A double chin that is a small fat pocket with loosening skin over it is on the maker's list of Endolift areas. It is where the laser's two effects meet: the 1470 nm wavelength is absorbed by fat and by water, so the fibre is meant to reduce the pocket and contract the skin in the same passes. No Endolift series has measured the area under the chin, and we say so. Two published cases treated it with a 1470 nm fibre laser and a surface laser together, and a series with another 1470 nm laser found the laser alone insufficient for the most advanced necks. One session under local anaesthetic. Every treatment is given by Dr Marie Duggan, GMC 7488383, at Endolift Clinic, 8 Devonshire Place, London, W1G 6HP, with the price in writing at a free consultation.
What it does under the chin
The fibre is passed under the skin from small entry points behind the chin and moved in a fan through the fat pocket and the layer above it. The heat breaks down fat cells, which is the use the laser is FDA-cleared for in the US, laser-assisted lipolysis, and contracts the fibrous layer so the skin tightens as the pocket reduces. A heavy, loose neck or a large pad is more than one session changes, and the doctor says so where surgery or another plan is the better route. A 2026 review names the front of the neck over the thyroid as a zone where the fibre is not inserted.
The session and after
Local anaesthetic along the path of the fibre, the fibre passed under the skin and drawn back pass by pass, and in our practice you go home the same day. Swelling, tenderness and some bruising under the chin for several days, sometimes longer, and a soft dressing or chin strap for the first nights in our practice. The result develops over three to six months and is photographed at the review in our practice. The downtime page sets out the recovery.
Who it suits
In our practice, an adult with a small fat pocket under the chin and skin that still has elasticity, who wants one session rather than surgery. A 2026 review lists metal implants, active infection, pregnancy, bleeding disorders, skin disease and cancer as reasons not to treat. The neck page covers the neck below, the jawline page the jaw either side, and the full guide the rest. The price is in writing at a free consultation, with a price match on any comparable written quote.
Not sure you are suitable? Ask the clinician, it is free

