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

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. 

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. 

Thank you for
your question Jackie43228. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. If I had a patient who looked like the person in this photograph I would say she is a good candidate for filler in the chin and Kybella in the neck. A series of 2-4 Kybella treatments is required. I space treatments every 3 months. Results are seen slowly over time. Patience is important. Please
consult with a doctor for specific recommendations. Good luck!

Without seeing you in person, impossible to say for certain, but based on your photo, you look as if you'd be an ideal candidate for Kybella. You are young with just a bit of extra fat under the chin. Schedule a consultation with a board certified plastic surgeon in your area with a lot of Kybella experience to be assessed in person, but I think this would be the easiest, least invasive way to recover some definition in your jawline.Kindly,Kouros Azar

Thank you for your question. Most patients
require between 2-4 sessions of Kybella for optimal results. Once you have had
those sessions and you still feel your chin area is still not as defined as you
would like it, an alternative would be SmartLipo. SmartLipo is a laser-assisted
liposuction procedure that is great for contouring the jawline with 1
treatment. If you are interested, schedule a full in-person consultation with a
qualified doctor.

At first blush, I think you are an ideal patient for some Kybella - you have a relatively little amount of fat, and your skin appears tight. I agree with the others. Kybella will destroy fat if its 'pinchable' (ie if its there...). Your physician on an examination will best determine if do indeed have enough 'pinchable' fat, but by the photo you are young enough not to have loose skin and so any 'slope' as you describe is likely some additional fat that has yet to reduce.  Perhaps you were not dosed enough each session (ie more kybella could have been injected each session?), or you can receive more injection sessions (at least 2 session are usually needed, and up to 4 or more cycles in some patients) for optimal results, or perhaps more time needs to pass (we usually wait at least 2 months to judge whether a patient is complete with his or her treatment).  Best of luck, Doc Adam

Hello Jacki43228,Assuming you do have fat in that area, Kybella will work.  It may  just take more injections.  It usually takes at least 2 and up to 4 treatments to get the result you want.  A small chin implant may also improve the appearance of the neck by effectively pulling the extra skin there forward (but you may not be a candidate for this based on your photo).  As far as the slope there is a bone that is in the neck that defines where the neck angle will be.  If you have one that is naturally low then there isn't much you can do to improve the appearance.  I'd recommend you get a second consult with a facial plastic surgeon or plastic surgeon to learn more about your options.I hope this helps and good luck.