Am I a candidate for Kybella? (Photo)

Fantastic question! Good to know all of your options.There are multiple factors that go into answering this question...If there is a lot of fat, liposuction is your best bet. This can be done in-office under local anesthesia.If surgery is not something you are comfortable with, Coolsculpting would be your best bet financially... as long as the Coolsculpting applicator fits and you are okay with more time to see full results (than liposuction). If your jaw is too small or the amount of fat too little, the CoolMini may not fit.Lastly, if you have a small amount of fat and the CoolMini applicator doesn't fit your face, I would go with Kybella. There is a significant recovery period with Kybella and the product is not cheap. That is why I reserve it for people with a small amount of submental fat.All three will give you some skin tightening.My best,Dr. Nazarian@drsheilanazarian on Instagram

Kybella is an exciting new FDA- approved
treatment for submental fullness, or  a double chin. Kybella (Deoxycholic Acid) is
injected into the fat pad under the chin for permanent results. Often 2
or 3 treatments are needed to completely contour the chin and remove the
unwanted fat. A skillfully trained provider can determine if you are a
candidate for Kybella vs other surgical neck procedures.  The procedure is safe and effects are evident
even after one treatment!

#Kybellatreatments     #doublechin  #fatreduc iontreatments

KYBELLA® is used to improve the appearance and profile of moderate to
severe fat below the chin --often referred to as a “double chin .
Kybella is a cytolytic drug, which when injected into tissue physically destroys the cell membrane. When properly injected into submental fat, Kybella destroys fat cells getting rid of unwanted double chin fat.We suggest 2 or 3 treatments scheduled 4-6 weeks apart . Our patients have seen noticable improvements at every treatment! #chinfattreatments   #Kybellafattreatments   #Kybellafattreatments

Kybella is a wonderful option for patients who are looking to treat a pocket of fat directly under the chin.  I would assume the cost you were quoted is per session.  Our practice offers both Kybella and LaserLipo.  If you have a good amount of excess fat and volume in areas other than just the "double chin," I would recommend Laserlipo.  We perform our lipo in the office and there is very little downtime with the treatment.  Cost actually are similar at our practice for a series of Kybella vs. Lipo.  You are able to cover a larger area with Lipo and strengthen the jawline.  I would consult with a provider that has multiple options so that they can offer the best treatment suited for your individual needs. 

Good candidates for Kybella have submental fat under the chin that they would like to get rid of non-invasively. To determine if you are a candidate, an in-person consultation is required in which the doctor can assess your situation and talk to you about your goals. Whether you choose Kybella or chin liposuction just depends on your personal preferences and the results of your consultation; both treatment options can be very effective for contouring the chin. Liposuction can get you results in a single session, but you will need to spend a couple days recovering as well as wear a compression garment for some time. $1500 sounds about right for the cost of a single Kybella session.

Kybella is an excellent option for non-surgical reduction of "double-chins" and the removal of central neck fat.  In our extensive experience with the product and with discussions with other thought leaders, we have determined that the majority of patients see significant results in 2-3 treatments spaced 4-6 weeks apart.  It is highly unusual that one treatment is sufficient.Prices vary by doctor expertise and region.  However, the cost that you are referencing is most likely per treatment, rather than total.  From the pictures, you appear to be a potential candidate.Consultation with an experienced surgeon is critical to discuss your options!Best of luck!

All good questions. Kybella is an FDA approved injectable medication to help dissolve the fat beneath the chin and reduce the fullness. The procedure is done in the office and a small amount of local anesthesia is used. The literature shows three to six treatments are required to have adequate results. The costs vary but I charge $1200 per treatment and my patients can expect to have three or four treatments. Many are through the first and second round and are showing great results. Neck liposuction remains the gold standard but if you do not want the downtime and are patient the results can be similar.

Thank you for your question and for sharing your photos.  You would be a great candidate for the Kybella treatment.  Most patients notice a difference after 2-4 treatment sessions.  The price you were quoted is likely a per treatment price.  Your other alternative is surgery for the neck.  The main benefit for the Kybella treatment is that is a fairly straight forward with minimal downtime.  Neck liposuction may also be a very a reasonable treatment, but I do recommend that my patients wear compression for a week after the procedure, and you will have more risk of bruising with liposuction vs Kybella.  If you have time for the downtime, then neck liposuction may be a more cost-effective solution.

There are three components that can contribute to a sagging, enlarged or fat neck. Initial visualization, especially if viewing a static image such as a photograph, does not provide the doctor with enough information to determine the individual's cause of their "fat neck."  The physician needs to see the patient in animation, and physically examine the neck to determine if there is a fat pad, loose / saggy skin, and / or loose strap muscles of the neck (the platysma ) that cause bands.  Sometimes inheritance causes a fat pad to be prominent since a young age. The ideal patient for Kybella injections has only excess fat and no muscle bands and no turkey gobbler neck ( the skin that flaps in the wind). Kybella usually consists of a series of three injections. There can be bruising and swelling for several days after each procedure. To lessen discomfort, the physician injects a local anesthetic prior to the procedure. The Kybella, which uses bile salts chemistry to dissolve the fat, will not tighten muscle bands that are weak.  Skin that has good elasticity will retract but if someone has very crepy skin with multiple folds, they may not see much pulling up of the skin once the fat dissolves. There are some risks, although rare, including nerve weakness, with Kybella and the other procedures.CoolSculpting Mini, just received FDA clearance for treatment of the same neck fat pad. It involves one hour per applicator. Some patients only need one applicator while others might need three.  All three can be done in one visit, or separated based on the patient's preference for scheduling.  The treatment can produce long term results for fat reduction as it has demonstrated on other body sites for the last five years that I have been performing this great treatment with a very high patient satisfaction rating. No anesthetic is needed to be injected and there is minimal downtime. No post operative garments are needed or wound care. Liposuction is a minimally invasive procedure that uses local anesthetic injections and there is the ability to immediately remove more fat in the one treatment than is treated with either Kybella or CoolSculpting. Bruising can be expected and patients often will wear a compression garment initially.In our NYC practice, I and my associate doctors examine our patients and create a plan that is best for that specific individual and the doctors, not an assistant, perform the Kybella injections or apply the applicator for CoolSculpting mini for the double chin. Patients should schedule a consultation with a board certified dermatologist or plastic surgeon for this procedure.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical needs.

From the photos it looks like you could be a good candidate or Kybella injections.  However, you would need an in person consultation.  Kybella helps melt the fat under the chin.  Most patients need 2 to 4 treatments spread out with 1 month in between each treatment.  The quote you were given sounds as an average price for per treatment.  There is no way that is the total price for all the treatments.  Most patients should plan on having at least two treatments and then re-evaluating their results to see if they need more.  The FDA approval is only for the area directly under the chin (sub mental area).  If you want the area along your jaw line or lower face, you may want to discuss neck liposuction.  If you skin tightening or muscle band removal, you may want to discuss a neck lift.  That is why a full consultation is very important in the decision making process.  Good Luck.