Loose skin under chin the chin, would Kybella be a good solution? (Photo)

Question

Hi I'm 5ft 9 174lbs. I have had the double chin problem for a long time . Recently I tried cool sculpting bc I didn't want to go surgery route. At first it seemed to work and then again it started re appearing . The cool sculpting person said it's lose skin . Is doing a neck lift the only option or if I can get down to 160 should help reduce it ? What cost should I be expecting for surgery? Should I try kybella? How much should kyvella cost and how many treatments? Thanks very much.

Andrew T. Lyos, MD, FACS · Answer

Thank you so much for your question and photo. Fullness of the neck is an extremely common concern in my practice.   Frequently,  correction  requires not only reduction of the fat but also tightening of the skin. We now have several great options For correction of neck fullness avoiding the scars of a traditional neck lift.  This is especially important for men who want to avoid visible scars as well as changes in their beard and hair line. You would do great with the J Platzy   Procedure with J-plasma cool helium plasma for skin tightening and rejuvenation.   This is extremely exciting technology! This can be done in the office with local anesthesia with minimal downtime and recovery. Another option is Necktite which is a radiofrequency technology for lifting and tightening.  I would  recommend a consultation with a board certified plastic surgeon with experience in facial rejuvenation for and in personal consultation to  discuss your options.  Best regards Dr. Lyos

Michael P. Morrissette, DDS, FACS · Answer

Thank you for this question. Kybella is used to dissolve fat and not recommended as a skin tightening procedure. In fact, inn some cases, the loose skin beneath the chin can look worse after Kybella treatment. Sometimes a combination of Kybella and Inmode Facetite or Thermi or Laser liposuction can provide excellent results. In other cases, a necklift with removal of skin is the best choice. Find a surgeon who can offer all these options.

Daniel Barrett, MD · Answer

Dear ab102,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, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Jason Emer, MD · Answer

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 at the same time, if there is skin laxity. Kybella can be used as an alternative and needs to be combined with thermage/ultherapy/exilis or coolsculpting for good results. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Manjula Jegasothy, MD · Answer

Kybella®, along with a skin/muscle tightening/lifting treatment such as Ultherapy®  may be a good option. Most patients get 2-3 Kybella® treatments spaced 2-4 months apart. Prices vary widely based on geography, and Kybella® can cost anywhere from $1000-$3000 per treatment.

Kouros Azar, MD · Answer

Based on this photo, it is hard to pinpoint the exact issue. Kybella will melt submental fat under the chin. However, it will not tighten loose skin. My best advice would be for you to schedule a consultation with a board certified plastic surgeon to discuss the pros and cons of Kybella versus a neck lift for your anatomy.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question and for sharing your photograph ab102. I am sorry to hear about your situation. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. The double chin can be seen as a result of age, weight gain, or genetics. The one factor that one can control is weight and I advise my patients to maintain a healthy lifestyle by eating a healthy diet and exercising regularly to maintain a healthy weight.It is important to understand the differences between a surgical approach and a non-surgical approach. Almost always a surgical treatment will provide better and longer lasting results than a non-surgical approach. However there are many patients who do not desire surgery and a number of non-surgical alternatives are available. Therefore it is important to have appropriate expectations prior to moving forward with a non-surgical treatment.The primary non-surgical treatments for the double chin are Kybella and Cools Sculpting mini, although new treatments are made available regularly. It has been my observation that patients with mild to moderate fullness get the best results from Kybella and those with severe to extreme fullness get the best results with Cool Sculpting. Often times a series of Cool Sculpting treatments is followed by a series of Kybella treatments for improved results.If Kybella is being performed on its own it is important to understand that multiple treatments are almost always required. The pivotal studies demonstrated that most patients require 2-4 treatments, sometimes up to 6 treatments. Theses studies used 2 vials per treatment and I find that this is a good dose. However some physicians use more or less depending on their preference, experience, and comfort level. Swelling is seen 100% of the time and the more product is used the more swelling can be expected. Some patients see a decreased amount of swelling after a second treatment even when the same dose is used. This may be the body adjusting to the treatment or the fact that there is less fat that is treated. Those with more fullness can expect to undergo more treatments.In the pivotal studies, treatments were performed at four week intervals. However in my experience I have found that waiting three months (12 weeks) allows for more healing of the skin and yields better results. Therefore it is important to understand that the process will be slow.The issue of loose skin comes up a lot when discussing Kybella. When a surgical liposuction is performed the fat is physically removed from the area. In the case of Kybella, on the other hand, the fat is dissolved and slowly removed by the body over time. As this occurs there is an inflammatory reaction that occurs as evidenced by the swelling. This inflammatory reaction possibly leads to the formation of collagen in the area to tighten the overlying skin. This may be the reason why loose skin is not commonly seen after the fat is removed from a series of Kybella treatments.Pricing for all cosmetic treatments varies from office to office. Such information is available on Real Self. Please
consult with a doctor for specific recommendations. Good luck!

Amanda Abramson Lloyd, MD · Answer

Having a kybella consultation is an excellent idea! Kybella dissolves the fat that is under the chin and the studies showed some retraction of the skin. if you're wanting something less invasive, it certainly is worth exploring!

Raul P. Rodriguez, MD · Answer

If your issue is only loose skin, a tightening heat treatment like ThermiTight may improve laxity without surgery. I you have a significant amount of fat left over under the skin, VASER Liposuction can permanently remove the fat in an hour and simultaneously tighten the skin with controlled ultrasonic heat under the skin. If you want nothing invasive, that does not require local anesthesia, then you may want to consider Kybella injections to chemically destroy the fat, followed by external skin tightening with heat, after the fat is reduced.
The most important thing with the non-invasive options is to have a candid discussion with your physician about expectations and how long it will take to get the final results you seek.

Joshua A. Halpern, MD, PA · Answer

Kybella is an injection that  dissolves  fat. Kybella and cool sculpting do not tighten skin. From your picture it appears that loose skin contributes significantly to your appearance. Not surgical options include Viora and Velashape. These utilize radio frequency to tighten skin. The results won't be as tight or as long lasting as a male neck lift. BTW male surgeons who undergo my male facelift procedure typically operate on there own patients seven to ten days after surgery. I hope you find this information useful. For more information please watch the enclosed video.

Loose skin under chin the chin, would Kybella be a good solution? (Photo)

Answers (17)

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