Which would you recommend; Kybella, Ultherapy, or chin Lipo/lift? (photos)

An in-person consultation is necessary to evaluate your condition and find the best treatment options that will achieve your goals. That said, in general, Kybella is a good choice for reducing fat underneath the chin non-invasively, but it will not tighten the skin. Chin lipo also will reduce fat under the chin; the downtime will be longer but more dramatic results can be achieved in one session. If you are concerned about skin laxity, Ultherapy or ThermiRF may be better choices. These procedures can both be used to tighten loose skin around the neck and jaw, reducing turkey neck and jowls. It may be possible that both a fat reduction and a skin tightening procedure will be needed for you to achieve the chin and jaw contour that you want. I recommend visiting a board-certified dermatologist with expertise in skin tightening and fat reduction procedures for a consultation and evaluation.

Based on the photo provided, some degree of submental fat reduction combined with a small amount of chin and prejowl augmentation is likely to be helpful. Fat reduction can be performed with liposuction or Kybella. Chin and prejowl augmentation can be performed with injectable fillers or with an implant. If performed with liposuction, a chin implant can be placed through the same small submental incision. At some point, a mini-lift might be an option to help with the jowl areas. I do not recommend Kybella in these areas due to the risk of nerve injury. Carefully performed liposuction can help to smooth this area safely as well. I am not a big fan of ultrasound or radiofrequency treatments in the face or neck because they tend to be painful, expensive, and provide very limited (if any) improvement compared to the many other highly effective options discussed above.Be sure to see a facial plastic surgeon or plastic surgeon who specializes in facial aesthetic procedures to review all of the surgical and non-surgical options in detail.All the best,

Kybella uses deoxycholic acid to melt submental fat with a series of injections. You would probably need more than one treatment. Each session only takes about 5 minutes in the office. It is a relatively noninvasive procedure and is very safe. Something I noticed as an investigator for Kybella was that those that were younger and had a double chin typically had a component of chin volume loss.  So I would  consider augmenting the chin with Voluma to restore bony volume loss which will help with jawline definition and improvement in the appearance of your double chin. Please consult a board-certified dermatologist to determine if you are a good candidate for Kybella with Voluma.

Thank you for your question. Best option would be liposuction or kybella.  Good candidates for kybella are also good candidates for liposuction.  Patients with good skin tone and mild to moderate fullnesswill have good results.  You can liposuction jowls very conservatively.  A chin implant would also help improve your profile.  Consult with  board certified plastic surgeon to discuss the best option for you.

Fantastic question! Good to know all of your options.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.All three will give you some skin tightening.My best,Dr. Nazarian@drsheilanazarian on Instagram

Thank you for your question and sharing your photo.  I would recommend starting with Kybella to decrease the sub mental fullness.  You should also see a mild degree of tightening with this treatment.  I would follow this with Ulthera if you still have concerns about the laxity of the neck or simply plan on both as Ulthera will help you reduce the rate at which the neck continues to develop laxity with time.

For submental fat (central fat under the chin) and general neck fullness, there are a number of options, of which our practice performs all of them -- specifically, ulthera, kybella, face/neck lifting, and liposuction.Given your age and the picture provided, it is unlikely that you are a face or necklift candidate.  If there is fat under the chin and jowls, I would advocate liposuction.  Kybella is really only indicated for the submental region, not the jowls and not the side of the neck or jaw.Ulthera is ideal for candidates with minimal fat and who require only skin tightening.Liposuction, in experienced hands, can be safely performed in all of your areas of concern -- the jawline, neck, submentum, and jowls.  With thousands of procedures successfully completed, I have yet to see any compromise of nerves, temporarily or permanently.Consultation with a skilled surgeon is critical!Best of luck!!

Based on one picture it is impossible to give you specific advice.  However, Kybella is only FDA approved for sub-mental fat (not the jowls).  Liposuction can do more extensive fat removal.  Kybella may have less recovery per treatment but requires anywhere from 2 to 6 treatments for full effect while liposuction is a one time procedure.  For cost, the depending on the number of treatments that you need of Kybella is may add up to the same cost of lipo.  So you really need a consultation to see which procedure or treatment will best meet your goals and also fit your current lifestyle / recovery needs.  A third consideration is if you need chin augmentation.  Removing fat under the jawline helps with definition but augmenting the chin can also be just as helpful in shaping the face.  Oftentimes both are done in combination.  So, once again, this points to the importance of your consultation with your plastic surgeon.Good Luck.  

Kybella is amazing for the elimination of isolated excess submental fat that creates a fullness. As soon as you have jowls or facial skin laxity its time to consider non invasive treatments to tighten your facial and neck tissues. Unfortunately a photo can tell me only so much. Its always best to have a face to face consultation

There are many good options but the most longer lasting is some form of liposuction, muscles and skin tightening. we frequently use NeckTite (a form of BodyTite) as well as muscle tightening. This usually gives the best and long lasting results. I hope that helps and Best Regards, Dr. Sapijaszko.