Deoxycholic Acid To Reduce Double Chin

IIWAM – International Institute of Wellness & Aesthetic Medicine is a One-Stop Centre of Excellence in Wellness & Aesthetic Medicine that provides Education, an Online Library & Learning Portal, and Advanced Cosmetic Procedures. IIWAM is destined to be the Future of Aesthetic Medicine.

IIWAM Aesthetic Education (previously known as Aesthetic Academy Asia) provides evidence-based Aesthetic Medical courses with Dual International Certificates for Medical Doctors, Dentists, Nurses & Certified Aestheticians.

In a recent article, we spoke about the use of deoxycholic acid in overall body sculpting (Read the blog here- How To Use Deoxycholic Acid In Body Sculpting)

In today's article, we will help to educate you further as to how deoxycholic acid helps to reduce double chin.  

About deoxycholic acid

Deoxycholic acid which in simple layman terms is also known as deoxycholate and cholanoic acid is a secondary bile acid that is produced by the intestinal bacteria acting on primary bile acids secreted by the liver in a human body. In the digestive tract, deoxycholic acid breaks down the fat by destroying the cell membrane. Deoxycholic acid emulsifies fats to aid the overall intestinal absorption.

How deoxycholic acid works

When injected into the subcutaneous fat layers of the skin, deoxycholic acid tends to destroy the overall adipocytes or the fat cells present in the human body. The inflammatory tissue reaction then leads to a complete reduction of fat deposits with minimal scarring. The dissolved fat which is now cellular debris gets cleared into the lymphatic and circulatory systems by the specialized immunologic cells present in the human body. This happens gradually over the span of several weeks. As for deoxycholic acid, it follows the same path. It gets metabolized and broken down with time.

Deoxycholic acid administration procedure

To begin with, administration of deoxycholic acid injections to reduce double chin should be performed by a trained doctor with a sound understanding of overall physiology and adipose tissue anatomy.

The treatment area is first cleaned. A topical or local anesthetic agent is used to minimize the discomfort. An ink ‘tattoo grid’ can be applied to the area to be treated to guide the delivery of injections; this is removed with an alcohol-soaked swab after the cosmetic procedure is over.

Deoxycholic acid is then injected subcutaneously into the submental fat with the help of a 1-mL tuberculin syringe and a thin needle (usually around 30 G and 13 mm) over multiple sessions. Typically 3–5 mL of deoxycholic acid is injected per session divided into multiple pricks, and the dose per injection prick is close to 0.2–0.3 mL. This leads to the delivery of 30–50 mg of deoxycholic acid per session. It is generally advised to pinch the submental fat with a non-dominant hand so as to ensure the correct plane of injection. The depth of the prick has to be between 6 and 10 mm as the fat layers at times tend to be deep-seated.

After injection, the treated area should be gently massaged to help with the even distribution of deoxycholic acid, thus avoiding irregularities.

The following procedure often causes minor side effects such as pain, bruising, numbness, and tenderness or redness and swelling, but sometimes may also lead to induration or depression at the site of injection, dysphagia, nerve injury causing temporary numbness, or in some rare cases, even skin ulceration which will be cured with time.

 facial anatomy course online

About IIWAM training in administering deoxycholic acid

As always, the practitioner must undergo proper training in facial aesthetics to understand the procedure, the product, and the patient. Equally, he/she must know the benefits, risks, and counter-measures to correct complications. IIWAM also offers an Online Aesthetic Certification programme for Non-Surgical Body Sculpting, Advanced Dermal Filler Training (Restylane, Juvéderm, Teosyal, Bellotero), Advanced Botulinum Toxin Training (Botox, Dysport, Xeomin), Skin Booster Training (Restylane Skin Booster, Profhilo, Rejuran), Platelet Rich Plasma (PRP) Training, and Thread Lift Training (PDO, Aptos, Happy Lift).

At IIWAM, our trainers pay utmost attention to teaching the following subjects in double chin reduction procedure using deoxycholic acid under the latest facial anatomy course online

  • How does Deoxycholine work?

  • Deoxycholine administration procedure

  • What are Deoxycholine complications?

  • How to avoid Deoxycholine complications?

  • How to treat Deoxycholine complications?

About IIWAM Aesthetic Education

At IIWAM, we provide an International Aesthetic Certification program and Advanced Online Aesthetic Courses for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners in Aesthetic Medicine.

Our Institute is based in Malaysia and has international students from the Philippines, Myanmar, Cambodia, India, Indonesia, and other parts of Asia. With our “Be Certified, Be Recognized” insignia, we develop knowledgeable, skilled, and confident aesthetic practitioners of international repute. Our Aesthetic training focuses on teaching the principles of Aesthetic procedures before venturing into Aesthetic clinical skills. IIWAM training Programs are a combination of Onsite Training, LIVE Online Webinars, and Online Learning. IIWAM is the first Institute in the World to have its Programs assured by City & Guilds of London and certified by European International University. IIWAM is also a registered CPD Training provider with CPD Standards Office in the UK and by CPD Malaysian Medical Association.

Onboard is our Assoc. Prof Dr. Morthy, the lead trainer, medical director of the International Institute of Wellness & Aesthetic Medicine (IIWAM), formerly known as Aesthetic Academy Asia (

In the Aesthetic part of our Institute, we provide Advanced Aesthetic Medical Procedures that are Safe, Effective, and Affordable, offering a wide range of specialized treatments for All Your Aesthetic Needs.

(Also read about: Fat melting for facial jowls and double chin)