Help with perioral mound fat? Kybella?

Question

I’m 23 and weigh 8 and a half stone but my whole family have round faces. I have previously had kybella in my chin which has worked but I still have excess perioral mound fat, I have met with a few surgeons who have agreed I have perioral fat not buccal fat but they have refused to lipo there as there is too much nerves and risk of facial paralysis. Are there any other options? Can I have kybella there?

Jason Emer, MD · Answer

For a double chin, InMode FaceTite with VASERlipo would give you the best result.With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, or Erbium) and microneedling RF (Fractora, Morpheus8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:
1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.
Best, Dr. Emer

Neel Bector, MD · Answer

Hi, thank you for the question. Its difficult to give advise in your case because of no photographs. I would recommend you to have in person consult with a reputable injector for evaluation and further discussion about different treatment options available. Usually Energy based radio frequency devices like Mini fx can be very helpful. 
Best Regards,
Dr. Neel Bector

Shaun Patel, MD · Answer

It's hard to comment on your case without seeing a photo or evaluating you in person. In many cases, hyaluronic acid based fillers like Restylane Refyne/Defyne can be used to improve the appearance of this part of the face by camouflaging the bulge.

Help with perioral mound fat? Kybella?

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Help with perioral mound fat? Kybella?

Answers (3)

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Everything you need to know about Kybella

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