Kybella or neck lift for women over 40?

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.

Consider a consultation with a board certified plastic surgeon. In general the amount of fat beneath the chin and the quality of the skin, Loose or not would determine who is good candidate for Kybella vs. a neck lift

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.

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 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!

Kybella is indicated
primarily to improve submental fat (double chin) only whereas a neck lift can
address loose saggy skin, loose neck bands, lifting of the jowls and will
define the jaw line overall. If the patient has both concerns, submental
liposuction in conjunction with a neck lift might be suggested. Consulting with a skillful healthcare provider that offers both procedures
should optimize your consultation making it as comprehensive as possible. Kybella does not
discriminate against any reasonable age, if a patient is a good candidate,
that's all it needs.
Best,

Dear Bea2013,Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of a face by destroying the fat cells that lie underneath the chin.A physician determines a patient's needs by asking the patient about their desired look. A physician would need to know a patient's pain tolerance, budget, desired time to experience treatment, and preference for surgical or nonsurgical options. You should answer these questions for yourself and then review your answers with a board certified facial plastic surgeon in your consultation to begin a discuss as to which treatment fits you best.

If you go to a Kybella provider who also does neck lifts, they will be able to tell you which procedure is best for you... and great question.  Thank you.

If your skin tone is reasonably good but you have a small area of fat under the chin, then Kybella could be a good option regardless of your age. If you have loose skin then a neck lift or facelift is better, and this would include fat reduction if necessary.

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.