Thick Neck / Submental Fullness in Toronto & Markham: Treating a Thick Neck
Belkyra Belkyra® Fat Dissolution · CoolSculpting · Ultherapy® / BTL Exilis Skin Tightening · Specialist Jawline & Neck Contouring for Asian Faces · Led by Dr. Dan Xu, M.D., CCFP
Quick Answer
Submental fullness — commonly called a thick neck or double chin — is excess fat and tissue beneath the chin that can blunt the jawline regardless of overall body weight. Non-surgical options include Kybella (deoxycholic acid injections, Health Canada–licensed) and energy-based devices such as Ultherapy or RF treatments, suited for adults bothered by this concern. Each option works by targeting and reducing submental fat or tightening overlying skin. At ID Cosmetic Clinic in Markham and Toronto, these treatments are personally performed by physician Dr. Dan Xu, M.D., CCFP. Most protocols involve two to four sessions spaced four to eight weeks apart, with gradual visible improvement over several months.
View Contents (14)
What Is a Thick Neck / Neck Fullness — and Why Is It Not Simply About Weight?
A thick neck — also described as submental fullness or neck heaviness — is not a single clinical diagnosis, but ratherA visible presentation resulting from multiple overlapping tissue changes —— This category includes submental fat accumulation, platysma laxity or thickening, reduced skin elasticity, a double chin, and a blurred jawline. Many patients with a normal or even low BMI are bothered by a thick-looking neck — not because of overall body fat, but because of the underlying neck structure itself.
Why can slim people still have a thick-looking neck?
The submental fat pad hasGenetically independent distribution,This has nothing to do with overall body fat. Even with a normal BMI, this localized fat pad can protrude and create a double chin.
Why Doesn’t Dieting Work for This?
Neck fat is minimally responsive to diet and exercise, andPlatysma laxity and reduced skin elasticityThis will not improve with weight loss — in fact, losing weight may make laxity more noticeable.
Why do Asian faces tend to look thicker in the neck area?
Asian facial anatomy typically features a relatively short and wide mandible, reduced chin projection, and fuller soft tissue — all of which can blur the transition between the jawline and neck when viewed from the front, creating the appearance of a shorter, thicker neck even without excess fat.
Why Is Subtype Classification Essential First?
Neck fullness can be categorized into at least 4 subtypes — fatty, platysmal, lax, and mixed —Each condition requires entirely different treatment modalities。Administering Belkyra® without proper subtyping is not only ineffective for the platysmal subtype — it can actually worsen skin laxity.
Clinical note:Many clients arrive saying, “I want Belkyra® for fat dissolving” — yet on physical examination, the real issue turns out to be platysmal banding combined with skin laxity, not excess fat. Dr. Xu’s protocolThe first step is physical palpation for subtype classification combined with a dynamic smile assessment.,rather than prescribing treatment directly.
The 5 Main Causes of Neck Fullness — It Is Not Just About Weight
Neck fullness caused purely by excess body fat is clinically referred to as “general adiposity-type neck thickness.” Most clients who present at the clinic haveMultiple contributing factors。
1. Genetically determined submental fat distribution
Submental fat pad This is a relatively self-contained fat deposit that is strongly influenced by genetics. Those with a family history will show noticeable fullness even when slender. This is the gold-standard indication for Belkyra®.
2. Platysmal laxity / banding
The platysma is a thin sheet of muscle covering the front of the neck. After age 30, it gradually loosens and, when you smile or look down, forms two vertical raised cords known as platysmal banding — making the neck appear wider from the front.
3. Reduced skin elasticity + photoaging
The skin on the neck is only about 60% as thick as facial skin, with lower collagen density and greater cumulative UVA damage — which is why laxity and necklace lines appear earlier here than on the face. This is why the neck so often “ages faster than the face.”
4. Mandibular bone structure + chin retrusion
Asian faces tend to have a less projected chin and a rounder jaw angle, meaning the boundary between the jawline and neck lacks sharp definition when viewed from the front — even without any excess fat. Patients with this bone structure need chin augmentation, not fat reduction.
5. Weight fluctuation + age-related changes
Patients with a history of repeated weight loss and regain may retain neck fat while losing supportive tissue integrity and skin elasticity — resulting in a combined fat-plus-laxity presentation that requires a staged treatment approach.
4 jaw-neck conditions commonly mistaken for a thick neck — key differential diagnosis points
Misclassification leads to the wrong treatment. The table below outlines the 4 most common differential diagnoses seen in Dr. Xu’s practice.
Double Chin / Submental Fat
Submental Fullness| Key ingredient | Submental fat pad |
|---|---|
| Physical examination / palpation | Pinch test Positive — can be pinched |
| Dynamic changes | More prominent when looking down |
| Weight-related | Partially related |
| First-line treatment | Belkyra / CoolSculpting Mini |
Platysmal Banding
Platysmal Bands| Key ingredient | Platysma laxity + banding |
|---|---|
| Physical examination / palpation | Pinch test Negative — minimal fat layer |
| Dynamic changes | Bands more prominent when smiling or pursing the lips |
| Weight-related | Not related |
| First-line treatment | Micro-Droplet Botox® + Ultherapy® |
Blurred Jawline
Jawline Contour Loss| Key ingredient | Chin retrusion / loss of mandibular support |
|---|---|
| Physical examination / palpation | Indistinct bony landmarks along the jawline |
| Dynamic changes | Appears thick from both the front and side |
| Weight-related | Not related |
| First-line treatment | Chin / jawline filler + tightening |
Neck skin laxity + horizontal neck lines
Neck Skin Laxity / Necklace Lines| Key ingredient | Reduced skin elasticity + horizontal neck lines |
|---|---|
| Physical examination / palpation | Slow skin recoil when pinched |
| Dynamic changes | Lines deepen when tilting the head back |
| Weight-related | Not weight-related; age-dominant |
| First-line treatment | Ultherapy + Sofwave + BTL Exilis |
⚠️ Caution:In our clinic, approximately 40% of patients who come in requesting Belkyra® are reclassified after physical examination as platysma-dominant or skin-laxity-dominant types. For these patients, Belkyra® would provide no improvement — and by reducing fat volume, it could actually make laxity more visible. Inaccurate diagnosis → treatment failure → repeated visits: this cycle is the single greatest frustration in jaw-neck aesthetics.
Why Must Jaw-and-Neck Treatment for Asian Faces Follow an Asian Structural Specialty Protocol?
Common blind spots at mainstream North American clinics
North American Belkyra® / CoolSculpting / Ultherapy® protocol parameters are primarily based onCaucasian facial structure —— longer mandibles, more prominent chin projection, and longer necks — applying these standards directly to Asian faces creates the following problems:
- ✗ Excessive fat dissolution —— Because Asian faces naturally have fuller soft tissue, over-dissolving fat can result in prominent cheekbones and a hollow, aged appearance.
- ✗ Overlooking chin deficiency —— Asian clients typically have lower chin projection — fat reduction alone, without chin augmentation, will not produce a defined jawline
- ✗ Variations in mandibular border vascular and nerve anatomy —— Injection sites must be adjusted; otherwise the risk of marginal mandibular nerve numbness increases
- ✗ Short neck structure —— Asian necks are relatively short — over-tightening may create a stiff or restricted appearance
Dr. Xu’s specialized Asian structural adjustments
| Parameters | North American standard | Asian adjustment |
|---|---|---|
| Belkyra Dose per session | 4-6 mL | 2-4 mL sessions |
| Injection depth | deeper | Shallower injection depth + avoiding the marginal mandibular nerve |
| Required assessment item | Physical examination / palpation | Palpation assessment + dynamic smile analysis + chin projection evaluation |
| Combination therapy | Single device | Fat dissolution + skin tightening + chin augmentation when indicated |
| goal | Fat reduction only | Restoring jawline definition and jaw-to-neck boundary |
Key differences:Dr. Xu has spent 8 years focusing exclusively on Asian faces at her Toronto / Markham clinic, where over 90% of clients are of Asian descent. Our jaw-and-neck protocol draws fromKorean aesthetic surgery and aestheticsapproach — the goal is not how much fat is removed, but ratherRestoring the jawline and refining the jaw-to-neck transition,This is the aesthetic outcome that Asian faces truly need.
6 Treatment Options for Neck Fullness — Selected by Subtype
There is no single “miracle” solution for a thick neck. Based on physical examination subtyping and dynamic assessment, we design a combination approach using the devices and therapies outlined below.
Belkyra(Kybella)Neck fat-dissolving injections
Health Canada the only registeredSubmental fat-dissolving injectable。Deoxycholic acid permanently destroys fat cell membranes, eliminating the fat deposit in the treated area. Best suited for clients with well-defined submental fat and good skin elasticity. All injections are performed personally by Dr. Xu.
CoolSculpting Mini Cryolipolysis
A non-invasive cryotechnology that selectively freezes fat cells, triggering natural apoptosis and metabolic clearance. Suitable forExtensive submental fat + lateral neck fat + needle aversionclients. Results typically become visible within 8–12 weeks.
Platysmal Microtox
Multiple micro-droplet injections along the superficial platysmal bands relax the raised cords, smooth the neck’s taut, rope-like appearance, and lift the jawline definition. Results last 4–6 months.
Ultherapy Ultherapy® neck
Focused ultrasound energy reaches the SMAS layer to stimulate collagen remodeling and tighten lax tissue.FDA the only certified non-invasive device indicated for neck laxity。1 sessions, with results lasting 12–18 months.
BTL Exilis Radiofrequency tightening
Dual-energy radiofrequency and ultrasound gently heat the dermis to stimulate collagen regeneration. Suitable forAdjunct tightening and maintenance phase for all subtypes,Minimal downtime required — can serve as a consolidating step within an overall treatment protocol.
Chin / Jawline Hyaluronic Acid Filler
targetingChin retrusion / undefined jawlineAsian faces, augmenting chin projection and structurally redefining the jaw-to-neck boundary. All injectable treatments are performed personally by Dr. Xu.
Dr. Xu’s 6-Step Standard Protocol for Neck Contouring
Consultation + physical subtype classification + dynamic assessment
30 minute complimentary consultation. Includes palpation assessment, pinch test, dynamic smile analysis, chin projection evaluation, and neck skin elasticity testing.No treatment prescribed or device activated without subtype classification。
Staged treatment plan development
Most clients present with a mixed-type concern. Dr. Xu designs a 6–12 month timeline following a three-phase approach — volume reduction → tightening → maintenance — to avoid over-treating at any single visit.
Phase 1: Volume Reduction (fat / platysma)
Belkyra or CoolSculpting for fat reduction; patients with platysmal banding begin Microtox injections. After each session: cold compress and compression band for 24 hours.
Phase Two: Tightening & Remodeling
Ultherapy one full-neck session, supplemented by 4–6 sessions of BTL Exilis. This is the most critical step for Asian clients — skin tightening must follow fat reduction; without it, laxity can become more apparent.
Assessment Phase (12 weeks after primary treatment completion)
Frontal and lateral comparison with repeat palpation assessment. At this stage we determine whether a second round of fat dissolution is needed, whether chin filler augmentation is indicated, or whether to proceed directly into the maintenance phase.
Maintenance Phase (every 4–6 months)
BTL Exilis Maintenance every quarter, neurotoxin every 4–6 months, Ultherapy® every 12–18 months. Jawline and neck contouring requires ongoing management — it is not a one-time fix.
「The most common reason jaw-neck treatments fail is not the device — it’sTreating every concern as a fat problem to dissolve。Fat, muscle, and skin are three fundamentally different tissues — and they each require a completely different tool.” — Dr. Dan Xu, M.D., CCFP
Treatment Timeline — How Soon Will You See Results?
| subtype classification | Primary treatment cycle | Initial results visible | Significant improvement | Maintenance cycle |
|---|---|---|---|---|
| Submental fat type | Belkyra 2-4 session | 6 weeks after the 1st session | After the 2nd–3rd session | Long-lasting results as long as weight remains stable |
| Platysmal banding subtype | 1 Botox® session + tightening | 2 week | 4-6 week | Every 4–6 months |
| Skin laxity type | Ultherapy 1 sessions + 6 Exilis sessions | 3 months | 6 months | Every 12–18 months |
| Mixed subtype | Staged over 6–12 months | Month 2 | Month 6–8 | Quarterly maintenance |
Clinical Note:The jaw-neck area is where Asian patients are most tempted to rush results — but aggressive fat reduction in a single session can cause sudden-onset laxity and make the lower third of the face look older. Dr. Xu recommendsSmall doses per session + simultaneous skin tightening,Over the long term, results appear more natural and remain more stable.
Are You a Candidate for Neck Contouring? A 2-Minute Self-Assessment
✅ Appropriate to begin assessment
- ✓ Submental fat or double chin concern present for over 1 year
- ✓ Weight stable for 6+ months (BMI 18–30)
- ✓ Raised muscle cords visible in the neck when smiling
- ✓ Blurred jawline visible in frontal photos
- ✓ Neck appearance unchanged despite dieting or exercise
- ✓ Willingness to undergo multiple staged treatment sessions
❌ Treatment should be deferred or other concerns addressed first
- ✗ Currently experiencing significant weight fluctuation (actively losing or gaining weight)
- ✗ Pregnancy or breastfeeding
- ✗ Active skin inflammation or infection of the neck
- ✗ Current use of blood-thinning medications without discontinuation (injectable treatments require individual assessment)
- ✗ Expecting a single session to permanently slim the chin (unrealistic expectation)
- ✗ BMI > 32 Weight loss recommended before reassessment
- ✗ Severe keloid tendency not yet assessed
- ✗ Neck fullness caused by thyroid conditions must be addressed medically before any aesthetic treatment
ID Medical Aesthetic Jaw-and-Neck Protocol vs. Standard MedSpa
- ✗ Selling Belkyra® packages without performing a physical examination or dynamic assessment
- ✗ Treating all neck concerns as a fat problem
- ✗ Single high-dose treatment aimed at immediate visible results
- ✗ Injections performed by RN / Aesthetician
- ✗ Failing to assess chin projection or mandibular structure
- ✗ Skipping a tightening step → skin becomes laxer after fat reduction
- ✗”> No maintenance plan following treatment
- ✓ Three essential steps: physical palpation, dynamic assessment, and chin projection analysis
- ✓ 4 Each subtype is diagnosed independently, with a dedicated treatment modality
- ✓ Divided small-dose injections + staged treatment plan
- ✓ Belkyra / All neurotoxin and filler injections performed personally by Dr. Dan Xu
- ✓ Chin and/or jawline filler combined as needed for structural recontouring
- ✓ Fat reduction paired with simultaneous tightening to prevent worsening laxity
- ✓ Long-term maintenance phase includes BTL Exilis and quarterly reassessment
「I have seen far too many clients in Markham who were sold high-dose Belkyra® sessions — only to look older afterward because the skin could not contract adequately. Jawline and neck contouring is not about dissolving as much fat as possible; it is aboutHow much to dissolve + how much to tighten + how much to restorea precise, individualized combination.” — Dr. Dan Xu
Dr. Dan Xu — one of the few fully credentialed physicians in Toronto specializing in Asian jawline and neck contouring
Dr. Dan Xu (M.D., CCFP)She holds an M.D. and a family medicine specialty certification (CCFP), and is a CPSO-registered physician. In 2017, she founded ID Cosmetic Clinic in Markham, Toronto, where she has dedicated her practice to facial contouring and age management for Asian faces.
Dr. Xu is Allergan / Juvéderm North America Official Trainer、Cynosure Canada KOL、《Timeless Asian Beauty Author of Timeless Asian Beauty. She introduced the staged jaw-and-neck rejuvenation framework from Korean aesthetic medicine to Canada, serving Chinese and Asian communities across Toronto, Markham, Richmond Hill, North York, Vaughan, and Scarborough.
Qualifications · Training · Certifications
- ✓ M.D. Canadian M.D.
- ✓ CCFP CCFP — Certification in Family Medicine
- ✓ CPSO Ontario medical license (CPSO)
- ✓ Allergan / Juvéderm North America Official Trainer
- ✓ Belkyra(Kybella)Advanced injection certification
- ✓ Cynosure Canada KOL
- ✓ Ultherapy / Sofwave / Fotona Advanced Certified Operator
- ✓ 《Timeless Asian Beauty Author of Timeless Asian Beauty
- ✓ Korea Specialist Fellowship in Jaw-Neck Contouring
《Timeless Asian Beauty》
Dr. Xu’s book systematically outlines the aesthetic logic and contouring framework specific to Asian faces. Chapter 5 is dedicated to discussingThe Lower Third of Asian Faces & Jaw-and-Neck Rejuvenation —— It’s not about “slimming the chin” — it’s about redefining the jawline. This is one of the most accessible specialist resources for Chinese-speaking medical aesthetic patients in North America.
「Asian faces are not simply smaller versions of Caucasian faces. Our chins are shorter, our necks are shorter, and our soft tissue is denser — what we need is not just reduction, butStructural restoration。」
Why is ID Cosmetic Clinic’s jaw-neck content trustworthy?
Clinical experience
8 years of specialty practice + 80,000 treatment areas + specializing in Asian skin care and facial contour
Specialist skills
Allergan North America Trainer · Advanced Belkyra® Certification · Korea Jaw-Neck Contouring Fellowship
Credentials & recognition
M.D. + CCFP + CPSO · Cynosure Canada KOL · Published Author
Transparency
All cases on this page are published with signed Media Release Form authorization · Clinical records available upon request
The content on this page has been written and reviewed by Dr. Dan Xu, M.D., CCFP. The clinical information provided reflects Dr. Xu’s hands-on experience at ID Cosmetic Clinic (Toronto / Markham), as well as specialized literature on jaw and neck contouring from Korean aesthetic medicine.The content on this page does not constitute specific medical advice —— All treatment decisions should be based on an in-person consultation and assessment.
About the Cost of Neck Fullness & Thickness Treatment
Pricing for jawline and neck treatments varies widely between clinics — but the true cost is never about a single product or device. It comes down to who performs the assessment, who determines your subtype, and how deeply clinical expertise shapes the plan. The jaw-neck region is structurally complex: fat, muscle, skin, and skeletal support each behave independently, and treating them in the wrong order produces entirely different outcomes. Cases requiring a staged approach — where the treatment plan is adjusted in real time based on tissue response — involve Dr. Xu’s direct, hands-on participation, and pricing reflects that level of medical oversight. All injectable treatments, including Belkyra®, neurotoxins, and dermal fillers, are administered by the physicianperformed by the physician. For clients who have reached a stable baseline and only require radiofrequency tightening maintenance with devices such as BTL Exilis, our trained medical team can safely deliver treatments under a physician-directed protocol — making ongoing care more accessible. The price difference between laser and energy-based treatments ultimately reflects the difference in clinical experience between physician-performed and technician-performed procedures. The right plan for you is determined by a tissue assessment, not by price — your specific program will be discussed at your consultation based on palpation-based classification and your target contour goals.
- We accept VISA / Mastercard / Amex / Debit / E-transfer
- Affirm financing available (select treatment packages)
- Private insurance: select Extended Health Benefit (EHB) plans may cover consultation fees — inquire for individual cases
- OHIP:Cosmetic treatments are not covered
- All new clients receive a complimentary 30-minuteFreeConsultation & Assessment
Risks & Contraindications — What You Need to Know
Belkyra What Are the Main Risks of Neck Injections?
1. Post-injection swelling(common, lasting 5–14 days and most noticeable after the first few sessions); 2. localized bruising (common, resolves within 7–10 days); 3. localized numbness (resolves on its own within 2–4 weeks); 4. In extremely rare cases, transient involvement of the marginal mandibular nerve may cause asymmetry when smiling(incidence rate < 4%,typically resolves within 1–3 months); 5. injection site discomfort (during treatment; topical numbing cream and cold compress can be applied); 6. rare transient difficulty swallowing. Dr. Xu's protocol uses divided small-dose injections with precisely placed entry points that avoid nerve pathways, significantly reducing these risks.
CoolSculpting What are the main risks of neck cryotherapy?
Common reactions include a cold sensation and mild aching during treatment, localized redness after treatment (resolves within hours), swelling (1–2 weeks), and temporary numbness (resolves on its own within 2–4 weeks). Rare reactions include paradoxical adipose hyperplasia (PAH — extremely rare, seen most often in men treated over the abdomen). The incidence of PAH in the submental area is very low; however, Dr. Xu will explain this fully in the informed consent form.
Who Is Absolutely Not a Candidate for Jawline and Neck Treatments?
Pregnancy, breastfeeding, active neck infection or dermatitis, uncontrolled severe coagulation disorder, allergy to deoxycholic acid, history of swallowing difficulties or neuromuscular conditions affecting the neck, incomplete recovery from recent neck surgery, severe keloid tendency not yet assessed, BMI > 32 Weight loss is recommended before reassessment; neck fullness caused by thyroid enlargement requires medical management first; unrealistic expectations (believing a single session will completely slim the jawline) — in these situations, Dr. Xu will advise postponing treatment or addressing the underlying issue first.
How Can Adverse Reactions Be Minimized After Treatment?
5 Essential Post-Care Steps: (1) Apply a cold compress immediately after treatment for 20 minutes. (2) Wear a medical compression band for 24–48 hours to support contouring and reduce swelling. (3) Avoid hot showers, saunas, and strenuous exercise for 48 hours. (4) Avoid neck massage and prolonged phone use with your head down for 7 days. (5) A soft diet is fine within 24 hours of treatment — if you notice a persistent asymmetric smile, contact us for a follow-up right away.
What Does the Informed Consent Form Include?
Every client is required to sign an Informed Consent Form before their first treatment. This covers: how the treatment works, possible adverse reactions and their likelihood, alternative options, criteria for discontinuing treatment, follow-up scheduling, and a Media Release (optional). For Belkyra®, neurotoxin, and filler procedures, Dr. Xu personally walks each client through the informed consent — it is never delegated to administrative staff.
Toronto Neck Fullness & Thickness Treatment FAQ
Answered personally by Dr. Dan Xu — based on the most frequently asked questions from jawline and neck contouring clients in Toronto and Markham.Can a Thick Neck Be Fully Slimmed?
It depends on the underlying cause.Submental fat typeBelkyra® permanently destroys fat cells — results are long-lasting as long as weight remains stable;Platysmal banding subtypeBotox® maintenance required long-term (every 4–6 months);Skin laxity typeUltherapy® and Exilis tightening can maintain results for 12–18 months. A "one-and-done" solution is not realistic — but with accurate subtype classification and a staged treatment approach, most patients can achieve significant jawline redefinition.
Belkyra Which Is Better for Me — Belkyra® or CoolSculpting?
Depends on the amount of fat, tolerance for injections, and budget.Belkyra Best suited for small to moderate, well-defined submental fat pads; physician-administered injections ensure precise targeting, with visible results in 2–4 sessions.CoolSculpting Mini Suitable for patients with larger areas of submental and lateral neck fat, or those who prefer to avoid injections. This non-invasive option takes 8–12 weeks to show visible results. Dr. Xu will provide specific recommendations based on fat distribution assessed during consultation — some patients actually benefit most from combining both approaches.
My weight is normal, but I still have a double chin. Is that normal?
Very common.The submental fat pad is a genetically independent depot,This is not controlled by BMI. Clinically, many clients at a healthy or even below-average weight still struggle with a double chin — which is precisely the gold-standard indication for Belkyra®. Diet and exercise have virtually no effect on this particular fat deposit.
Belkyra Are the injections painful? What is the recovery time?
Ultra-fine needles, ice application, and topical anesthetic cream are used during the injection. Most clients describe the sensation as a tolerable dull ache or pressure.Noticeable swelling and bruising typically occur during the first 5–10 days post-injection.,This is a normal inflammatory response as deoxycholic acid acts on fat cells. Swelling is significantly reduced from the second session onward. Dr. Xu recommends scheduling the first treatmentHave at least 1 week free from important social engagements or events。
What Are Platysmal Bands? Why Does the Neck Show "Muscle Cords" When Smiling?
The platysma is a thin, flat muscle that covers the front of the neck. After age 30, it gradually loses tone, and when smiling, clenching the jaw, or pressing the lips together, two raised vertical muscle bands become visible on either side of the neck — these are known asPlatysmal banding。For this concern, neither Belkyra® nor weight loss is effective. Treatment requires superficial intramuscularMicrotoxRelaxing muscle tension.
Why Does My Neck Look Looser After I Lose Weight?
This is a very common and well-recognized clinical finding.Fat reduction ≠ skin retraction。Neck skin is only about 60% as thick as facial skin, has lower collagen density, and accumulates more UVA damage over time — meaning it has limited recoil capacity after fat reduction and can look more lax as a result. This is why Dr. Xu insists onFat reduction must always be paired with tightening —— Receiving Belkyra® alone, without pairing it with Ultherapy® or Exilis for skin tightening, may actually make you look older.
How Does Jaw-and-Neck Treatment for Asian Faces Differ from Caucasian Clients?
Three key differences: (1) AsianLow chin projection,Fat reduction alone still leaves a blurred jawline if chin support is not addressed — combination filler to the chin is needed; (2) AsianFuller soft tissue,Excessive fat dissolution causes the lower third of the face to appear hollow and aged; (3) AsianVariations in mandibular border vascular and nerve anatomy,Belkyra Injection points must be adjusted accordingly. Directly applying standard North American protocols designed for Caucasian patients is one of the most common reasons jawline and neck treatments fail.
Can Jaw-and-Neck Treatments Be Done During Pregnancy or Breastfeeding?
No.Belkyra、Neurotoxins, dermal fillers, and Ultherapy® are not recommended during pregnancy or breastfeeding. We advisePost-partum + at least 3 months after complete cessation of breastfeedingbegins with a thorough assessment. If you have concerns in the meantime, improvements can be made through posture correction (minimizing prolonged head-down positioning), targeted neck skincare, and consistent physical sunscreen SPF 50+ to optimize skin condition.
How Many Sessions Are Needed? How Soon Can You See Results?
Depends on subtype:Fatty subtype Belkyra 2-4 sessions (once every 6 weeks), with noticeable improvement typically appearing after the 2nd session;Platysma type1 Botox® session + tightening treatment; results visible within 2–6 weeks;Lax subtype Ultherapy 1 sessions, with peak results at 3–6 months;Mixed subtypeStaged treatment over 6–12 months. All subtypes require a maintenance phase. Dr. Xu emphasizesGradual treatment in smaller increments is safer than trying to achieve everything in one session。
I live in downtown Toronto / North York / Richmond Hill / Scarborough — is it worth making the trip to Markham?
ID Cosmetic Clinic Located at 30 Gibson Dr., Markham — approximately 30–40 minutes by car from downtown Toronto, 20–25 minutes from North York, 15–20 minutes from Richmond Hill / Vaughan, and 20–30 minutes from Scarborough. Conveniently situated near the intersection of Highway 7 and Highways 404 / 407.Jaw-neck treatment is a staged, long-term process,Choosing a physician who understands Asian facial structure matters more than proximity — the cost of correcting a poorly planned treatment far exceeds a single commute.
Real Clients · Google Reviews
What Our Clients Say
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Vivian Okoth
0 reviews
Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.
Mary Jane
1 reviews
I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.
Millicent Akisa
1 reviews
She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.
Chen cheng
15 reviews
Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…
Emmaculate Matswa
1 reviews
I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .
Sally Yang
2 reviews
Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!
Zara F. Bell
2 reviews
Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…
Caroline Fan
8 reviews
I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Grace
Local Guide · 13 reviews
I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…
Yvonne H
Local Guide · 54 reviews
Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!
Dou Xu
2 reviews
Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.
Yan Sun
3 reviews
Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.
Olivia W
3 reviews
Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…
Hana Yu
9 reviews
I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
Jackie Tse
Local Guide · 18 reviews
Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…
Ready to Begin Your Neck Fullness & Thickness Treatment?
30 Free consultation · Physical examination and subtype classification + dynamic smile assessment + chin projection analysis + personalized staged treatment plan — we determine your subtype first, then decide whether treatment is appropriate.
Free 30-Minute Consultation
Every consultation is conducted personally by Dr. Xu (Mon–Sat).
24 hr response · English/Chinese OK
Technology defines what's possible. The physician defines what's right for you.
Identify with your own beauty.
