I am 29 years old, 5'3, and 117 lbs. Last year I developed a prominent double chin even though I was thin, so I got submental lipo. I am 10 months post op and I am mostly happy with my results, but I still have the appearance of a double chin when I look down. A representative at my surgeons office said that I still have some submental fat left and she suggested I get kybella. Would kybella be a good choice considering I've already had surgery? Or would it be risky?
Answer: Deep neck Hi Peaceful714332,I would be careful with removing more subcutaneous fat. Although it sounds reasonable, removing more fat is not necessarily the answer. I think you’ve gotten a nice result from the Liposuction. It looks like what you have left is fat beneath the platysma muscles or deep fat. This can be addressed or sculpted from the anterior neck via an incision in the crease under your chin. Additionally, you could consider a small chin implant to add some anterior projection. Good luck!
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Answer: Deep neck Hi Peaceful714332,I would be careful with removing more subcutaneous fat. Although it sounds reasonable, removing more fat is not necessarily the answer. I think you’ve gotten a nice result from the Liposuction. It looks like what you have left is fat beneath the platysma muscles or deep fat. This can be addressed or sculpted from the anterior neck via an incision in the crease under your chin. Additionally, you could consider a small chin implant to add some anterior projection. Good luck!
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September 1, 2023
Answer: Kybella Post sub-mental liposuction Unfortunately, your provider didn't explain to you that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposits above the muscle. Kybella Will be totally ineffective. You still have residual fat deposits below your platysma muscle, which is going to require a neck lift procedure to remove that fat in addition to a platysma plasty to significantly improve your jawline. No skin removal is required, and this can be performed through a 1 inch incision underneath your chin. You also have a recessive chin profile which makes the sub platysmal fat more apparent. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions, and will also give better structural support for the soft tissues in the neck.
Helpful 1 person found this helpful
September 1, 2023
Answer: Kybella Post sub-mental liposuction Unfortunately, your provider didn't explain to you that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposits above the muscle. Kybella Will be totally ineffective. You still have residual fat deposits below your platysma muscle, which is going to require a neck lift procedure to remove that fat in addition to a platysma plasty to significantly improve your jawline. No skin removal is required, and this can be performed through a 1 inch incision underneath your chin. You also have a recessive chin profile which makes the sub platysmal fat more apparent. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions, and will also give better structural support for the soft tissues in the neck.
Helpful 1 person found this helpful
September 1, 2023
Answer: As a plastic surgeon, I feel that Kybella is RARELY the answer Hi there! Compared to the pre-liposuction photo, it looks like you have achieved a tremendous result from the submental liposuction. Submental liposuction and Kybella (Deoxycholic acid) both focus on treating subcutaneous fat (the fat directly beneath the skin), but it does nothing to treat the underlying anatomical structures. For many people, the appearance of a "heavy neck" is likely genetic in nature -- many of their family members will have a similar appearance to their jawline and neck and it will persist, or only minimally improve, even if they lose weight. This is because the underlying anatomy needs to be contoured in order to achieve a more aesthetically ideal neck. You also have a slightly underprojected chin, which is also contributing to what you are noticing. With all that being said, the combination of an isolated neck lift and placement of a chin implant could improve the appearance of your jawline and neck. Though, the full benefit is difficult to assess without performing a physical examination. I can confidently say that Kybella would offer very little benefit.
Helpful
September 1, 2023
Answer: As a plastic surgeon, I feel that Kybella is RARELY the answer Hi there! Compared to the pre-liposuction photo, it looks like you have achieved a tremendous result from the submental liposuction. Submental liposuction and Kybella (Deoxycholic acid) both focus on treating subcutaneous fat (the fat directly beneath the skin), but it does nothing to treat the underlying anatomical structures. For many people, the appearance of a "heavy neck" is likely genetic in nature -- many of their family members will have a similar appearance to their jawline and neck and it will persist, or only minimally improve, even if they lose weight. This is because the underlying anatomy needs to be contoured in order to achieve a more aesthetically ideal neck. You also have a slightly underprojected chin, which is also contributing to what you are noticing. With all that being said, the combination of an isolated neck lift and placement of a chin implant could improve the appearance of your jawline and neck. Though, the full benefit is difficult to assess without performing a physical examination. I can confidently say that Kybella would offer very little benefit.
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September 1, 2023
Answer: Understanding what causes a double chin Almost 100% of individuals seeking chin and neck Liposuction have a facial skeletal imbalance. these individuals universally have a dental occlusion overbite with a Mandible that is short, small, or lacking in a forward projection.
Helpful 1 person found this helpful
September 1, 2023
Answer: Understanding what causes a double chin Almost 100% of individuals seeking chin and neck Liposuction have a facial skeletal imbalance. these individuals universally have a dental occlusion overbite with a Mandible that is short, small, or lacking in a forward projection.
Helpful 1 person found this helpful
