HIFU Double Chin
DR. THOMAS ACKERMANN PRACTICE · HERZOGENAURACH
Double Chin HIFU –
Reduce fat and tighten in one step.
A double chin is caused by two factors: submental fat that accumulates under the chin, and skin that has lost its firmness. What differentiates double chin HIFU from injection lipolysis or cryolipolysis: The focused ultrasound not only dissolves the fat — it simultaneously tightens the skin above it. Without needles, without weeks of swelling, without downtime.
Two problems. One treatment.
Lipolysis through thermal fat cell destruction + collagen stimulation for firmer skin. Billing according to GOÄ.
What the treatment achieves:
- Fat Reduction (6–13 mm depth): The 2 MHz transducer thermally destroys fat cells — the body breaks them down over weeks
- Skin Tightening (3.0 + 1.5 mm): Simultaneous collagen stimulation — the skin follows the contour instead of sagging
- No weeks of swelling: Unlike injection lipolysis, no weeks-long inflammatory process — immediately presentable
Description
Double Chin — two causes, one procedure
A double chin is rarely just a fat problem. Almost always, two factors play a role: submental fat, which accumulates under the chin due to genetics or age, and a loss of skin firmness, which causes the tissue to sag downwards. Those who only treat the fat without tightening the skin risk loose, sagging skin after fat reduction. Those who only tighten without reducing the fat volume are fighting against a cause that remains.
Double chin HIFU addresses both factors in one treatment — this is the decisive advantage over procedures that only target one level. Patients from Erlangen, Nuremberg and the Franconia region come to me in Herzogenaurach because they don’t want weeks of swelling and no needles — and still expect a visible result.
How Double Chin HIFU Works
For double chin treatment, two transducers are used — each at a different level:
2 MHz · 6–13 mm depth
Lipolysis: Thermal destruction of fat cells in the submental fat deposit. Temperature at the focal point: 56–70 °C. Fat cells die, are broken down via the lymphatic system. No mechanical pressure, no cannulas.
4 MHz · 3.0 + 1.5 mm
Tightening: Simultaneous treatment of the dermal layers. Collagen contraction immediately, neocollagenesis over months. The skin follows the new contour — instead of sagging after fat reduction.
Fat reduction is a gradual process: the destroyed adipocytes are broken down by the body over 6–12 weeks. Contour improvement is therefore most clearly visible after 2–3 months — and this is an advantage, not a disadvantage. A natural-looking result is achieved because the change occurs slowly.
Double Chin HIFU in Comparison
Injection Lipolysis
Needles, pronounced swelling (88% of patients), multiple sessions. No simultaneous skin tightening.
Cryolipolysis
Cryo-lipolysis, no skin tightening. Risk of paradoxical adipose hyperplasia (fat tissue increase). No tightening effect.
HIFU CFU
No needles, no downtime, minimal swelling. Lipolysis + tightening simultaneously. 1–2 sessions.
Studies on HIFU Lipolysis: Jewell et al. (2011, Plastic and Reconstructive Surgery, 128:253–262) — average waist reduction 2.52 cm vs. 1.21 cm placebo (p<0.001). 75% of HIFU patients rated themselves as “improved” or “very significantly improved” vs. 15% of the control group.
If the overall profile needs strengthening
A double chin affects the profile as a whole. Those who reduce submental fat often also want to sharpen the jawline or strengthen the chin at the same time. These treatments naturally complement each other: HIFU for fat reduction and tightening, chin augmentation with hyaluronic acid for projection and definition, Jawline filler for a clearer jawline. What makes sense for your situation will be clarified in a personal consultation — as part of an individual treatment concept.
Frequently Asked Questions about Double Chin HIFU
+How many sessions are needed?
+How much fat can HIFU reduce on the chin?
+Is the treatment painful?
+What should I keep in mind after the treatment?
Personal consultation in Herzogenaurach – or by phone in advance.
Erlangen · Nuremberg · Fürth · Bamberg · Herzogenaurach

Hautanalyse
Falten & Muskelrelaxantien
Volumen & Filler
Bioregeneration
HIFU-Lifting
Körperformung & Silhouette
Hausärztliche Begleitung
Verspannung & Schmerzen
Haargesundheit & Haarausfall
Hauterkrankungen
Frauengesundheit
Drip Spa & Infusionsmedizin