Kybella or CoolSculpting for my double chin?

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center.
Kybella is an excellent non-surgical option for reducing small to moderate amounts of submental fat—commonly known as a "double chin." To ensure the best results, it’s important to consult with a skilled provider who can assess your unique anatomy and goals, and create a customized treatment plan tailored just for you.

Hi there,Both treatments are effective and safe. However, this is dependent on the results you are looking for and if you are comfortable with the potential side effects and downtime associated with the two treatments. With Kybella, swelling is guaranteed to happen and can take days to weeks to fully subside. This means the product is working effectively. There may numbness in the area after treatment and slight sensitivity and/or pain. Kybella may take anywhere between 4-6 weeks to see the full results. Both Kybella and Coolsculpting may require multiple sessions to achieve your desired results.
CoolSculpting does not typically cause swelling post-treatment but there is a chance for numbness, bruising, and firmness. You can also expect some redness. This treatment also takes longer than Kybella - Kybella is a series of injections whereas CoolSculpting requires an applicator to be applied to the area of treatment for about 45 minutes. CoolSculpting takes longer to show results compared to Kybella. CoolSculpting may take anywhere between 3-4 months to begin seeing results.
Both treatments are permanent solutions to fat reduction but it's important to keep in mind that a healthy diet and lifestyle are required to maintain the results. Surrounding fat cells are still capable of growth leading to the appearance of a double chin.

For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture

2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands

3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting

4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds

5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)

6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening

7. Ultherapy and Thermage for external tightening

8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness

9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.

Best, Dr. Emer