Considering Kybella or chin liposuction for sub-mental fat? I have Hashimotos hypothyroid.

Kybella targets the fat and should not affect the thyroid which is below the area of injection.  Kybella should not be injected at a site of active infection or near the submental nerves that run just under the mandible.  It should also be avoided in patients with a history of difficulty swallowing.  Hashimoto's thyroiditis is an inflammatory condition of the thyroid, and will typically not be affected by treating the submental fat.  However, some patients with Hashimoto's will report discomfort with swallowing and tightness in the neck.  If you have these symptoms, then I would probably avoid both Kybella and surgery. You should not have any problems with an experienced injector who knows the anatomy of the neck. Liposuction would also be possible in most cases.  Liposuction is a surgical procedure, andyou would want to be  certain that your thyroiditis has been treated and that you are no longer hyperthyroid prior to any surgery.  This is to prevent the risk of a rare but potentially life threatening condition of "thyroid storm" where an overactive thyroid releases too much thyroid hormone. A rare condition but something that we are proactive in trying to prevent.

I suggest seeing an expert for treatment options as I find vaser/thermiRF work best to treat this area. Kybella and/or ultherapy are a non invasive alternative. I suggest consulting with a board certified dermatologist who has experience in this type of treatment as Kybella should not affect the thyroid when used by an experienced physician. Best, Dr. Emer.

Having a thyroid condition, assuming that is is under control and your health is good otherwise, should not prevent you from getting Kybella. Schedule an appointment with a board certified plastic surgeon to be assessed in person and discuss. Chin liposuction is obviously more invasive so I would probably recommend starting with Kybella if you are a good candidate. Kindly,Kouros Azar