A double chin is the most common cause of a blurred jawline — sagging skin between the chin and neck creates a ‘second chin,’ the jawline is no longer defined, and the face and neck merge into one, with the chin profile disappearing from the side. Double chin causes: (1) Fat accumulation — submental fat collecting, forming a visible double chin. (2) Skin laxity — age-related or post-weight-loss skin elasticity decline, skin sagging into a double chin. (3) Skeletal structure — chin retrusion or short mandible causing naturally blurred jawline. (4) Mixed type — fat + skin laxity + skeletal retrusion. For skin laxity-dominant double chins, Onda microwave lipolysis only reduces fat but cannot tighten skin — APTOS thread lift physically pulls lax skin upward, redefining the jawline. Rappoel Dermatology near Gangnam Station, Seoul, uses APTOS bidirectional cog threads — placed in the subcutaneous layer, the cogs physically lift sagging skin, 40 non-surgical minutes to improve double chin.
Technical Advantages of APTOS Double Chin Thread Lift
- Bidirectional cog thread physical lifting: APTOS bidirectional cog threads have barbs on both sides — after placement in the subcutaneous layer, the cogs grip subcutaneous tissue (SMAS and subcutaneous fat layers), and the thread tension lifts sagging chin skin upward. The lifting force is evenly distributed along the entire thread, avoiding unnatural single-point pulling
- Simultaneous collagen neogenesis stimulation: APTOS threads are PDO (polydioxanone) or PLA (polylactic acid) — after placement, they stimulate fibrous tissue encapsulation, forming new collagen bands along the thread path over 3-6 months. After thread absorption (PDO 6-9 months, PLA 12-18 months), the collagen bands continue maintaining the lifting effect
- Instant lift + progressive improvement: Physical lifting is immediate after thread placement — jawline clarity is visible during the procedure. After 2-4 weeks as mild swelling subsides, results improve further; at 3-6 months with collagen neogenesis, results optimize
- Non-surgical, minimally invasive: Only 2-3 needle entry points (1-2 per side), no surgical incision — short recovery (3-7 days mild swelling), no impact on daily life. Compared to surgical chin lift (neck lift surgery), risk and recovery time are greatly reduced
- Combines with lipolysis: For mixed-type double chins (fat + skin laxity) — Onda microwave lipolysis first to reduce fat volume, then APTOS thread lift 4-6 weeks later to tighten skin — lipolysis provides volume reduction, thread lift provides skin tightening, dual improvement
Treatment Strategies for Different Double Chin Types
- Skin laxity type (thread lift first choice): Minimal fat but clearly sagging skin forming a double chin. Strategy: APTOS thread lift, 2-3 threads per side — lifting from chin sides upward to pre-auricular area, restoring jawline clarity. Best results
- Fat type (lipolysis first choice): Obvious submental fat accumulation, adequate skin elasticity. Strategy: Onda microwave lipolysis to reduce fat (10-15 min per side) — skin naturally contracts after lipolysis. If skin elasticity is insufficient, add thread lift 4-6 weeks later
- Mixed type (fat + laxity): Fat accumulation and skin laxity coexisting. Strategy: Onda microwave lipolysis first to reduce fat → APTOS thread lift 4-6 weeks later to tighten skin — dual improvement, best results
- Skeletal retrusion type: Short, retruded chin, naturally blurred jawline. Strategy: HA chin filler to elongate the chin (1-2ml) + APTOS thread lift to lift sagging skin — filler provides skeletal support, thread lift lifts lax skin
- Severe laxity type: Post-massive-weight-loss severe skin laxity, ‘turkey neck.’ Strategy: APTOS thread lift can improve moderate laxity; severe laxity may need surgery (neck lift). In-person assessment recommended
Rappoel Double Chin Thread Lift Treatment Protocol
- Double chin assessment and plan design (10 min): Frontal and side assessment of double chin cause — skin laxity, fat volume, skeletal structure → pinch submental skin to assess elasticity → photograph → establish thread lift plan (thread type, count, lifting direction)
- Cleansing and anesthesia (15 min): Facial makeup removal → alcohol swab disinfection → topical lidocaine cream for 15 minutes → local infiltration anesthesia at entry points with small lidocaine injection
- Thread placement (15-20 min): Create 1-2 needle entry points on each side of the submental area → use guide needle to advance along the subcutaneous layer (above SMAS) from submental to pre-auricular direction → thread APTOS bidirectional cog through the guide → withdraw guide, leaving thread in subcutaneous layer → 2-3 threads per side → gently pull to adjust lifting tension → trim excess thread → entry points need no suturing
- Immediate assessment and shaping (5 min): Patient checks frontal and side jawline improvement → check symmetry → gentle pressing to shape → apply repair cream at entry points
- Post-care instructions (5 min): Precautions (avoid lying flat for 24 hours, avoid wide mouth opening and strenuous exercise for 48 hours, avoid high-heat and facial massage for 1 week, avoid face-down and side-sleeping for 1 month, avoid rubbing the submental area) → 2-week follow-up
The double chin thread lift takes about 40 minutes, with immediate jawline clarity, continued improvement over 3-6 months, lasting 12-18 months. Located 3 minutes from Gangnam Station Exit 10, with seamless English and Chinese consultation.
Frequently Asked Questions
How long do APTOS double chin thread lift results last? Will the effect disappear after thread absorption?
APTOS thread lift double chin results last 12-18 months — thread placement has two phases: (1) Physical lifting phase (0-6 months): thread cogs physically grip subcutaneous tissue, providing immediate lifting force. PDO threads absorb in 6-9 months, PLA in 12-18 months. (2) Collagen maintenance phase (3-18 months): threads stimulate fibrous tissue encapsulation and collagen neogenesis — forming new collagen bands along the thread path. After thread absorption, the collagen bands continue maintaining the lifting effect, but force gradually diminishes. Rappoel recommends: assessment at 12-15 months; if lifting noticeably decreases, supplement with additional threads. Regular supplementation maintains stable jawline clarity. Those with good skin elasticity have longer-lasting results.
What is the difference between double chin thread lift and Onda lipolysis? Which should I choose?
They solve different problems: (1) APTOS thread lift — improves skin laxity, physically lifting and tightening sagging skin. Suitable for: skin laxity-dominant double chin (minimal fat but sagging skin). Effect: jawline clarity restored, skin tightened. Lasts 12-18 months. (2) Onda microwave lipolysis — reduces fat accumulation through microwave heating destroying fat cells. Suitable for: fat-dominant double chin (adequate skin elasticity). Effect: submental fat reduced, volume decreased. Long-lasting (fat cells reduced). Rappoel recommends: (1) Pure skin laxity → thread lift. (2) Pure fat → Onda lipolysis. (3) Fat + skin laxity → Onda lipolysis first to reduce fat, thread lift 4-6 weeks later to tighten skin — best dual improvement. The physician assesses the fat-to-skin-laxity ratio during consultation.
Will thread lift cause thread exposure or unevenness?
With proper technique, thread exposure won’t occur — Rappoel’s preventive measures: (1) Placement depth — APTOS threads are placed in the subcutaneous layer (above SMAS), about 3-5mm deep, covered by subcutaneous fat and skin. (2) Thread choice — APTOS bidirectional cog threads are flexible, resist breakage or skin penetration. (3) Entry point management — entry needle holes are 1-2mm, no suturing needed, naturally closing in 1-2 days. Occasional issues and management: (1) Mild unevenness — slight irregularity 1-2 weeks post-treatment, smoothing as swelling subsides and collagen forms. (2) Thread micro-protrusion — very rare, usually from too-shallow placement, adjustable through gentle pressing or removal. (3) Pulling sensation — some feel mild submental pulling when opening mouth, naturally adapting in 2-4 weeks. Rappoel follows up at 2 weeks to check thread position and skin condition.
How long is the double chin thread lift recovery? What are the side effects?
APTOS thread lift double chin recovery is short — timeline: (1) Days 1-3: mild local submental swelling, slightly red entry points — ice compresses help. (2) Days 3-7: swelling gradually subsides, mild bruising may occur (in some). (3) Weeks 1-2: most swelling resolves, jawline clarity emerges. (4) Weeks 2-4: fully natural, results stable. Common side effects: (1) Swelling — almost universal, mild to moderate, resolving in 3-7 days. (2) Bruising — about 30% of patients, resolving in 5-10 days. (3) Pulling sensation — mild submental pulling when opening mouth or turning head, adapting in 2-4 weeks. (4) Mild asymmetry — some have initial mild asymmetry, resolving as swelling subsides. Rare risks: infection, thread rejection, nerve injury — extremely rare with proper technique.
Who is a good candidate for double chin thread lift? Who is not suitable?
Good candidates: (1) Skin laxity-dominant double chin — minimal fat but sagging skin, best results. (2) Ages 30-60 with adequate skin elasticity — good collagen neogenesis capacity. (3) Post-weight-loss submental skin laxity — physical lifting restores jawline. (4) Those preferring non-surgical improvement. (5) Those who had Onda lipolysis but skin didn’t contract — thread lift supplements tightening. Not suitable: (1) Severe fat-dominant double chin (good skin elasticity) — recommend Onda lipolysis first. (2) Severe skin laxity (turkey neck) — thread lift has limited effect, surgery needed. (3) Active infection or skin disease on submental skin. (4) Pregnant or breastfeeding women. (5) Coagulation disorders or on anticoagulants. (6) Severe diabetes or immunocompromise — affecting collagen neogenesis. (7) Allergy to thread material. Rappoel recommends an in-person assessment first.
Double chin blurring your jawline? Rappoel APTOS thread lift — 40 minutes non-surgical to redefine the jawline!
📍 77, Seocho-daero, Seocho-gu, Seoul, South Korea
🕐 Mon–Fri 10:00–19:00 · Sat 10:00–17:00
💬 WeChat Main: rappoelkr | WeChat Backup: rappoelkr2 | LINE: rappoelkr
Scan to connect with us
WeChat (Main)
WeChat (Backup)
LINE