Kybella or Thermitight w/fat removal? Can you compare the 2 results and/or tell me pros and cons for results and price? (Photo)
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Doctor Answers 9
Kybella versus other options
If you are looking for a non-surgical approach for the neck then a combination of Kybella and Thermage would probably be best for you. Between Kybella and Thermage you will have
Kybella vs Coolmini vs Liposuction
There are multiple factors that go into answering this question...
If there is a lot of fat, liposuction is your best bet. This can be done in-office under local anesthesia.
If surgery is not something you are comfortable with, Coolsculpting would be your best bet financially... as long as the Coolsculpting applicator fits and you are okay with more time to see full results (than liposuction). If your jaw is too small or the amount of fat too little, the CoolMini may not fit.
Lastly, if you have a small amount of fat and the CoolMini applicator doesn't fit your face, I would go with Kybella. There is a significant recovery period with Kybella and the product is not cheap. That is why I reserve it for people with a small amount of submental fat.
@drsheilanazarian on Instagram
Kybella or Thermitight w/fat removal? Can you compare the 2 results and/or tell me pros and cons for results and price?
Thanks for your question.
Looking at your anatomy, it would seem that long-term you would do best with the ThermiRF with liposuction. The results relative to cost, risk, and downtime are superior. Most people can wear makeup to cover any bruising on the neck and go out with a scarf after 48 hours as my patients do.
Kybella is a simple in-office procedure that in your case would probably require 1-2 treatments each with up to a 2 week social downtime. I'm not sold on skin tightening with time even though you probably get a little. Price on Kybella is less relative to ThermiRF with liposuction.
All this being said, if you were my patient, I would recommend the following:
1. VASER liposuction of the submental fat pad
2. Submental platysmaplasty (repair of loose muscle)
3. Placement of a Small - Medium silicone chin implant
Here's why I recommend the above:
1. VASER uses ultrasound to safely destroy fat cells with moderate tissue heating and skin tightening, prior to the liposuction
2. With a short chin comes weak muscle that typically needs repair to tighten the angle of the neck
3. The chin implant makes up for the short chin further tightening the muscle
I have two patients in my Before and After gallery on RealSelf that have had this exact procedure. All the work was done from one 1 inch incision under the chin in a natural crease most of us already have. See the link in Web Reference...
If you have further questions, my practice is located in Cherry Creek and I would be happy to speak with you further.
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Comparing options for improved jawline and submental fat.
Your timing is great because there are so many options now available. The tough part will be deciding on which path to take, but they will likely all provide substantial improvement. I will try to break down some pro's and con's, and go from most aggressive to least aggressive. Of course an examination would be very helpful in advising you for which might be the best option. Many also have similar risks (bruising, selling, numbness, motor nerve weakness, scabbing or necrosis, hyperpigmentation, and discomfort).
1) Face and neck lift- This is the most aggressive choice and best when skin laxity, muscle banding (muscle laxity), jowls, and maybe excess submental fat are all components in what causes the unappealing look. In general older patients will fall into this category, but when performed on younger patients the results can be truly fantastic and more long lasting than when done in older patients. It is the most expensive, has the most downtime, and longer scars (though very well concealed). Based on your photos I would consider this to be overkill.
2) Liposuction alone- If you have good skin elasticity this is an option. There can always be some surface irregularities and skin laxity following this procedure, just like with liposuction done on other body parts. A compression wrap is recommended for about a week, and then at night only for a few more weeks.
3) ThermiTight with Liposuction- This is a very nice minimally invasive combination because the liposuction can more quickly remove the fat (higher temp settings of the thermi can also melt the fat) and the skin will be tightened from the Thermi. This is well tolerated under local anesthesia, and the liposuction does not really add to any downtime. Incisions are generally 3 small (2-3 mm) poke holes, one at each earlobe and one under the chin. Obvious swelling is present for about one week, and it is best to use compression to help during the first few days, and then at night for a couple of days. The tightening from the Thermi will continue for a year, and each patient's result will be different based on their physiologic response.
4) Kybella is a great option of an injectable procedure for melting fat, and it works by creating a strong inflammatory reaction that starts within seconds of the injection. There is quite a bit of early swelling (and it does hurt), then the body clears the fat over about 1-2 months, when the next injection should then be performed as needed. It is likely that the fibrosis caused by the inflammatory reaction adds to the tightening effect of the skin.
5) Coolsculpt Mini- This is a brand new hand piece that is specifically designed to treat fullness under the chin, using cryolipolysis (a frost bite type injury isolated to the fat) that is well proven. This is completely non invasive, and can be repeated after 1-2 months for a more dramatic effect. Skin tightening depends on your own elasticity. A benefit is the smoothness achieved as compared to liposuction, and again no scars with only hours of downtime.
I would not look at this list as either/or, but rather which is the smartest start. Some patients may want to go for the most aggressive approach, for others it might be drawn to the most convenient, quickest downtime, cheapest, or least scary. If you have good skin elasticity you could start with something like Coolsculpting (the cheapest) or Kybella. I have also been very happy with the Thermi and Liposuction option and I have been doing this for about a year. I personally had Thermi (without lipo) and then used one injection of Kybella to get the little ball of fat under my chin. It worked great (ouch though!), but I would have gone for the Mini had it been available then. The gold standard face and neck lift is still going to be very popular for those who really need it.
Also, your results will look best with a little filler in your marionettes (based on your photos) regardless of which procedure you select.
Best of luck to you. I hope this was helpful!
Kybella is Superior
Kybella vs Thermitight with liposuction
These two treatments are both excellent approaches for your submental fullness, and both will reduce your submental fullness and tighten the skin under your neck. #Kybella would be less expensive and have less downtime and potential side effects, and I believe you would get great results with resolution of the submental fullness as well as tightening the skin with as little as two treatments.
To my eye, it appears that the submental fat is more of a problem than any laxity, but for someone more concerned about looseness or laxity than fat, #Thermitight with liposuction, or focused ultrasound (#Ultherapy) with liposuction or Kybella could be better options. For those who don't want any discomfort or downtime at all, I have seen remarkable improvements in neck laxity with a series of 4 to 6 #Pellevé radiofrequency treatments.
Some practitioners have addressed what they or perceive as recession of your chin and recommended a chin implant, While implants can balance facial features and improve the appearance, you did not ask about this and it may not trouble you. I have found that reducing submental fullness sharpens the profile of the chin and can help to make it appear more prominent even without an implant or fillers. A round face can also appear slimmer without the submental fullness.
All the best,
Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella
Neck lift with chin implant candidate
Kybella Is only indicated for fat removal above the platysma muscle, not below it. The skin does not tighten from this treatment. Kybella is usually performed 2-4 times in order to obtain fat dissolving results. Anticipate 2 weeks of swelling after each treatment.
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