Conditions such as excess fat or sagging in the jowl area do not look aesthetically pleasing. This problem can be solved with jowl liposuction or jowl stretching operation. If the patient is under the age of 50 and the skin structure is not flexible, the desired appearance can be achieved with the application of liposuction in the jowl area. However, if the patient is over 50 years old, the problem is mostly due to sagging skin. In this case, fat intake alone is not a solution. A chin lift surgery should be performed with or without fat removal.

Incisions are made from the fold area of the back of the ear. The sagging and loosened skin under the chin is stretched behind the ear to provide jowl aesthetics. Since the incisions are behind the ear, they are not visible. Double chin aesthetics is generally a permanent application, but if the patient gains excessive weight, some sagging may occur.