Double chin removal: Belkyra
An accumulation of fat under the chin, or double chin, can occur due to genetic predisposition, weight gain or sagging skin and often causes a less tight jawline. In addition, a double chin can cause the face to look fuller, sometimes making a person appear heavier than he or she actually is, even if they are a healthy weight. Many people experience it as distracting. At DokterEs , we offer treatment with Belkyra, an injectable that helps remove fat under the chin, without surgery.
On this page you can read about what the treatment entails, what to expect, and how we guide you before and after treatment.
Benefits of treatment at DokterEs:
- Personalized attention and effective, natural-looking results
- Applied exclusively by experienced and certified physicians
- Long-lasting results with minimal downtime.
before and after
Results before and after double chin treatment
This result was achieved with 2 treatments using 2 vials of Belkyra both times.
The results are permanent because fat cells are permanently removed. In addition to reducing the double chin, Belkyra also helps tighten the skin, contributing to a youthful and fresh appearance.

What is Belkyra?
Belkyra (also known as Kybella in some countries) is a medically registered product based on deoxycholic acid, a substance that occurs naturally in the body. This substance helps break down fat cells. During treatment, Belkyra is administered via several small injections into the area under the chin after local anesthesia. Belkyra is specifically designed to treat stubborn fat deposits under the chin, helping to create a tighter, defined jawline.
The fat cells that are broken down are naturally cleared by the body and do not return. Unlike surgical methods, no cutting or liposuction is required.
Common causes of a double chin
A double chin is usually caused by an accumulation of fat under the chin, also known as submental fat. This can have several causes, including genetic predisposition, aging where the skin loses its elasticity, or weight gain where fat accumulates in certain areas of the body. A double chin can also develop in people of a healthy weight due to heredity or decreased muscle tone in the jaw and neck region.
Solutions for double chin
Combination treatments
Bellkyra is the solution for reducing localized fat accumulation under the chin, but in addition, we can use other treatment, such as to further improve your profile and skin firmness. Consider:
- Hyaluronic acid fillers: improve projection and balance in your face, such as when tightening the jawline for more definition or in the chin for more projection.
- Sculptra: increases collagen in the skin, making it firmer and tighter. This can be applied to both the face and neck.
We are happy to review options together during a personal consultation and create a customized treatment plan that suits your personal needs and skin condition.
curious what we can do for you?
We are ready to advise and support you in achieving your skin goals. Feel free to contact us for a personal consultation and answers to all your questions.
The impact of your lifestyle
A healthy lifestyle plays an important role in the firmness and quality of your skin. Factors such as adequate sleep, exercise, healthy diet and stress reduction contribute to firm, fresh skin and help prevent premature skin aging.
As for fat under the chin, Belkyra removes fat cells permanently. The treated fat cells are broken down by the body and do not return. This means the results are permanent - it's really true that if you gain weight your double chin will also look heavier again.
How exactly does this work?
The number of fat cells removed by Belkyra remains gone, but the remaining fat cells in the treated area can "fill up" with fat again when weight is gained. This can cause the double chin to look fuller again, even though there are fewer fat cells than before. Once you lose weight again you will also lose this volume again in your double chin.
In short, fat loss through Belkyra is permanent, but maintaining tight results depends in part on a stable weight and healthy lifestyle.
Natural results and a fresh, healthy look
With Belkyra, we offer a quick, safe and highly effective solution when you are bothered by localized fatty deposits under the chin. Especially when you have already tried everything from diet to extensive exercise routines, Belkyra offers a solution for this last, hard-to-reduce fat accumulation. And that's without surgery and a relatively short downtime!"
Esther de Vries - COSMETIC DOCTOR KNMG
What does a double chin treatment with Belkyra look like?
We are happy to explain step by step how a Belkyra treatment is performed by our experienced cosmetic doctors at DokterEs
During the initial consultation, we will discuss in detail your needs, any skin concerns and questions. We perform a full skin analysis with our special 3D scan, in order to properly assess your skin condition.
Based on the consultation, the cosmetic doctor will create a fully personalized treatment plan for you. Belkyra is suitable for men and women who suffer from a double chin due to localized fat accumulation. It is not a solution for sagging skin or a neck elevator. During the consultation, we will discuss whether Belkyra is the right treatment for your needs and if so, how many treatments are needed for you to achieve the desired results.
Every skin is unique. We create a personalized treatment plan tailored to your needs. When we begin Belkyra treatment, an anesthetic is first applied to the area to be treated. Then the Belkyra solution is injected into the double chin. The treatment takes about 30 minutes and is virtually painless thanks to the pretreatment with local anesthesia.
The number of treatment sessions varies from person to person; usually 2 to 4 treatments are required at 4 to 6 week intervals.
Of course, all aftercare recommendations are shared with you in detail during the consultation. Sometimes a follow-up checkup is desired, this will also be scheduled with you.
After treatment, swelling and sometimes sensitivity may occur, which disappears on its own within a few days to weeks. No long recovery period is required, allowing you to quickly return to your daily activities.
Frequently Asked Questions
We understand that you may still have questions. Feel free to call us or read below the questions we regularly receive regarding treatments for dull skin.
Belkyra is an injectable treatment designed to permanently reduce fatty deposits under the chin (called double chin). The active ingredient is deoxycholinic acid, a body's own substance that breaks down fat cells.
On average, 2 to 4 treatments are required for visible results, with an interval of about 4 to 6 weeks. The number of sessions depends on the amount of submental fat and your desired results.
The results achieved are permanent, as the fat cells that have been broken down do not return.
Treatment with deoxycholinic acid can be perceived as sensitive. However, we numb the treatment area locally first, so you will experience virtually no pain and the treatment will be more pleasant.
No, in most cases the skin will not sag after Belkyra treatment. Belkyra breaks down fat cells, and the body naturally disposes of them. Instead, some tightening is often seen after the treatment due to a reaction of the tissue to the deoxycholic acid.
If sagging skin or loss of elasticity is an issue, we will work together to see if Belkyra is the right choice or if a combination treatment is more appropriate for optimal results.
Belkyra is a safe treatment when performed by an experienced physician. We list the possible side effects or concerns after treatment for you:
- Temporary swelling, bruising or sensitivity may sometimes occur, but will subside after a few days to weeks
- Several sessions may be required for the desired end result
- Not suitable for reducing sagging of the neck
- A very rare risk is skin necrosis (damage to skin tissue), when the product accidentally enters the skin.
- Another rare risk is temporary nerve damage, such as when injecting outside the safe treatment area.
Fortunately, these complications are extremely rare and are prevented by an experienced practitioner who knows the anatomy well and works with the proper injection technique. At DokterEs , treatment is performed only by doctors with the proper expertise and training in Belkyra.
Before and after results
This result was achieved with 3 treatments using 2 vials of Belkyra.
The results are permanent because fat cells are permanently removed. In addition to reducing the double chin, Belkyra also helps tighten the skin, contributing to a youthful and fresh appearance.

Why choose DokterEs in Eindhoven?
At DokterEs , we combine high expertise, personal attention, and extensive consideration for our clients. What sets us apart:
- Experienced professionals: professionals with more than 10 years of experience in skin improvement treatments.
- Excellent Google reviews:On average, we score 5/5 stars based on more than 100 reviews.
- Personalized treatment plan: We truly take the time to create a fully customized plan that meets your personal needs.
- Safe and reliable: use scientifically proven safe and effective products in a professional environment where honesty and transparency are paramount.
- Modern clinic: A luxurious, soothing environment where you'll feel right at home.
- Overall concept:We offer a total concept of skin improvement by qualified doctors and skin therapists, so that we can tailor your treatment plan completely to your needs. This is how we help you age confidently and maintain your timeless beauty.
- DokterEs has been around since 2017 and has become a reputable clinic with an excellent reputation for safe and expert skin improvement.