I have been considering having either Kybella or SculpSure on the chin. Which one would be best? (Photo)

Question

I really want some definition in my chin. I am 47 years old and don’t want to cause lax skin. I don’t really want the down time of lipo. What would be best?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Both are very effective at creating a more refined chin and jawline. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine which procedure will work better for you.
Best wishes,

Nikesh K. Patel, MD · Answer

A series of treatments of Kybella and SculpSure can produce effective results in the neck and jowl area but if you are looking for a quick and minimally invasive treatment you should also consider ThermiTight. ThermiTight uses radiofrequency energy to tighten loose skin and stimulate collagen production. The RF energy is placed into the deeper dermal layers without the need for incisions. Instead, a small probe is inserted into the treatment area, which delivers precise thermal energy to the underlying dermal structure, resulting in constriction of tissue and collagen production for results you can see immediately that get better and better with time. A ThermiTight procedure can be done in our office under local anesthesia, requires only one treatment to achieve optimal results and the recovery/downtime is minimal. As always, you should seek out a board-certified plastic surgeon with experience with all of the above mentioned procedures to see which procedure is best for you. A good surgeon will be happy to explain all of the options and help guide you in the decision making process.  Best of luck!

Jonathan Kulbersh, MD · Answer

Both Kybella or neck liposuction are good options and will improve the double chin. It depends on your lifestyle and personality which would be better for you. 
Kybella is best for patients that:
1)  Do not want surgery 
2)  Are not surgical candidates 
3)  Not willing to wear a compression dressing around the face for 1 week 
4)  Patient-  The results of Kybella will take months
Kybella take 1-3 treatments every 6 weeks.  Patient will develop swelling and possible bruising after each injection that may last a few days.  The benefit of Kybella is each treatment is quick and completed in the office. However, some patients need more than one treatment to get desired results. 
Neck Liposuction is best for patients that:
1)  Want a single treatment 
2)  One recovery time-  Downtime for neck liposuction require wearing a wrap around face for 1 week. 3)  Less painful 
4)  Quicker results 
5)  Cost is a concern
Neck liposuction is a quick surgical procedure that can be complete while the patient is awake.  It cost around the same price a Kybella and can be less in patients with heavier necks.  The single recovery of neck liposuction may be a better option for some patients.

Jason Emer, MD · Answer

Kybella is good for dissolving the submental fat under the chin area while contouring the jawline and making the chin more defined, but a combination approach is needed to get the most improvement with non-invasive options. I recommend a combination approach with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is the best alternative for contouring the chin and can be performed with a neck lift, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Aaron Jeng, MD, MPH · Answer

from patients of mine that have had both procedures, they’ve all said Kybella was “painful during and after procedure” and that SculpSure is just “a little uncomfortable during the 25 minute treatment.” They have also said that they were not happy with the results of their Kybella treatment, hence why they got SculpSure.   
From a physician’s/provider’s perspective, since you are also concerned about skin laxity being created after the fat reduction, I would recommend SculpSure as the heating of the fat cells will also heat the subcutaneous tissue causing micro-injuries, which will promote collagen production; this will actually cause some skin tightening. 
Sculpsure heats up the fat to the point of destruction (42-47 degrees Celsius). TempSure Envi (skin tightening device) heats up an area to no more than 41 degrees Celsius (before the point of fat destruction) so that it only causes micro-injuries to promote collagen production and thus cause skin tightening without fat loss for areas such as the face. So, since SculpSure is similarly heating an area for a sustained period, a pleasant side affect of the fat destruction procedure is some improvement in skin laxity.

Dennis Gross, MD · Answer

Both are great treatment options.SculpSure for neck contouring: Remove unwanted stubborn under chin fat in 25 minutes Get a New Neck without downtime, any time of the day or time of the year!No NeedlesNo SurgeryNo suctioningNo downtimeNo ScarsWhen injected into the fat beneath your chin, Kybella destroys fat cells. The active ingredient in Kybella is deoxycholic acid which is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. Fat cells destroyed in the treatment area are processed through your body’s natural metabolism.

Emil A. Tanghetti, MD · Answer

Given that you are looking for procedures with minimal downtime, Kybella and SculpSure are both options for you to consider. My main issue with Kybella, when used alone as a single agent, is that it tends to be very expensive for patients to see meaningful results and the swelling post-procedure can be bothersome to some patients. Since the introduction of SculpSure for the submental area, my use of Kybella has decreased dramatically. With two SculpSure treatments, which we price at $1500 for two, my patients are seeing very nice results at a cost that is much, much less than Kybella. Additionally, since SculpSure is using heat to destroy fat cells, there may also be some residual skin tightening effects. You can also combine the two procedures. For example, this might involve utilizing SculpSure first to debulk the area and then addressing any small residual pockets of fat with Kybella. I would suggest scheduling a consultation with a trusted provider in your area to discuss which option may be best for you.

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  We have discontinued Kybella treatments in our practice for melting submental fat.  The FDA recently approved the SculpSure laser for treating submental fat (double chins).  It is a quick 25 minute, completely non-invasive treatment.  In the FDA study, the participants had 100% satisfaction after 1 or 2 treatments.  In the Kybella FDA studies, there is high satisfaction after an average of 6 treatments.  I did SculpSure recently and it was only mildly uncomfortable.  I had no noticeable swelling.  With Kybella, you will have noticeable swelling for 1-4 weeks.  The treatment cost for 1 SculpSure Submental is less than the average cost of 1 Kybella treatment.  Before you consider CoolScupt, try holding an ice pack under your chin for 4 minutes.  Now think about doing it for an hour.  Best of luck

Bruce E. Katz, MD · Answer

Thank you for your photo. Kybella and SculpSure are both good options. Kybella is an injectable product that can be used to help your body to rid itself of fat cells that form under the chin (submental fat). Typically, patients need 3-4 rounds of injections, each one month apart. SculpSure is FDA- approved and highly effective in killing fat cells in unwanted areas with fat deposits. For more information, I recommend getting a in person consultation with a board-certified dermatologist.

Ray Bayati, MD · Answer

Hello,There are different methods nowadays available to treat chin and neck excess fat tissues.Kybella is a good choice for some who have only under chin fat and it doesn't involve jaw lines. it takes few months to see the results after doing 2-5 treatments on average. Although initial costs may not seem that high but after completion of treatments, it may reach 3-5k. Sculpsure is a non-invasive laser treatment for fat reduction. The manufacturer reports it may reduce 25-40% of fat excess after 2 treatments. costs 2k-3kLiposuction which is done under local anesthesia, it would be one treatment and same day results would be visible. It involves jawline as well as chin area. Downtime is one day. It is very low risk procedure in experienced hands, and results are great. the cost 3k-4k.Looking at your photo, I would recommend to have a consultation with an experienced physician doing liposuction under local anesthesia, and then you would be able to make a better decision. Dr Ray BayatiRocklin California

I have been considering having either Kybella or SculpSure on the chin. Which one would be best? (Photo)

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