Am I a good candidate for Kybella? (photos)

Question

I'm interested in Kybella but heard mixed reviews. Primarily the Jawline not contracting back. My personal concern is that the left side Of my jawline is loosing contour in contrasted with my right. Which I believe is "primarily" from bone loss due to loosing (2) baby teeth, in the last few years. I now have a dental bridge. With this in mind: #1 Am I a good candidate for Kybella? #2 Why are some patients left with horrible results? #3 Recommended number of syringes needed? Thank You!

Daniel Barrett, MD · Answer

Dear Fierce36Pics,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Tara Brown, MD · Answer

Hi - its a bit hard for me to tell by your photos, but it looks like you would benefit from a small amount of kybella. You could start with one vial then reassess in a couple of months. I hope this helps. Dr. Brown

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding someone’s chin and neck we need standard frontal and profile pictures.

Kybella is inferior to Liposuction by pretty much every measure.

From the picture it doesn’t look like excess of subcutaneous fat is a substantial problem in this area.

Premature Jowls, Black of Jawline and showing a double chin tends to be more related to facial bone structure. In particular those with a mandible that is small in relationship to their Maxilla.

Only about 2% of the population have something that resembles as symmetrical face. Most people have substantial facial asymmetry and the primary source of a symmetry tends to be skeletal.

This in combination with age is probably what brought you here. I’m not a dentist so I can’t speak on behalf of tooth loss and the implication for bone loss.

To get a quality assessment I suggest scheduling a few in person consultations with local board certified plastic surgeons or oral surgeons.

Best,

Mats Hagstrom MD

James Fernau, MD, FACS - Account Suspended · Answer

Hello, and thanks for your question. You are certainly a candidate for Kybella. And to answer your questions, most patients receive excellent results, it is only on the rare occurrence that someone's biochemistry does not do well with this medication. The recommended number of syringes just depends on how many milligrams are in each syringe. Your doctor will know how many do-they will most likely start out with a few and have you come back again to get another round depending on what your results are. Please see a board-certified surgeon for best results. Best of luck to you!

Sincerely, James Fernau, MD FACS 
Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Am I a good candidate for Kybella? (photos)

Answers (5)

Answer: Chin and neck evaluation

Answer: Chin and neck evaluation

Answer: Kybella

Answer: Kybella

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Everything you need to know about Kybella

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Am I a good candidate for Kybella? (photos)

Answers (5)

Answer: Chin and neck evaluation

Answer: Chin and neck evaluation

Answer: Kybella

Answer: Kybella

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Recommended reading

Everything you need to know about Kybella

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