I am wanting my fat from neck gone permanently. Should I go with Thermitight or Kybella for a defined jawline? (Photo)

From the front i look ok, i guess it doesn't look too bad, but i don't like my side profile at all.

Doctor Answers 9

ThermTight vs Kybella

Thank you for your question and photos.  In reviewing your pictures, it does not appear that you have a substantial amount of fat under your chin, but maybe some loose skin.  In my office, we offer both Kybella and ThermiTight and I'll outline for you how I go about recommending one or the other.  I think of Kybella as an alternative to liposuction.  It will not remove as much fat as liposuction, but then again, it is non-surgical.  So, when extra fat is the primary concern and the patient does not want to do liposuction, then Kybella is an easy solution.  Kybella, however, does not address the issue of loose skin.  Liposuction does a better job of this if either VASER or laser lipo is used (for example, SmartLipo).  The best thing on the market for loose skin, however, is ThermiTight and it's also pretty good at melting some fat, so without doing an examination on you, that would be my recommendation.

Bellevue OB/GYN
4.9 out of 5 stars 28 reviews

Should I go with Thermitight or Kybella for a defined jawline?

From your photos it appears that you would benefit from skin tightening as well as reducing the the fat. ThermiTight is superior to both.

Curtis Perry, MD
Downey Facial Plastic Surgeon
4.8 out of 5 stars 19 reviews

Defining Jawline and Neck

You would need an in-person consultation and evaluation to determine which treatment is most appropriate for you. I love ThermiTight because you can get rid of the fat and tighten the skin at the same time. Looking at your pictures I think this would be an appropriate treatment for you to accomplish your goals. Please see an experienced provider. 

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

Thermitight or Kybella for Defined Jawline? Both ThermiTight and Kybella Remove Fat and Tighten Jawline

Both ThermiTight and Kybella are effective ways to remove submental fat. ThermiTight is designed to melt fat and also tighten skin by heating up the collagen with radiofrequency energy. The results are so dramatic that it can often be used as a nonsurgical necklift. Only one treatment is required.

Kybella works by melting dissolving fat with deoxycholic acid – a component of bile. It will eliminate up to 3025% of fat at a time, so most patients do best with at least two to three treatments or more. Because the fat leaves the body gradually over several weeks, the skin has time to adjust to the loss of volume and tends to tighten up. Please find a board-certified dermatologist who has expertise with both ThermiTight and Kybella so you can be evaluated in person to determine which is best for your needs.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 19 reviews

Wanting Neck Fat Gone Permanently? Kybella Can Work Alone or In Combo

It looks like you may have a little bit of laxity to your submental skin. While Kybella will do a terrific job of removing the fat under your chin, and should also provide a little skin tightening, it may not be enough. Rather than ThermiTight, I would recommend a noninvasive skin-tightening treatment such as Thermage or Ultherapy. Consulting a board-certified dermatologist will give you a more specific answer, as your skin must be evaluated in person.

Karen Beasley, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Which procedure? Kybella, Thermi or Coolsculpting

Although you would need an in-person evaluation to be certain, it looks like there is some loose skin under the chin.  For this reason, I would select ThermiTight, which can treat both mild fatty excess and mild skin laxity.  The other options only treat fat.

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 80 reviews


Thank you for your question. There are a couple of options that you have but it is always best to visit a board certified doctor for best advice. You may be a candidate for both- depending on your desired results of course. Kybella permanently destroys the fat cells in your chin. Should skin tightening be needed, you may do that as well. Hope this helps. Best, Dr. Ka

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Thermi tight or kybella

It is a little difficult to tell from your pictures; therefore a consultation with  a MD who offers both treatments would be best.  Thermi tight is better for fat and skin tightening of the neck and jaw line; my first impression is that this would be the better procedure for you!

H. Christopher Coley, MD
Greensboro General Surgeon
4.6 out of 5 stars 15 reviews

Double Chin/Neck Laxity/Jawline Contouring -- Kybella, VASER Lipo, ThermiRF, Thermage/Ultherapy, Fillers like Radiesse/Sculptra

The only permenant cure for the neck fat and tightening here is liposuction.  VASER/ThermiRF do best together. I suggest you see an expert. Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.