Facial Plastic Surgery Sydney
Double chin Liposuction
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A more sculpted, streamlined profile: double chin surgery (submental liposuction or lipectomy) is a surgical procedure that reduces excess fullness under the chin, which develops with age, weight changes, or genetics.
The result is a clearer, more defined under‑chin area that brings sharper structure to the jawline and neck while keeping the overall face in natural balance.
Elegant, harmonious, authentic.
Facelift and neck lift Sydney
“By refining the area beneath your chin in a way that suits your personal anatomy, I aim to create an elegant, natural-looking improvement that supports your overall facial harmony.“
Facelift surgery Sydney
What can a Double Chin Surgery help with?
Concerns about excess fat in the submental area, such as:
The surgical procedure aims to:
- Aspire excess fat
- Improve contours of the neck and jawline
- Restore a more balanced profile
Overall benefits:
- Address specific changes related to excess fat
- Target concerns in the submental area
Dr ILLIE encourages thorough consultations to:
- Ensure understanding of the procedure, recovery, and outcomes
- Help make an informed decision
Am I a good candidate?
Suitable candidates generally:
- Are in good overall health, with excess fat under the chin but good skin elasticity to allow for natural contouring.
- Do not smoke or are willing to stop smoking for this procedure, as smoking can impair wound healing, increase the risk of complications, and affect recovery.
- Do not have medical conditions that affect blood clotting or wound healing, such as bleeding disorders, uncontrolled hypertension, or poorly managed diabetes.
- Are typically aged between 20 and 60, although candidacy is assessed individually by Dr ILLIE based on factors like skin tone and fat distribution during consultation.
Procedure Options
Dr Vlad ILLIE offers a range of techniques for double chin surgery tailored to each patient’s individual anatomy and goals. Every approach is considered within the context of your overall neck and facial structure, and Dr ILLIE will discuss which option is most suitable during a comprehensive consultation in his Sydney practice. He will assess your anatomy, discuss suitable techniques, and outline the likely benefits, limitations, and risks. The final choice of technique will always be based on clinical assessment and your individual preferences.
Submental Liposuction
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Removes excess under-chin fat through a 2-3mm puncture
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Uses a thin cannula to gently suction fat and define the chin–neck contour
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Best for patients with good skin elasticity and moderate fullness
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Can be done alone or paired with other treatments
Liposuction with Platysma Tightening
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Removes excess fat and tightens mild neck laxity
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Uses small incisions to reposition the neck muscle bands
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Helps improve chin–neck definition when fat + slight muscle separation are present
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Suitable for patients with early neck aging and moderate fullness
Procedure snapshot
Surgical procedure duration: Approximately 1-2 hours
Hospital stay: Day procedure with no overnight stay
Post-operation recovery:
- Take 3-7 days off work to allow for initial healing
- Avoid exercise for 2 weeks
- No driving for 2-7 days, depending on the individual presentation
- No smoking for 6 weeks before and after the procedure to support healing
Your surgical team includes:
- Dr Vlad ILLIE, highly qualified plastic surgeon with extensive training both in Australia and internationally
- Specialist anaesthetist to ensure your comfort and safety throughout the procedure
- Accredited hospital facilities meeting the highest standards of care
Expected results:
- Reduced submental fullness
- Improved jawline-neck definition
- Toned profile long-term
Dr ILLIE is committed to results that address your specific concerns while prioritising your wellbeing throughout the entire process.
Surgical Steps:
- Placement of incisions: for liposuction only, no incisions are necessary, only 2-3mm punctures.
- Fat removal using a cannula: A thin, hollow tube called a cannula is gently inserted. Using a controlled suction technique, excess fat is carefully removed from the submental area (under the chin). Dr ILLIE employs a gentle approach throughout to help minimise bruising and promote smoother recovery.
- Optional muscle tightening: If underlying muscle laxity is present, the platysma muscle may be gently tightened or repositioned as needed to support the neck’s structure. This step is tailored to the individual’s anatomy and is performed with precision to avoid unnecessary disruption.
Surgical Considerations
Facial Anatomy & Ageing

The neck area, much like the rest of the face, consists of several layers that contribute to its appearance and function. These include the skin on the surface, subcutaneous fat beneath it, and the platysma muscle, which is a thin sheet of muscle that spans the neck and helps with facial expressions.
Over time, changes in these layers can lead to visible fullness or looseness under the chin. Fat accumulation may occur due to genetic factors, weight fluctuations, or ageing, while the platysma muscle can weaken or separate, contributing to a less defined contour. The skin itself loses elasticity as collagen production decreases, making it more prone to laxity.
These changes often progress gradually:
- In your 30s: Early submental fullness may appear, commonly influenced by genetics or lifestyle factors such as weight gain, creating a subtle softening of the jawline-neck junction.
- In your 50s and beyond: Ageing-related skin looseness becomes more evident, often combined with fat redistribution and muscle weakening, leading to increased visible fullness and reduced definition.
Understanding the specific anatomy of the neck and how these changes develop allows Dr ILLIE to assess each patient’s situation thoroughly. This knowledge helps in tailoring the procedure to target the relevant layers—whether fat, muscle, or skin—aiming for results that align with the individual’s needs and promote a natural neck profile.
Types of Incisions
For double chin liposuction, no incisions are necessary, only a 2-3mm puncture. If also addressing excess skin, incisions are kept small and strategically placed to ensure they are as inconspicuous as possible. Typically, incisions are behind the ears. These locations allow for effective treatment while blending into the surrounding skin, minimising visibility once healed. The exact placement is determined during consultation based on your anatomy to balance access with discretion.
Effectiveness
Double chin surgery can offer long‑lasting refinement because once excess fullness is removed, the under‑chin area generally maintains a clearer, more sculpted contour for many years. Natural ageing still continues, and some softening or looseness can gradually return over time, but patients typically remain noticeably ahead of where they would have been without the procedure. The surgery effectively resets the baseline, so even as ageing progresses, the overall profile usually stays more defined than it would have naturally.
Duration and Recovery
Procedure Duration:
The surgery typically takes approximately 1-2 hours.
Recovery Timeframe:
- Plan for 3-7 days off work to focus on initial healing and manage any discomfort.
- Avoid exercise and strenuous activities for 2 weeks to allow tissues to settle without strain.
- Refrain from driving for 24 hours if sedation was used, and longer if advised, to ensure safety.
- Cease smoking for at least 4 weeks before and after the procedure, as it can impair blood flow and slow healing.
Swelling and Bruising:
Mild to moderate swelling and bruising are expected in the neck area and may persist for 1-2 weeks. These effects gradually subside with rest, elevation, and following post-operative care instructions, such as wearing a supportive garment if recommended.
Full Recovery:
Most people see initial improvements as swelling reduces, with noticeable changes in 4-6 weeks. Full settling of the tissues can take up to 3 months, at which point the neck’s contours become more apparent. The longevity of results depends on factors like skin elasticity, overall health, and lifestyle habits—such as maintaining a stable weight and protecting the skin from sun exposure.
Consultation and Personalisation:
Dr Vlad ILLIE will review these aspects with you in detail during your consultation, discussing how your unique anatomy and goals influence the plan. This helps set clear expectations and ensures the approach prioritises your safety and recovery.
Potential Risks and Complications
- Anaesthesia reactions: Responses to local or general anaesthesia can vary, including nausea, allergic reactions, or respiratory issues. Your anaesthetist will review your medical history to assess and manage these risks.
- Bleeding or haematoma: Some bleeding may occur during or after surgery, potentially leading to a haematoma (a collection of blood under the skin). This is usually managed with drainage if needed, but it can prolong recovery.
- Infection: Though uncommon, infections can develop at incision sites or in deeper tissues. Antibiotics and proper wound care help prevent this, and early detection ensures prompt treatment.
- Contour irregularities or asymmetry: Uneven fat removal or healing can result in slight irregularities or asymmetry in the neck area. These may improve over time or require minor adjustments.
- Skin laxity if elasticity is poor: In cases of reduced skin elasticity, some looseness may persist after fat removal. This is more likely in older patients or those with significant skin changes, and options like additional tightening can be discussed.
- Swelling and bruising: These are typical after surgery and usually resolve within 1-2 weeks, but they can temporarily affect comfort and appearance.
- Nerve injury (temporary numbness): Minor nerve irritation may cause temporary numbness or tingling in the chin or neck area, which generally improves as healing progresses. Permanent changes are rare.
- Scarring: Incisions, though small and hidden, may leave visible scars that fade over time. Factors like skin type and care influence scar appearance.
- Rare fat embolism: In very uncommon cases, fat particles can enter the bloodstream during liposuction, potentially affecting the lungs or other areas. Strict techniques and monitoring reduce this risk significantly.
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Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA‑registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in facial surgery indicate that the surgeon has the expertise needed to perform procedures safely and competently, helping to reduce the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE brings extensive experience and highly refined surgical skills to facelift procedures, supported by his comprehensive plastic surgery training and more than a decade of performing complex facial reconstructions for patients with traumatic injuries and cancer‑related defects. This depth of experience shapes his approach to aesthetic surgery, enabling him to operate with precision, care, and a deep, anatomically grounded understanding of the face.
As a fully qualified plastic surgeon with training in facial surgery, Dr Vlad ILLIE is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your facial anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions to support recovery.
Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least six weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated to prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you may have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps to minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
Facelifts are primarily aimed at addressing the mid to lower face, improving contours and reducing signs of ageing. To achieve a more comprehensive facial rejuvenation, Dr Vlad ILLIE often combines facelift surgery with other procedures, including:

Double Chin Liposuction + Neck Lift
This pairing involves fat removal from under the chin alongside skin tightening in the neck area. It addresses both excess fat and mild skin laxity, helping to create smoother contours along the jawline and neck. The combined procedure typically extends the surgery time slightly but allows for a more unified treatment of the lower face and neck structures.

Double Chin Liposuction + Facelift
When submental fullness is part of broader lower facial changes, combining with a facelift can improve overall harmony. Fat reduction under the chin complements the repositioning of facial tissues, supporting definition from the cheeks through to the neck. This option is suitable for those seeking balanced adjustments across the mid and lower face.

Double Chin Liposuction + Chin Implant
For patients with a recessed chin contributing to perceived fullness, adding a chin implant can refine the profile. The fat removal reduces soft tissue excess, while the implant provides structural support to the jaw area. This combination aims to achieve better proportion between the chin, jawline, and neck without overly altering natural features.
Combining these procedures allows for a more harmonious and natural restoration of facial balance and ageing signs across multiple areas, with careful planning to ensure patient safety and optimal recovery.
Frequently Asked Questions
At what age is double chin surgery suitable?
There’s no strict age limit; suitability depends on factors like skin elasticity, overall health, and the extent of fullness. Many patients are in their 30s to 50s, but Dr ILLIE assesses each case individually during consultation to confirm appropriateness.
How long is the recovery period after double chin surgery?
Initial recovery typically takes 3-7 days, with most returning to work then. Swelling and bruising may linger for 1-2 weeks, and full tissue settling can take 3 months. Light activities resume gradually, guided by Dr ILLIE’s instructions.
Will there be visible scars after the surgery?
No, there are no scrs after submental liposuction.
How long can I expect the results to last?
Results can be long-term if you maintain a stable weight and healthy lifestyle, but natural ageing continues. Factors like skin quality influence duration—Dr ILLIE discusses this to set realistic timelines during your consultation.
Why should I book a double chin surgery consultation with a qualified surgeon?
- Discuss your specific concerns and what you hope to achieve.
- Receive a clear explanation of the surgical procedure, including potential risks, benefits, and realistic outcomes.
- Confirm Dr ILLIE’s qualifications, experience, and approach to ensure your safety and satisfaction.
- Opportunity to ask questions and understand the full process before making a decision.
What should I do to prepare for double chin surgery?
Follow Dr ILLIE’s advice, such as stopping smoking 6 weeks prior to improve healing, adjusting medications, and eating a balanced diet. Avoid blood-thinning supplements and arrange post-op support to make the day smoother.
Are there non-surgical alternatives to double chin surgery?
Yes, options like injectable fat-dissolving treatments or non-invasive fat reduction devices can address very mild fullness gradually. Dr ILLIE can compare them for you.
Will I require revision surgery in the future?
Some patients opt for revisions if ageing or weight changes affect results over time, but many do not. Dr ILLIE focuses on durable techniques and will review long-term expectations in your consultation.
What can I expect during the recovery process?
You’ll likely experience swelling and mild discomfort initially, managed with rest and medication. Bruising fades in 1-2 weeks, and wearing a compression garment helps. Follow-ups with Dr ILLIE ensure steady progress.
How do I select the right surgeon for double chin surgery?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in facial procedures, including deep knowledge of facial anatomy and advanced double chin surgery techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
- Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in facial surgery, personalised care, clear communication, and a strong commitment to patient safety.
how Dr Vlad ILLIE’s Approach Stands Out

Dr Vlad ILLIE is a highly qualified Specialist Plastic and Reconstructive Surgeon based in Sydney, with extensive experience in facial plastic and reconstructive surgery.
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background includes managing challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.
His results are distinguished by:
- Precise fat removal techniques: Using advanced liposuction methods to target excess fat evenly, reducing the chance of contour irregularities while preserving surrounding tissues.
- Attention to skin contraction: Incorporating strategies to support natural skin retraction post-fat removal, particularly for patients with moderate elasticity, to promote smoother adaptation.
- Minimal microincisions for discretion: Placing small (2-3mm), concealed entry points to access the area effectively, minimising visible marks and aiding quicker healing.
- Personalised plans based on anatomy: Tailoring the procedure to your unique neck structure and concerns, assessed through detailed examinations, rather than a standard method.
- Comprehensive patient care: Offering end-to-end support, from in-depth consultations and pre-op planning to attentive follow-ups, ensuring your wellbeing remains central throughout.
Further information
For double chin surgery and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Schedule a Consultation
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
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