So I’ve been thinking about buccal fat removal for awhile now because of my jowls. I have also heard that kybella could be something that helps with this if I want to go the non-invasive route. But honestly what makes more sense? Which is less risky and has a lesser risk of asymmetry? I have a few in person consultations lined up but was just wondering in the mean time. Thanks!
June 3, 2019
Answer: Kybella and buccal fat Jowls are specific to the lower face near the mouth. This is usually genetic and due to a combination of hanging skin, stretched ligaments, and sometimes fat. Kybella is not FDA approved for this area and it may be difficult to control the reduction. Buccal fat pad removal does not address the jowls. The buccal fat pad is slightly more posterior too the jowls and removal accentuates the cheek bones. Overly aggressive buccal fat pad removal can actually make the jowls worse! Jowls are best treated with skin tightening procedures such as thread lifts or lower face lifts. It is best to have an in-office evaluation to determine the best treatment plan for your face. Hope this helps!Johnson C. Lee, MD
Helpful 1 person found this helpful
June 3, 2019
Answer: Kybella and buccal fat Jowls are specific to the lower face near the mouth. This is usually genetic and due to a combination of hanging skin, stretched ligaments, and sometimes fat. Kybella is not FDA approved for this area and it may be difficult to control the reduction. Buccal fat pad removal does not address the jowls. The buccal fat pad is slightly more posterior too the jowls and removal accentuates the cheek bones. Overly aggressive buccal fat pad removal can actually make the jowls worse! Jowls are best treated with skin tightening procedures such as thread lifts or lower face lifts. It is best to have an in-office evaluation to determine the best treatment plan for your face. Hope this helps!Johnson C. Lee, MD
Helpful 1 person found this helpful
June 3, 2019
Answer: Poor treatment options dr. Steinsapir pretty much nailed it in his answer.Kybella it's a pretty awful treatment options in general and it is a very bad idea to go outside of the FDA approved areas. People of developed facial nerve paralysis and lots of other horrible unpleasantries from this treatment. Buckle fat can look reasonably good in young people but can lead to very undesirable outcomes down the road when a lack of volume becomes a real issue. The buckle fat pad is also in a very discreet place and people benefit only when they look good having volume removed exactly where the flatbed is located. Adding volume adjacent to the areas where you want five removed may be an option. For example in the pre Joel area in front of the area you want to look smaller. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
June 3, 2019
Answer: Poor treatment options dr. Steinsapir pretty much nailed it in his answer.Kybella it's a pretty awful treatment options in general and it is a very bad idea to go outside of the FDA approved areas. People of developed facial nerve paralysis and lots of other horrible unpleasantries from this treatment. Buckle fat can look reasonably good in young people but can lead to very undesirable outcomes down the road when a lack of volume becomes a real issue. The buckle fat pad is also in a very discreet place and people benefit only when they look good having volume removed exactly where the flatbed is located. Adding volume adjacent to the areas where you want five removed may be an option. For example in the pre Joel area in front of the area you want to look smaller. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
