Kybella didn't work. What other options do I have for a chin with little fat but weird slope/ no definition? (Photo)

In my practice we do a significant amount of neck liposuction and thermiRF for younger patients. kybella always works, it just takes a number of treatments in certain people or more dosing.  Best, Dr. Emer.

Thank you for this excellent question. I am excited that we have three options on the market now and I expect many patients will be using one or all three treatment modalities. The Coolsculpting mini will get a broad reduction of the submental fat but has a little more difficult to customize the procedure as there is only one applicator size. Kybella allow for a customized treatment for every patient based on their physical exam. The Profound SubQ allows for some tightening of the neck tissue in addition to fat reduction.A physical exam would help assess which of the options are going to be the best for you. I would visit a plastic surgery a practice that offers multitude of non-surgical options and who can also discuss with you the surgical options.

You might consider trying other non-operative skin tightening treatments like Exilis radio frequency or SkinTyte II which will stimulate collagen remodeling and tighten the tissue.

first most clients needs 2 to 4 treatments minimum to reach desired end points. If you just had 1 or 2 it may not be enough. Second the chin is recessed drawing attention to the submental area. Fillers and chin augmentation would help the overall appearance. Third energy based devices such as radiofrequency or RF microneedling may provide more definition. 

Kybella is a great treatment for submental fat, however patients with a small chin and low hyoid often have very obtuse and full neck. Liposuction or a neck lift may be warranted. Other options include adding a chin implant to neck liposuction.