We treat the fat under the chin and the loose skin over it in the same session with T-Shape 2, so the jawline sharpens without needles, incisions or anesthesia.
Upload a photo and preview how treatments at Ortho-Rejuv could look on you. Powered by Aesthetic Record’s Ageless AI.
See Your PotentialA double chin, also called submental fullness, is a pocket of fat that settles below the chin and softens the line between jaw and neck. It shows up at a healthy weight too, which is why diet and exercise often leave it untouched.
In most patients two things happen at once: there is extra fat, and the skin over it has started to loosen. Treating only one of them leaves the other behind, so we look at both before recommending anything.
Some people inherit a tendency to store fat under the chin, even when the rest of the body is lean.
Fullness under the chin can be part of overall weight gain, and it is often the last area to change.
As collagen declines, skin under the jaw loses elasticity and starts to sag over the fat beneath it.
A shorter jaw or lower neck angle can make a small amount of fat look fuller than it is.

T-Shape 2 works fat reduction and skin tightening into one treatment. Your provider guides the handpiece over the chin, jawline and neck while four technologies run together.
Targets localized fat cells under the chin and supports lymphatic drainage.
Gently heats deeper skin layers to stimulate collagen and firm the jaw and neck.
Controlled suction lifts and kneads the tissue to support contouring.
Rolling spheres massage the area to smooth and tone the skin surface.
Most double chin treatments either remove fat or tighten skin. This table shows how each common approach handles both, so you can weigh them before your consultation.
| Option | How it works | Needles or incisions | Tightens loose skin | At our office |
|---|---|---|---|---|
| T-Shape 2 | Laser targets fat while radiofrequency builds collagen | None | Yes | Yes, our double chin treatment |
| Fat-dissolving injections | An injected compound breaks down fat cells | A series of injections | No | Not offered |
| Neck liposuction | Fat is suctioned out through small incisions | Incisions and anesthesia | Not on its own | Not offered |
| Chin filler | Adds volume to balance a small chin; removes no fat | Injections | No | For jaw balance, discussed at consultation |
Resurfacing lasers improve the skin surface but do not remove fat, so we do not use them for a double chin.
If the fullness is part of overall weight gain, we may suggest our physician-guided medical weight loss program first, then contour what remains.
If loose neck skin is the main concern rather than fat, your provider may add a collagen-building treatment such as NeoGen Plasma Resurfacing.

Every double chin plan starts with a clinical assessment, which is required before T-Shape 2. From there the steps are simple and the sessions fit into a workday.
Your provider checks whether the fullness is mostly fat, loose skin or both, and reviews your health history.
Free consultationWe recommend a number of sessions and, when it helps, weight loss support, with realistic goals for your anatomy.
Tailored seriesYou feel gentle warmth and a comfortable suction massage. Adding lymphatic drainage with the T-Shape handpiece extends the visit.
About 60 to 90 minutesMild redness or warmth usually fades within a few hours. Hydration, sun protection and maintenance sessions help results last.
Back to your day
Dr. Natalie Mesnier founded our Portland medical spa. Her background is in aesthetic medicine, with certifications in advanced procedures including PRP and neuromodulators.
Our team of certified advanced estheticians and medical staff provides our body and face contouring treatments, including T-Shape 2 for the chin and jawline.
We are direct about what each treatment can and cannot do. If weight loss support or a different approach would serve you better than contouring, you will hear that at your assessment.
The cost of double chin treatment depends on how many T-Shape 2 sessions your series needs and whether weight loss support is part of your plan. Every plan is priced individually, and you receive an exact quote at your consultation before any treatment begins.
T-Shape 2 also treats the face, décolleté and body, and NeoGen Plasma Resurfacing can firm skin on the neck. Your provider can combine them into one plan.
The cost depends on how many T-Shape 2 sessions your plan needs and whether weight loss support is part of it. Multi-session packages are available, and a package includes one complimentary lymphatic drainage session. You get an exact quote at your free consultation before any treatment, and monthly payments are available through Cherry.
Fat-dissolving injections break down fat cells under the chin, but they do not tighten the skin over it. Our office treats the double chin with T-Shape 2, which targets fat and firms skin in the same session without needles. If your provider feels a different approach would serve you better, you will hear that at your assessment.
Results come from a series of sessions rather than a single visit. Your provider recommends a number after checking how much of the fullness is fat and how much is loose skin. Maintenance sessions afterward help keep the contour.
Most patients describe it as a warm massage with gentle suction. There are no needles, incisions or anesthesia. Mild redness or warmth usually fades within a few hours.
Results can last from several months to over a year, depending on age, skin quality and lifestyle. Keeping a stable weight and booking maintenance sessions helps them last longer.
No. Fillers add volume and resurfacing lasers improve the skin surface, and neither removes fat. Chin filler can improve jaw balance for some patients, but it is not a fat reduction treatment.
Find out whether your double chin is fat, loose skin or both, and leave with a plan built for your jawline.
5050 NE Hoyt St #626, Portland, OR 97213 · Providence Plaza, across the street from Providence Hospital

Venus is a Certified Advanced Esthetician, Certified Phlebotomy Technician, and pre-nursing student with a passion for medical aesthetics and patient-centered care. She is dedicated to helping clients achieve healthy, radiant skin through result-driven, customized treatments tailored to their unique needs. As a patient advocate at heart, Venus loves working with all skin types and creating long-term skincare plans that focus on both visible results and overall skin health.
Her favorite treatments include Aerolase, NeoGen, and microneedling, innovative treatment options that deliver real, transformative outcomes. Outside of the treatment room, Venus enjoys creating social media content, exploring new food spots, and spending time with friends and family

Certified Advanced Esthetician




Dr. Natalie Mesnier, the driving force behind Ortho-Rejuv Wellness and Aesthetics, stands at the forefront of aesthetic innovation. With a rich background in the aesthetic realm, she is notably skilled in anti-aging laser therapies, skin revitalization, and the meticulous use of injectables and fillers. Alongside her certifications in advanced aesthetic procedures, including PRP and neuromodulator applications, Dr. Mesnier’s mission is singular: to empower patients to experience and radiate their utmost beauty and confidence.