Kybella is it right for me? 45 yrs old. (photo)

I have always been thin. I've gained a few pounds from not taking care of my diet amongst other things. I've began my journey to be healthier however knowing my chin area will not be the cure to rid everything else. I do want to feel a little more confident to get started. I would like my chin refined and rid double chin and neck line. Is this the right treatment for me?

Doctor Answers 22

Kybella Double Chin

Kybella can result in 15-20% reduction of fat similar to Coolshape. Younger patients usually don't need skin tightening after fat reduction as the skin shrinks enough on its own.
Liposuction typically reduces 50% of fat in one session. RF treatments like Velashape and Thermitight plus Deoxycholic Acid the active ingredient of Kybella can result in somewhat more than 15% reduction in the amount of double chin fat with three to five sessions. Most non-invasive treatments are not proven to be safe nor FDA approved for treatment of the jawline/jowls.
Radiofrequency treatments like Thermage produce quite temporary results requiring periodic repeat treatments. Ultherapy usually does not work.
The most dramatic results in the neck are achieved with a laser/liposuction with Precision tx or Smartlipo; results noticeable at ten days.
Patients should do the math (all these treatments cost nearly the same) and go for what is in their best interest and most reliable. No treatments are guaranteed; legitimate physicians should not promise results. Each option has the possiblity of side effects.
Please use this information when consulting in person with an experienced Board Certified Plastic Surgeon. They will be most capable of advising what is best for you.

New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Kybella & Weight

I always encourage all of my patients to be at a maintainable goal weight before pursuing any kind of cosmetic procedure. Also, based solely on your photo, you might be a better candidate for liposuction than Kybella but again, you want to lose the weight first.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 33 reviews

Use Kybella To Lose Double Chin

As with all fat-elimination techniques, it's always best to be at or near your ideal weight. However, sometimes making a dramatic improvement, such as getting rid of a double chin, can inspire you to get more serious about diet and exercise. From your photos it looks like you may be a good candidate for Kybella. You may also need a skin-tightening procedure, such as Ultherapy, to give you the best results. Please consult a board-certified dermatologist with expertise in Kybella.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 84 reviews

Kybella & ThermiTight for the neck

 Thank you for your question. From looking at your photos I would suggest Kybella in conjunction with ThermiTight. Kybella will help define your jawline but it also looks like you will need some extra skin tightening which is why I would suggest ThermiTight. Kybella is an injectable that has been recently FDA-approved for the treatment of submental fullness (double chin). Kybella will permanently destroy fat cells in the targeted area as well as offering limited skin tightening to the treated area. On average patients need 2-4 treatments at 1 month intervals for optimal results. ThermiTight is a great minimally invasive procedure to treat skin laxity. ThermiTight delivers radio frequency energy subcutaneously to tighten the skin in the neck. If you are interested please schedule a full-person consultation with a qualified doctor.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Kybella and Submental Fat NYC

I would definitely recommend that you first lose weight since the submental fat area is in a broad area.  While Kybella would definitely help, you would be best served by losing the weight first.  Please consult an expert.  Best, Dr.Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 75 reviews

Kybella is it right for me? 45 yrs old.

Kybella® fat melting injections are perfect for patients with extra neck fat. As this is an new technique, please consult a board certified aesthetic dermatologist for a consultation.

Manjula Jegasothy, MD
Miami Dermatologist
5.0 out of 5 stars 9 reviews

Choosing Kybella, or the Right Procedure for YOUR Neck

Based on the photos, I would recommend that you explore several different options. Kybella is indicated in specific regions of the neck (i.e. directly under the chin). It may not address all of the areas that could benefit from fat removal. Liposculpting would likely provide the most comprehensive treatment for your neck and is worth discussing with your treating physician. Other treatment options would include cool mini, or even a combination of approaches. This should not be a cookie cutter approach and should be based on an in-person evaluation to also determine if a skin tightening procedure may also be required.
Kybella is a perfectly safe and effective treatment in the right physician's hands, when used on the right patient. However, fat under the chin is more complex than you might guess (sometimes the "fat" is more loose skin than fat, or fat below the muscle, which is not reachable through injectable procedures).
You’ll need to see a trained Kybella physician injector who also performs these other procedures to confirm that and get an unbiased opinion, but I think you’re on the right track. Best of luck!

Mark Karolak, DO, FAOCO
Bridgewater Facial Plastic Surgeon
5.0 out of 5 stars 49 reviews

Kybella right for me?

A careful analysis would be in order for your chin and neck.  It appears your submental fullness extends beyond the usual areas for Kybella and might better be addressed with targeted liposuction if you are willing to undergo an invasive procedure or possibly a combination of CoolSculpting and Kybella.  This allows for a more comprehensive treatment of all areas.  Be sure to ask about potential post treatment skin laxity after any of these treatments.

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Kybella Candidate?

Thank you very much for your question, and for providing the photos.

While you do have submental fullness, some of the fullness does extend out toward the side of your neck into regions where Kybella isn't recommended.  You would also likely need a number of treatments to get a great result.  For those reasons, I would consider liposuction, as this will take care the fullness on the side of the neck, contour the jawline more effectively, and give you the result sooner than if you had multiple sessions of Kybella.  Best of luck!

Daniel Krochmal, MD
Chicago General Surgeon
5.0 out of 5 stars 23 reviews

Kybella is it right for me? 45 yrs old. (photo)

Without examining you I cant be entirely sure but it appears as though you would probably be a great candidate for kybella. The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you. Best of luck! 

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
4.9 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.