34, female, fat pocket persists after Kybella, should I get chin lipo? (Photos)

Question

I am a 34 year old female. I have had 5 vials of Kybella and had really good results but a small fat pocket still persists. It is genetic as I am very thin and athletic. From some angles I do not have a visible fat pocket but from others I do. I also have a scar under my chin from childhood which I think makes the bulge look worse. Should I get more kybella or go with chin lipo? I’m afraid of side effects from lipo which would make me regret getting it.

Brandon Richland, MD · Answer

Dear Sensible,
Good question! This is something that can happen after kybella. If there is a small amount of fat and you were otherwise happy with results, another injection may be an option. The gold standard treatment will be chin liposuction, which will remove the excess fat in the area. It can be done in the office under local anesthesia. I recommend a consultation with a board certified plastic surgeon with experience in chin liposuction and fillers for more information.

Jacob Tower, MD · Answer

Hello, hope you are well. I think you should tread lightly with any further treatment. The potential gain from liposuction seems relatively disproportionate to the risk. In a neck with limited adiposity, you risk overtreatment and introducing scar tissue between the skin and deep structures of the neck which can cause dimpling, rippling, or visible irregularities in the skin which is a challenge to 'fix'. I also think there are diminishing returns on additional Kybella if you have already received 5 vials. The lowest risk reasonable option that comes to mind for that marginal gain would be Accutite. This is an RF treatment that addresses subcutaneous fat and skin laxity. Have an in-person consultation to make sure you and your provider share the same expectations of any further treatment, and solid understanding of the potential risks and benefits.
Best,Dr. Tower

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

Do you have a well defined jawline with very little subcutaneous fat. There are a lot of structures in your neck, other than fat that can contribute to shape and contour in this area. Liposuction may or may not be appropriate. You would definitely need an in person consultation to get a quality assessment. If you ask plastic surgeon for liposuction, they’re most likely going to offer it. There is a common saying in plastic surgery that goes “the enemy of good is perfect”.
I don’t see a clear indication for liposuction or any other treatment. 
Best,
Mats Hagstrom, MD

34, female, fat pocket persists after Kybella, should I get chin lipo? (Photos)

Answers (4)

Answer: Adding Liposuction

Answer: Adding Liposuction

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Everything you need to know about Chin Liposuction

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34, female, fat pocket persists after Kybella, should I get chin lipo? (Photos)

Answers (4)

Answer: Adding Liposuction

Answer: Adding Liposuction

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Everything you need to know about Chin Liposuction

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