Fat-dissolve – no more double chin

A new fat-dissolving product is now available in Australia! It has been available previously in other countries, and is now available in Australia.

Dr Bullock was recently invited to attend the Australian launch of the product in Sydney and selected as one of only a few doctors in Australia and New Zealand approved to use the product.

Fat-dissolve is a revolutionary product, offering a permanent solution for removal of double chin fat.

We suggest that you first read our guide and then book in for a “Chin Chat” with Dr Bullock and permanently remove that stubborn double chin fat. No more hiding the neck with scarves, no more growing beards to hide that double chin and no more “selfies” taken from above!

Key things you need to know about fat-dissolving treatment 

1. Is treatment painful? – A little, but we ice the neck before injections to numb the skin. After injection the area can feel warm, like the feeling of sunburn. This is a temporary side effect which settles over the next hour.

2. Is it safe? – This treatment has a very high safety record. It is a non surgical treatment with an acceptable side effect profile.

3. Does this treatment permanently remove double chin fat? Yes – it permanently destroys double chin fat. Once the fat cells have been destroyed they will never return.

4. Am I guaranteed to see results? – 68.2% of patients noticed at least a 1 grade or more improvement in the fullness of their double chin area (see scale below) and 16% of patients noticed a 2 grade or more improvement in double chin fullness.

5. How many vials will I need to treat my double chin? – The average patient needs at least 2 vials injected into the double chin fat at each treatment.

6. How many treatments will I need? – We recommend at least 2 treatments of at least 2 vials to see results.

7. How much does treatment cost? – At Newcastle Cosmetic Medicine Centre the cost is $750 per vial, but a package of 2 treatments of 2 vials costs $2800. If 3 vials are needed, a package of 2 treatments of 3 vials costs $3900.

8. Will I see results straight away? – No, it takes up to 6 weeks to notice the effects. We treat patients at 6 week intervals. Most people notice the greatest change after their second treatment.

9. What are the main side effects of fat-dissolve treatment? – Expect swelling around the treatment area on the day. We like swelling because it means the treatment is working. In fact, please call us if it does not swell! Swelling means that the body is destroying the fat cells. This also means we recommend icing the skin and resting at home after treatment rather than going back to work.

How does fat-dissolving works to permanently remove double chin fat
Fat-dissolve is a product which contains deoxycholic acid, found naturally in the body, and helps absorb fat in food. It is injected into the fat in the double chin area and permanently destroys the fat cells by a process known as adipocytolysis. Once the fat cells have been destroyed they cannot store fat again. Imagine your fat cells are balloons and fat-dissolve is the dart. Injecting this product is like throwing a dart at fat cells. Once they have been popped they cannot be blown up again.

Which patients are best suited for fat-dissolving treatment?
The treatment guide below shows a grading scale for double chin fat, also known as ‘sub-mental fat’. It ranges from 0 (no localised sub-mental fat) to 4 (extreme submental convexity). The ideal patient would be someone who is a ‘2’ or ‘3’ on sub-mental scale, so someone with moderate to severe sub-mental fullness.


Who is not suitable for fat-dissolving treatment?
• If you have no sub-mental fat (‘0? on the scale above’) then this treatment is not suitable for you.
• If you have a lot of loose skin under the chin then fat-dissolving may not be effective.
• If you have an active infection of the skin under the chin then you cannot have treatment.
• If you are pregnant or breastfeeding you cannot have treatment

How is fat-dissolving injected?
To treat submental (chin) fat we place a non permanent template on the skin (see photo below) and apply water. This leaves small dots on the skin as a guide for where to inject. We then ice the area to reduce any pain and clean the skin with chlorhexidine before placing small injections into the submental (under chin) fat. The treatment requires approximately 20 small injections into the dots provided below.


How many treatments are needed?
We recommend at least 2 treatments in order to see results. These treatments are usually placed around 6 weeks apart.

What are the side effects of treatment?
The vast majority of side effects from treatment are mild and not permanent. Studies show that with each treatment side effects occur less frequently and to a lesser degree.
The most common side effect we see after treatment are as follows:

  • Swelling around the area injected – We expect to see swelling. It means the treatment is working!In fact, we say please call us if it does not swell. We recommend not going back to work on the day of treatment and using ice on the neck intermittently in the hours after treatment.
  • Temporary numbness under the chin. Approximately 50% of patients will feel this slight numbness after treatment, with symptoms wearing off after 30 days on average.Warmth and redness – 40% of patients will feel warmth or redness under the chin on the day of treatment.
  • Firmess under the chin – Studies show that 16% of patients will feel firmness or ‘induration’ under the skin after treatment. This is not a worrying symptom and resolves, on average, after 51 days according to studies.

Rarer side effects such as temporary problems with weak smile and facial muscles and trouble swallowing (2%) have been reported.

The risk of affecting the smile is due to the small chance of temporarily affecting the marginal branch of the facial nerve. The anatomy of the nerves in the face differs from person to person and in 2% of treatments a small branch of the facial nerve can be affected. This would present as a temporary problem with the smile muscle (see image below). The affected side would be more difficult to perform a full smile. The problem is temporary and the average time to resolve is 44 days.

How much does treatment cost?
At Newcastle Cosmetic Medicine Centre the cost is $750 per vial, but a package of 2 treatments of 2 vials costs $2800.
If 3 vials are needed, a package of 2 treatments of 3 vials costs $3900
We recommend at least 2 treatments, 6 weeks apart, for you to notice a difference.

Is treatment painful?
A number of small injections using tiny needles are made into the double chin area. It can feel like a sting when we inject. Prior to treatment we apply numbing gel to reduce the sting of the needle. Sometimes we use a small amount of local anaesthetic injected under the skin prior to treatment.

How effective is fat-dissolving treatment?
The website ‘Realself.com’ allows patients to give a thumbs up or thumbs down for the treatment. 88% of patients treated gave it a ‘thumbs up’.

Is fat-dissolving safe in pregnancy and breastfeeding?
We do not recommend treating this or any other injectable cosmetic in pregnancy or when breastfeeding.

When is fat-dissolving available in Australia?
It is available now at our clinic. Book a free consultation at Newcastle Cosmetic Medicine Centre with Dr David Bullock to see how fat-dissolving can permanently remove double chin fat.

How do I book an appointment?
Phone Lusia on 02 4929 7666 to book a “Chin Chat” with Dr Bullock.