26 Mayo - 2026
Double Chin and Jowls in Barcelona: Treatments, Prices, and When to Operate
Redefine your jawline without sacrificing a natural result
The most common inquiry about neck contouring in Barcelona is 'I want to get rid of my double chin.'
The double chin is not just one thing
The most common inquiry about neck contouring in Barcelona is 'I want to get rid of my double chin.' But behind that phrase, four different anatomical causes may coexist, and each requires a different treatment. Treating the wrong cause is the main reason for disappointing results.
| Anatomical cause | How it is identified | Main treatment | Complementary treatment |
|---|---|---|---|
| Submental fat accumulation | Pinchable volume under the chin; skin with elasticity | Liposuction | Ultherapy at 8-12 weeks |
| Cervical skin laxity | Wrinkled or sagging skin; no fat volume | Ultherapy | Thread lifts in moderate cases |
| Descent of the facial oval | The jawline has lost lateral definition | Thread lifts | Ultherapy for maintenance |
| Poorly projected chin (retrognathia) | In lateral profile, the chin is behind the lower lip | Mentoplasty | Liposuction at the same time if there is fat |
The 4 treatment options
Liposuction (submental liposuction)
Main indication: double chin due to fat, with skin that retains elasticity.
Through small incisions under the chin or behind the ears, a fine cannula is introduced to aspirate the submental deposit and redefine the cervicomandibular angle. It is performed with local anesthesia and sedation, on an outpatient basis, lasting 45-60 minutes. Social reintegration occurs between 3 and 7 days, maintaining a compression band for the first 72-96 hours.
If the skin already shows laxity, liposuction alone is not enough and is combined with Ultherapy or threads to aid skin retraction.
Mentoplasty
Main indication: visual double chin caused by a retracted or asymmetric chin, not by fat.
The most common mistake in treating a double chin is aspirating fat in profiles that actually have a chin bone deficit. In these cases, what transforms the profile is not removing submental volume, but projecting the chin to restore the cervicomandibular angle.
There are two techniques:
- Silicone implant through intraoral incision (no visible scar).
- Osteotomy (bone remodeling) in complex cases, performed by a maxillofacial surgeon.
Performed with local or general anesthesia. Social recovery lasts 7-10 days and the result is stable. It is common to combine it with liposuction in the same procedure when fat and a retracted chin coexist.
Ultherapy
Main indication: double chin with a predominant component of cervical laxity.
Ultherapy emits focused ultrasound at three skin depths, including the SMAS layer, the same repositioned in a surgical facelift. It induces new collagen production and improves neck and submental area firmness without incisions, anesthesia, or social downtime.
The result consolidates progressively over the 2-3 months following the session and typically lasts between 12 and 18 months.
Unlike Ultherapy (which stimulates collagen from within), thread lifts physically pull the tissue to return it to its original position. They are particularly useful for redefining the jawline when tissue descent creates the appearance of a double chin.
Thread lifts
Main indication: descent of the facial oval with moderate laxity requiring tissue repositioning, not just tightening.
Unlike Ultherapy (which stimulates collagen from within), thread lifts physically pull the tissue to return it to its original position. They are particularly useful for redefining the jawline when tissue descent creates the appearance of a double chin.
Quick Comparison of the 4 Treatments
Technical and Economic Comparison
| Treatment | Nature | Anesthesia | Session Duration | Social Downtime | Result Duration | Price from |
|---|---|---|---|---|---|---|
| Double Chin Liposuction | Surgery | Local + sedation | 45-60 min | 3-7 days | Permanent | €3,200 |
| Chin Surgery | Surgery | Local or general | 60-90 min | 7-10 days | Permanent | €4,500 |
| Ultherapy | Aesthetic Medicine | None | 45-90 min | 0 days | 12-18 months | €490 |
| Thread Lifts | Aesthetic Medicine | Local | 30-60 min | 1-2 days | 6-24 months depending on type | €425 |
Which One is for You: Decision Tree
Decision Map by Dominant Symptom
| What you see in the mirror | What you probably need |
|---|---|
| Fat lump under the chin, firm skin when pinched | Double Chin Liposuction |
| "Sunken" chin in lateral profile, lower lip protruding | Chin Surgery (alone or + double chin liposuction) |
| Neck skin with wrinkles and sagging, no fat volume | Ultherapy |
| Jawline no longer defined from behind | Thread Lifts |
| Combination of fat + sagging | Double Chin Liposuction + Ultherapy in sequence |
| Combination of retracted chin + fat | Chin Surgery + double chin liposuction in the same act |
Why It Matters Who Makes the Diagnosis
The four techniques described require different specialists. In clinics that offer a single procedure, the indication tends to be biased towards what the team knows how to do, not towards what the anatomy requires.
At Instituto de Benito:
- The facial surgeon who evaluates is the same one who performs the neck liposuction and mentoplasty.
- The aesthetic medicine options (Ultherapy, threads) are managed by doctors with super-specialization in each technique.
- The plan is built by combining these perspectives on each case, not on a closed catalog.
This explains why some patients who come asking for neck liposuction leave with a plan of Ultherapy followed by threads and vice versa.
Frequently Asked Questions
How much does neck liposuction cost in Barcelona?
At Instituto de Benito, the price starts at €3,200 and includes preoperative consultation, intervention, compression band, and first-year check-ups. The final price depends on the combination with other procedures (for example, simultaneous mentoplasty) and is finalized after an in-person evaluation.
Can the double chin be eliminated without surgery?
Yes, when the main cause is skin laxity or descent of the facial oval. Ultherapy and tension threads offer visible results without hospitalization or social downtime. Surgery is only necessary if the dominant cause is fat accumulation or a retracted chin.
Which lasts longer, Ultherapy or tension threads?
It depends on the objective. Ultherapy maintains its effect for 12-18 months and improves skin quality. PLA tension threads can last 18-24 months and are more effective for repositioning descended tissues. To maintain the result in the long term, it is common to combine them.
Does neck liposuction leave a scar?
The incisions are 2-3 mm under the chin or behind the ears, in natural folds. The residual scar is practically imperceptible within weeks.
At what age can a double chin be operated on?
There is no fixed age. The indication depends on the cause: there are 25-year-old patients with genetic double chin due to fat who benefit from liposuction, and 60-year-old patients with cervical laxity for whom Ultherapy is the best option.
for whom Ultherapy is the best option. Can liposuction be combined with mentoplasty?
Yes, and it is relatively common. When submental fat and a retracted chin coexist, both procedures are performed in the same surgical act, optimizing recovery and result.