I’m worried a doctor would say there's not enough fat under my chin/jaw for Kybella? (Photos)

Question

I have been considering scheduling a consultation for Kybella injections, but I’m worried I’ll be told I’m not a good candidate? Looking for better definition of my chin & jaw. I'm thin, 125lbs, 172cm, 23 years, w/ low body fat over all. If I elongate my neck my chin/jaw looks fine, but in a resting/natural state, when I look down, etc, I get lumpiness under my chin. I already have a long face and it just makes it look longer. I’m worried a doctor would say there's not enough fat under my chin/jaw, it's just excess skin or the length of my face. I am not interested in jawline fillers as I feel that would make it unbalanced.

Kimberly Butterwick, MD · Answer

It appears you have a small amount of submental fat under your chin that would respond well to either Kybella or other measures like CoolSculpt mini or even micro-liposuction. Kybella is an injectable treatment that uses deoxycholic acid to destroy the fat cells, creating a more defined jawline over time. Most patients require multiple treatment sessions, but I would need to evaluate you in person to create your personalized treatment plan. 
  
Liposuction is a one-and-done procedure performed using local anesthetic. Micro-cannulas are very tiny and remove the fat from the area, leaving little or no scarring behind. Recovery typically takes a few days. Some may say it’s too early to treat the problem, but at this early stage you can treat it more easily before it gets worse… and it tends to do that over time. Instead, you can enjoy a lovely result now that will last for years. No matter which treatment you choose, make sure the doctor you work with is both board certified and highly experienced to ensure an optimal outcome.

Jason Emer, MD · Answer

Kybella does nothing for sagging and does very little for contouring of the neck and lower face.  my younger patients tend to use facetite, threads, and fillers to give them more contouring. and ongoing they do morpheus every 2-4 months, thermage and ultherapy twice yearly. (see link)
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Fernando Colon, MD · Answer

Most of the changes I see in your picture may berelated to the muscles when you flex your neck.Kybella won't change that. I suggest an in person consultation. You would like to avoid a situationwhere the area is overcorrected. Best wishes.

Daniel Barrett, MD · Answer

Dear sabriell,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Shaun Patel, MD · Answer

On several of the photos, I see a small pocket of submental fat which may respond to Kybella treatment. An in person consultation would be required to confirm you are a good candidate for this treatment.

I’m worried a doctor would say there's not enough fat under my chin/jaw for Kybella? (Photos)

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I’m worried a doctor would say there's not enough fat under my chin/jaw for Kybella? (Photos)

Answers (7)

Answer: Kybella

Answer: Kybella

Answer: Kybella treatment for submental fat

Answer: Kybella treatment for submental fat

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Everything you need to know about Kybella

Our mission is to create a world where every investment in modern beauty is Worth It.