Can a good spa perform Kybella or do I need to go to a plastic surgeon or dermatologist?

There is anatomy to understand when injecting Kybella. Please see a board-certified dermatologist or plastic surgeon for treatment with your Kybella.

Based on your description, you may not be a good candidate for kybella. I find that VASER liposuction in combination with ThermiRF are best for contouring the chin in those who are candidates and can be combined with a neck lift/skin removal at the same time, if needed. Kybella can be used as an alternative and needs to be combined with thermage/ultherapy/exilis or coolsculpting for good results. You can get the procedure performed at a spa by a medical practitioner. However, I recommend getting a formal evaluation with an expert. Best, Dr. Emer

You may be able to get Kybella at a medi-spa where the procedure will be done by a medical professional. However after massive weight loss it is unlikely to be your best choice. See a plastic surgeon who offers Kybella and you can then get an honest opinion about your best option.

You may not be an ideal candidate for Kybella.  Kybella does not tighten skin.  It simply dissolves fat where it is injected.  Massive weight loss patients, like yourself, and those with poor skin elasticity are much better surgical candidates.  Without photos or a physical exam, it's difficult to make recommendations for you.  I would visit with a board certified facial plastic surgeon or plastic surgeon so that surgical options could be offered to you as well.  Lastly, for any cosmetic injection, I would only see a board certified CORE physician for injections (facial plastic surgeon, plastic surgeon, or dermatologist) since we have the best understanding of facial anatomy and the most in depth training in injectable products.  We can also deal with any complication that may rarely arise.   Good luck!

Considering your extreme weight loss (congratulations, by the way), you may be dealing with loose skin in addition to (or instead of) residual fat.   I would recommend seeing a physician who has had experience with Kybella and make sure you trust them prior to getting injected.  A plastic surgeon would be able to give you options if the area is more loose skin because they would be able to remove it.  However, there are many excellent physicians out there that own/work at reputable med spas that can offer other non invasive ways of treating loose skin should that be the issue.  Certainly, check credentials prior to treatment.

Thank you for
your question Kweesie. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. It is difficult to make an assessment without photographs. Kybella and other treatments such as fractional CO2 laser resurfacing are available for the double chin and loose skin. It is important to find an experienced injector and many offices including medical spas, dermatologists, and plastic surgeons have outstanding injectors. Please
consult with a doctor for specific recommendations. Good luck!

Without photos it is difficult to say if you are a good candidate for Kybella.  You may have too much skin laxity and require a surgical procedure or Thermage with Kybella to tighten the neck. Please consult a board certified dermatologist to ascertain if you are indeed a good candidate or not.  Best, Dr. Green

The bigger issue isn't where to get your Kybella (I will always prefer a board certified plastic surgeon or dermatologist to a med-spa). It's that Kybella is probably not the right procedure for a patient who has undergone massive weight loss. You will probably have too much lax skin and Kybella does nothing to tighten skin. I would suggest that you get assessed in person by a surgeon to discuss your options.

Kybella is well suited for small amounts of submental fat. I've found those patients do very well with it after a few treatments. From what you have told us, you may better off with a neck lift. I would NEVER consider getting Kybella done by any other doctor other than a board certified dermatologist or plastic surgeon. 

Thank you for your question.  Congratulations on your recent weight loss!  It's impossible to make a exact recommendations without assessing you in-person or reviewing photos.  Based on your description, you may have some combination of skin laxity (loose skin) of the neck with/without some residual fat.  Kybella is only designed for fat reduction, and will not treat skin laxity (and in some cases can even make it worse).  I think a detailed cosmetic consultation would be important to assess what treatment(s) would be most appropriate for you, whether it is Kybella, submental liposuction, or a neck lift.  I would recommend scheduling a consultation with a cosmetic dermatologist or plastic surgeon to discuss all of your options, and determine what would best help you achieve your goals.Even if Kybella is the best option for you, I would still recommend that you consider seeing a dermatologist or plastic surgeon.  Kybella injections are not without risks - if administered improperly, Kybella can cause temporary facial nerve damage and ulcerations of the skin.  It would be best to see a physician with expertise in this procedure.  Best of luck!