The laptop sits low on the kitchen table, and the video call opens on the angle you would never choose. The camera looks up at your chin and the front of your neck. Where a crisp corner used to run from chin to throat, there is now a gentle slope. If you have searched for how to get rid of neck fat since, Endolift at MediZen in Sutton Coldfield was designed for exactly that change.
| Performed by | Appointment | Downtime | Results | Price from |
|---|---|---|---|---|
| Dr Mattia Parducci | 45 to 60 minutes for the neck, under local anaesthetic | Back to normal within hours, recovery 3 to 5 days | Tightening on the day, a second wave at 4 to 8 weeks, peak at 9 to 12 months, lasting 2 to 3 years | £1,750 for the neck |
Endolift places its laser energy beneath the skin instead of across it, and at MediZen Dr Mattia Parducci carries out each treatment personally. It is minimally invasive and non-surgical, and the only anaesthetic involved is a local one. A hair-thin fibre, around 300 microns across, enters through a single tiny opening. It then travels beneath the skin of the neck, above the muscle, where both the fat and the looseness sit.
The clever part is that one wavelength meets both problems at once. Its 1470 nm light is taken up by fat and by water-rich tissue in the same moment. The fat cells that have gathered at the front of the neck break down, and your body clears them over the following weeks. In the same pass, existing collagen contracts and the cells that build new collagen are switched back on.
Why the Corner Under Your Chin Softens
A young neck turns a sharp corner. The underside of the chin runs back almost level, then the neck drops away beneath it. The shadow in that angle is what the eye reads as a clean profile. That corner was never drawn by bone alone. It was drawn by soft tissue sitting snugly in place, and soft tissue changes.
Two things blur it, usually together. A layer of fat settles just beneath the skin at the front of the neck, filling the angle from below. At the same time, collagen and elastin thin with the years, so the skin over that fat loosens and begins to drape. Horizontal lines often deepen across the neck as the skin loses its spring, and the corner relaxes into a slope.
None of this is a failure of discipline. Genes decide where the body keeps its stores, and the front of the neck is one of the places it holds on to longest. People at a healthy, stable weight carry it every day. Losing weight overall helps the whole body, yet this pocket is often the last to change, which is why the gym seldom touches it.
Our post on double chin treatments looks at the pocket directly under the chin. This piece follows the neck below it, where loose skin and lines matter as much as fat. The corner under your chin was drawn by soft tissue, so soft tissue is where it can be redrawn.
How Endolift Works on the Neck
Dr Mattia starts by mapping the neck while you sit upright, marking where fat has gathered and where the skin has loosened. Local anaesthetic then numbs the area, which takes about ten to fifteen minutes to settle. He moves the fibre in slow, fan-shaped passes across the front of the neck. What you notice is warmth and a sense of pressure, and the single-use fibre is thrown away at the end.
The corner under your chin was drawn by soft tissue, so soft tissue is where it can be redrawn.
What happens next unfolds in layers. The collagen already present tightens during the session, so the neck feels firmer before you go home. Over the following weeks the treated fat is carried away through the lymphatic system. New collagen and elastin then form beneath the surface, which is when the slope begins to turn back towards a corner and the skin over it smooths.
The research on necks is young but encouraging. A ten-person study in Skin Research and Technology treated horizontal neck lines with Endolift and measured the skin before and after. The lines became shallower and smaller in area, while the skin grew thicker, denser and more elastic. It is a small piece of work, and it describes the change we look for on a neck.
Choosing Between Endolift, Fat Dissolving and Fat Freezing
The right route depends on whether fat, loose skin or both are softening the corner. Endolift earns its place when they arrive together, which on a neck they usually do. Where the skin still has plenty of spring and only a small pocket of fat sits beneath it, two other treatments are worth weighing.
Injectable fat dissolving is carried out at MediZen by our clinical director, Dr David Eccleston. It uses a bile acid your body already makes, placed precisely into the pocket over a course of three to six sessions. CoolSculpting freezes a pinchable pocket instead, with no needle at all. Neither of them tightens skin, so on a neck that has also loosened they can leave the slope softer rather than sharper.
The neck rarely changes on its own, and the jaw above it often softens in the same years. Areas can be combined in one appointment. Dr Mattia often treats the jawline and neck together, so the line from chin to collarbone reads as one contour. A full face and neck session runs to around ninety minutes.
Crepey texture on the neck is a separate thread of the same story. Where the skin itself has thinned, Profhilo brings back hydration and bounce, and it sits comfortably alongside an Endolift plan. Dr Mattia also tells you plainly when a neck has gone beyond a laser. Where the skin hangs in heavy folds, a surgeon is the right person to see, because no energy device removes excess skin.
The Weeks After a Neck Treatment
The day itself is quiet. Most people return to normal life within hours, with mild pinkness and slight swelling that usually settles inside twenty-four hours. Occasional light bruising covers easily, and a scarf or open collar hides the rest. Give saunas, steam rooms and hard workouts a rest for three to five days.
The neck then changes in stages. Some firmness shows on the day, and a clearer improvement arrives between the fourth and eighth weeks as new collagen forms and the fat clears. The neck goes on improving for nine to twelve months before it settles at its best. Two to three years is the usual lifespan of the result. Dr Mattia can suggest a top-up after twelve to eighteen months if he thinks it would add something.
Where Your Neck Plan Starts
Every neck plan starts with a face to face consultation with Dr Mattia Parducci (GMC 7635663). He studies your neck from the front and in profile and pinches to judge how much of the fullness is fat. He also tests how readily your skin springs back. You leave knowing what the result is likely to be, the recovery involved and an itemised price.
On our price list the neck is from £1,750 and the area beneath the chin from £1,350. A neck treated alongside the whole face starts at £2,750. Every price includes the consultation, the treatment itself and your aftercare advice. Fat dissolving starts from £250 a session and CoolSculpting from £495 an area, should either suit your neck better.
Our clinic is in Mere Green, close to Four Oaks and Little Aston and a short trip from central Birmingham. If the camera on your next video call finds a slope where a corner used to be, come and talk it through with Dr Mattia. Our Endolift page shows each area and its price before you book.
Your Questions About Neck Fat and Endolift
Neck fat brings its own set of questions, separate from the double chin. Here are the ones Dr Mattia hears most, and he is glad to answer anything else in person at MediZen.
It depends on what is softening the neck. Where fat and loose skin arrive together, Endolift treats both in a single session under local anaesthetic. Where only a small pocket of fat sits beneath firm skin, injectable fat dissolving or CoolSculpting can reduce it. A consultation shows which of these your neck needs, and whether more than one belongs in the plan.
Losing weight helps the whole body, and it is always worthwhile when it is needed. The front of the neck, though, is one of the places the body holds on to longest, so many people at a stable, healthy weight still carry a pocket there. A targeted treatment reaches that pocket directly, and Endolift tightens the skin above it at the same time.
They overlap, and they are not quite the same. A double chin is the pocket directly under the chin. Neck fat often spreads lower, softening the corner between chin and throat, and it usually arrives alongside looser skin and horizontal lines. Our double chin post covers that pocket, while Endolift for the neck treats the wider area.
It can soften them. The energy lands beneath the skin of the neck, which prompts fresh collagen and elastin and leaves the skin thicker and more elastic. A small study of ten people found the lines grew shallower after treatment. Where lines are deep and etched, Dr Mattia sometimes pairs Endolift with Profhilo to improve the skin surface too.
Endolift for the neck starts from £1,750. The area under the chin starts from £1,350, and the full face with the neck from £2,750. Every fee includes your consultation, the treatment and aftercare advice. Dr Mattia confirms an itemised figure once you have agreed together which areas to treat.
Choose by the skin rather than the fat. If your neck skin is still firm and the fullness is a small, defined pocket, fat dissolving with Dr David Eccleston over three to six sessions is a precise option. If the skin has loosened as well, Endolift is usually the closer match, because it reduces fat and tightens skin together.
No. Endolift is minimally invasive and non-surgical. Dr Mattia works through one tiny entry point under local anaesthetic, so nothing is cut, nothing needs stitching and you stay awake throughout. Most people go back to normal life within hours. It suits mild to moderate laxity, and where the skin has fallen into heavy folds he will recommend a surgical opinion instead.
A little firmness shows on the day, as the collagen in your skin contracts. The clearer change comes between the fourth and eighth weeks, once the treated fat has cleared and new collagen has formed. The neck keeps refining until about nine to twelve months, so friends tend to notice that you look well rather than treated.
Bring the Corner Back to Your Neck
If your neck looks softer on camera than you feel it should, book a consultation with Dr Mattia Parducci. Dial 0121 308 4373 and the MediZen reception team will find you a time, or use WhatsApp if you would rather write to us first.
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