Does Kybella provide more skin tightening/retraction than coolsculpting for the under chin area? If this is true, why?

Doctor Answers 7

Kybella, CoolSculpting and Tightening

Both Kybella and CoolSculpting are treatments to remove excess fat. There is a certain amount of resultant skin tightening, but if that is your main objective, you may want to look into something like Ultherapy or Thermage.


Kouros Azar

Thousand Oaks Plastic Surgeon
4.8 out of 5 stars 35 reviews

Kybella, CoolSculpting and skin tightening

Neither Kybella or CoolSculpting are indicated for skin tightening. That being said, the inflammation associated with both treatments will result in some skin tightening. Kybella and CoolSculpting are fat reduction procedures. If skin tightening is your primary concern, I would consider ultrasound or radiofrequency based skin tightening devices such as Ultherapy, Thermage, Thermi and Infini. 

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 60 reviews

Kybella Versus Coolsculpting Versus VASER

Most people use Coolsculpting for larger problem areas. I like Kybella and non invasive options like  a vaser/thermiRF combination with thermage/ultherapy to tighten the skin under the chin.  Please see an expert for evaluation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews


Thank you for your question. Neither procedure provides any significant skin tightening. We have radio frequency machines that help to provide some tightening to the skin after Kybella treatment. I hope you find this information helpful. 

Joshua Halpern, MD, PA
Tampa Plastic Surgeon
4.8 out of 5 stars 63 reviews

Kybella and Skin Tightening

There has been some observations that Kybella causes some skin tightening as well as fat reduction.  Cool-mini is great for larger areas of fat. I utilize both in my office with great results.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews


Thank you for your question Clarin. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. Both Kybella and Cool Sculpting are designed to eliminate fat. Other treatments such as fractional CO2 laser resurfacing will help tighten the skin. Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 4 reviews

Skin tightening after Kybella or Coolsculpting

Neither Kybella nor Coolscullpting cause any skin shrinkage. They both work well in reducing the double chin fat but require your skin elasticity do do the rest. That's one reason why an exam is so important to determine if either is right for you. Good luck.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 81 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.