced medical team.

Good results come from 충분한 time and the right choice, so based on what I shared in today’s post, I hope you will receive a thorough consultation.

If you have any additional questions beyond what I discussed in today’s post, please feel free to contact us at D.U at any time.

Thank you for reading this long post.

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This image 10

If You Got Double Chin Botox but Saw No Change, Please Make Sure to Read This

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