Kybella or neck lift for women over 40?

How does a doctor determine whether a patient needs a neck lift or would benefit from Kybella treatments? I'm considering having a consultation for Kybella, but am wondering if I should wait and save up for a neck lift. Also, does Kybella work well on women over 40? Thanks for your input!

Doctor Answers 22

Neck Lift or Kybella

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If you have loose skin and have to use your hands to push your skin back to show the results your want to have, then a surgical procedure such as neck lift for facelift is likely the procedure you need.  However, if you have isolated fullness under your chin with minimal to no loose/hanging skin, then Kybella may very well be the better choice.  Without pictures or seeing you in consultation, it is impossible to give you specific advice.  

Good Luck.

Age Not a Factor for Kybella

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Board-certified dermatologists determine the best treatment course for their patients through face-to-face consultations. That is the only way to evaluate a patient's skin tone and bone structure, plus learn what their hopes are, and what the realistic outcomes may be. Kybella is appropriate for any healthy adult who wishes to eliminate submental fat permanently and whose skin is still fairly elastic. If you have a sagging, “turkey” neck in addition to a double chin, combination therapy with lasers or Ultherapy to tighten the skin may be in order. A necklift is also a possibility. Please schedule a consultation with a board-certified dermatologist to find out which option will work best for you.

Margaret Weiss, MD
Baltimore Dermatologic Surgeon
3.9 out of 5 stars 8 reviews

Kybella and age and Best Candidate for Neck Treatment

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Age is not the most important consideration of whether or not you are a good candidate for Kybella.  There are many more important considerations such as skin laxity and the nature of the fat under the chin.  An in person consultation is the best way to determine if you are a good candidate.  In addition, I find that Thermage works best in combination with Kybella to tighten the skin around the neck and jowl area.  Best, Dr. Green

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Kybella Does Work on Women Over 40

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Kybella does work on women over 40. The best way for a doctor to determine if a patient is a good candidate for a neck lift or Kybella treatments is an examination. A surgeon who is experienced with neck lift surgery and Kybella should be able to determine the above Kybella has only been approved since April so the experience of most surgeons is somewhat limited however there are a number of us who have been trained as Kybella faculty and have a bit more experience than those who are just beginning to use the therapy. Basically someone who has good skin elasticity and minimal laxity with an isolated fatty pocket in the submental or double-chin area is a good candidate. I would seek out a surgeon who is experienced and reputable.

Edwin F. Williams, III, MD
Latham Facial Plastic Surgeon

Kybella over 40

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Age has less to do with if you are a candidate than the quality of your skin and neck region.  If you are a candidate for liposuction of the submental area only, then you likely are a candidate for Kybella.  If you have large platysmal bands and excessive neck and facial skin laxity, then a face/neck lift may help you achieve the look you desire.  This can only be determined by an in-person consultation and after a discussion of your goals and preferences between you and your physician.  Hope this helps.  Thanks for the question.

Age limit for Kybella treatments

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Kybella treats submental fullness, or excess fat under the chin. There is no upper age limit but ideal patients have good skin elasticity in the treatment area. If there is excessive loose skin and sagging, a neck lift is a better option

Kybella or neck lift

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Thank you for your question.  If you have moderate laxity but more fullness in the double chin area, then Kybella would a very reasonable option for you.  I would consult with a plastic surgeon who is well versed in the use of Kybella as well as neck surgery so you can weigh your options.  Good luck.

Kybella ideal candidate

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If you have lots of loose skin and the skin has lost its elasticity, you would be better off with a neck lift.  There is no age where that happens exactly, but patients between age 30 and 50 are really ideal for this procedure in most cases. I think there are going to be many people over 50 who have a great result, but whether there is still skin elasticity must be evaluated first. 

Allison Readinger, MD
Fort Worth Dermatologist


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Kybella is a good option for men and women who have excess submental fat causing a double chin. However, if a person is suffering from loose, sagging skin under the chin, Kybella may not be the right choice. Talk to one of the expert dermatologists at Cosmetic Laser Dermatology to find out if you are a candidate for Kybella!

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 89 reviews

Kybella vs. Necklift

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The only people who would have a great answer to this questions are plastic surgeons who have performed many, many necklifts and many, many Kyblella treatments. The eat to determine this, at least as a start is to look at photos.  Stock photos, or company photos are essentially meaningless. A plastic surgeon who does not perform Kybella treatments is not an ideal source. Likewise, a physician who is not a plastic surgeon, but with Kybella experience cannot effectively answer questions about necklifts.

Kybella is indicated for excess fat under the chin. It is likely not ideal for peop,e with lose skin. But this is a new product. Wait until the product has been in wide use and then look at photos. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 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.