How many treatments of Kybella needed to remove my double chin for noticeable results? For size how many CCs per visit? (photos)

Dear Cheeky84,
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

Hi @Cheeky84! Another great option is Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

kybella is unpredictable and typically doesnt work for contouring or tightenig which you need.


most of my younger patients do buccal fat pad reduction, facetite/liposuction of the neck, and fillers to chin/cheeks/jawline/temples,  to give them a more chiseled face.  see my IG and links. at home derma-rolling should be started to Improve texture and tone and tightening along jawline (see link where we have a recommended daily skincare and weekly MTS + anteageMD derma-rolling protocol).

For facial slimming a combination of treatments are always needed. Options include:

1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined

most of my younger patients consider...
5. deep microneelding RF like morpheus every 2-3 months forever to further improvement tightening
6. early face/neck lift if you want a really tight contour and the most extreme improvement in jawline and neck shaping
7. threads, PDO or Instalift, after neck surgery/facetite to further improve the outcomes and give them long term collagen production and shaping
8. Thermage (radio frequency heating) and Ultherapy (ultrasound muscle tightening) yearly to prevent sagging in the future

See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

While Kybella is effective, it is unpredictable in a sense that everyone responds differently to it. For some, one session of 2 vials will do the trick, and for others (with the same amount of fat), it can take up to 5 sessions. In your case, I would say 2 - 3 sessions of 1 - 2 vials, but this is just a rough estimate based on the photos you've sent. Be sure to confirm with your doctor and see what they suggest.

Hello!
Kybella is typically sold per vial. Each vial is about 2 mLs. I usually recommend a series of treatments and each patient responds differently to Kybella. Average patient requires 3-6 vials in total, each session spaced a month apart. I would recommend starting with 2 vials on your first visit and doing a series of 2-2-1. So, 2 vials month 1, 2 vials month 2, and 1 vial on the final month and I think you would have great results!!

Hello. Thank you for your question. First, you need to find out how much Kybella is actually coming in each syringe. Kybella is sold by the vial, which is 2mLs. Charging $200 for 3mL of straight Kybella wouldn’t even cover the providers cost. You also need to see if what they’re injecting is actually Kybella or the off brand Lipo Dissolve. Lipo Dissolve is not a bad option, but you should know what you’re paying for.
If following protocol on Kybella each treatment should be 5 vials, so 10mLs, and you need anywhere from 1-5 depending how much fat you have in the area.
I hope this is helpful for you.

This treatment can be unpredictable and occasionally it can skeleton nice people by being more effective than it was anticipated.

Liposuction is the gold standard and I suggest using the treatment option that works best.

The primary problem in your case is an under developed mandible that lacks forward projection not an excess amount of fat.

Liposuction will still work reasonably well.

I suggest listening to your bargain basement provider since they will be injecting you in regards to how many syringes you’ll need.

Best,

Mats Hagstrom MD