Can it give to over 65 person? After Kybella, do we need surgery to remove skin sag?

After kybella do we need surgery to remove skin sag

Doctor Answers 24

Kybella/ATX-101/Kythera Can Be Used On Any Age/Adults

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Kybella can be used on any age if you have no chronic medical issues that would negate the procedure.  I suggest you speak to your physician about it.  It has not been stuided in those less than 18 years old.  There is some degree of lifting and tightening from the medication but if you have a lot of laxity, surgery or laser/ultrasound liposuction is essential.  Best, Dr. Emer.

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews


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Kybella may not be appropriate for persons over the age of 65 years.  This is because Kybella reduces neck/chin fat and provides some tightening of the tissues, as well; however, Kybella may not provide enough skin and tissue tightening for some patients.  They may benefit from a skin tightening device such as Ulthera or a neck lifting surgical procedure.  Your best bet is to consult with a surgeon who can present to you a variety of options.

Good luck!

Jeffrey B. Wise, MD, FACS
Wayne Facial Plastic Surgeon
4.9 out of 5 stars 170 reviews

Sagging skin after Kybella

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Kybella focuses on dissolving the fat but does not alter the skin itself. In some patient that have minimal sun damage/ exposure and good skin elasticity, the skin itself can tighten after a Kybella treatment. However, with aging, elasticity decreases and skin laxity increases. You can trial non surgical skin tightener options such as Ulthera but be open to the possibility of surgery for removal of excess skin.

Sapna A. Patel, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

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Kybella is NOT an alternative to a neck lift

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It is important to understand what Kybella is  and isn't. Kybella is a great option for a young to middle aged patient with some submental fat. It can remove this fat and mildly tighten the skin. However, its goal is not to tighten skin exclusively. Kybella is not a substitute for necklifting or surgical tightening. 

Sameer Bashey, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 9 reviews

Who can receive Kybella treatment?

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Kybella is possibly one of the safest treatments for fat reduction. Kybella is so safe, it can be utilized to eliminate fat cells on individuals regardless of age. One possible reason to negate your eligibility to undergo Kybella treatment is the presence or existence of a chronic medical ailment. This will be identified once you visit a board certified physician. Usually, he or she will do a complete assessment to check your current health standing and to see if there is nothing in you that will contraindicate the treatment.


Although anyone is allowed to undergo Kybella treatment, there are still no studies proving its safety for people below 18 years of age. In addition, some doctors may not opt to give you Kybella treatment if you are over 65 years old. One reason for this is because, Kybella may not give sufficient tissue and skin tightening thereby producing less satisfactory results. But then again, consult with your doctor to make sure of your eligibility to the treatment.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 23 reviews

Kybella (Belkyra) for people over the age of 65

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Age is not the determining factor in being a good candidate for the treatment.  It is a question of skin laxity.   If you have moderate to severe laxity of the skin under your chin Belkyra is not your best option for treatment.  See video for more information

Skin Sag and Kybella

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The skin sag or 'turkey neck' is not the ideal candidate for Kybella.  Rather someone with submental fat or 'chub' under the chin be better suited for the treatment with Kybella.

Sean Paul, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Kybella Candidates

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Kybella is administered as an injection into the fat tissue in the submental area (under chin).  Multiple injections are required with each treatment. Total treatment time will take about 20 minutes.   If skin laxity is an issue , your provider will be able to determine if other treatments or adjunct services might be valuable.

#Kybellatreatments   #chinfattreatments   #Kybellafatdestruction

Kybella for people over 65 years old

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The short answer is, yes.  You can give Kybella to a person over 65 years old provided they are a good candidate for the procedure.  Ideally, a patient treated with Kybella would NOT need surgery to remove sagging skin.  This is why it is extremely important you see a medical professional, like a plastic surgeon, who is experienced in facial aesthetics and facial anatomy.  With Kybella, we rely on the elasticity of the skin to retract as the fat beneath it is dissolved.  If an older (and some younger) individual has poor skin elasticity, then they will develop loose hanging skin after being treated with Kybella.  The only way to fix that skin would be with a surgical procedure.   Best of luck!

Kybella forThose Over 65

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If you are healthy and do not have any other contraindications, being over 65 is not a contraindication.  Most patients do have some skin tightening as a side effect after Kybella, but older skin might not tighten as well.  You may want to plan on some radio frequency tightening treatments once you have healed from the Kybella.  Good luck!

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.