One more round of Kybella? Have already has 2 rounds. (photos)

Question

I have gotten two rounds of kybella for my double chin. I have noticed good results but still have some loose skin in the neck area. When I clench the muscles in my mouth, it looks great. But candid and rested photos are another story. Any suggestions would be very welcome!

Anil R. Shah, MD · Answer

Due to having some skin laxity, a third Kybella treatment will not provide your desired result. Overall though, you have shown tremendous progress! Kybella is purely used for adipose (fat) reduction and if the skin of the treatment region is not tight or firm, the skin will continue to hang if not treated properly. There are many types of non-invasive treatments available on the market that can help with skin laxity such as a resurface CO2 laser and radiofrequency treatments such as Forma or Fractora. You may even benefit from Botox of the platysmal bands, but it's hard to determine without proper examination or standardized photos. I strongly advise seeking consultation with a skilled Facial Plastics surgeon who has thorough understanding of the face and neck anatomy.Best,Dr. Anil Shah

Ellen A. Mahony, MD · Answer

Great question. The answer to this question is individualized to your specific anatomy and desired results. Kybella works great to permanently dissolve submental fat. Patients typically need 3 treatments with Kybella that are spread 4-6 weeks apart. After the injections, the treated area can be swollen for 1-2 weeks. After the swelling goes down, the fat will start to dissolve, and the results will show. Another option would be liposuction of the neck. Liposuction is going to be better for someone who has a diffuse band of fat around the face. After the surgery patients must wear a face band to help hold the chin area tight. This band needs to be worn as much as possible for the first two weeks. Swelling after surgery can last for 6 weeks, but the results are going to be more dramatic. The surgery, unlike Kybella, is a one and done procedure. Go to a Board Certified Plastic Surgeon who can help guide into the right direction. Best of luck!
  
In Good Health,
  
Dr. Ellen Mahony

Daniel Barrett, MD · Answer

Dear  qdoran,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

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! Your results are amazing! Congratulations! At this time, I would recommend you look into non-invasive skin-tightening to further improve your jawline. Ultherapy and Exilis will help to stimulate the deep tissue, giving a lifting and tightening affect. This will help to decrease the amount of laxity you see below your jaw. Both of these procedures take several months to take affect. Good luck! Sarah RN BSN

Monika Soni, MD · Answer

Thank you for your question and your pictures. I think your results look great as far as Kybella goes. Your jawline looks much more defined in your after pic and I don’t think that you would get any more significant improvement with the Kybella.

Jason Rupeka, DO · Answer

Thank you for your question and your pictures. I think your results look great as far as Kybella goes. Your jawline looks much more defined in your after pic and I don’t think that you would get any more significant improvement with the Kybella. Again, great results!

Mark King, MD · Answer

Hello based on the photos you have submitted it does not appear that you require additional Kybella treatments especially since each additional treatments can be costly. You have many other alternatives from Ultherapy to more invasive procedures but it would be best to contact a Board Certified Plastic Surgeon if you are thinking going a more invasive route.

Trent D. Douglas, MD, FACS · Answer

Thank you for your question and submitting your photos.  Based on the photos, it does not appear that additional Kybella treatments would benefit you.  It is best to consult with a board-certified plastic surgeon to discuss the several options ranging from surgical to laser or other skin tightening technologies to address your remaining concerns.  Best wishes on obtaining a great result!

Anthony J. Taglienti, MD · Answer

Thank you for your question. I do not think, based on your photos, that additional Kybella will get you the results that you are looking for - however, there are other modalities that may. Ultherapy uses ultrasound to help provide a gentle lifting to the skin under the neck. I will use this modality in conjunction with Kybella - the results can take 3-6 months to see, as it causes micro-injury to the tissue which promotes collagen formation. You may also want to consider a surgical treatment to better tighten the skin under the neck. Always see a Board-Certified Plastic Surgeon. Best of luck!

Laxmeesh Mike Nayak, MD · Answer

Kybella, Coolsculpting, and liposuction all treat the layer of fat immediately under the skin (subcutaneous fat). In your case, there is no more fat left to treat. Further improvement requires treating other layers of the neck. Clenching your muscles simulates surgically changing those deeper structures. 
My deep necklift technique has taken me 15 years to perfect. I correct up to NINE different layers of skin, muscle, fat, glands, and fibrous tissue of the lower face and neck, meticulously sculpting each one independently through incisions hidden in the mouth or under the chin crease.

One more round of Kybella? Have already has 2 rounds. (photos)

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