Gaining weight after neck & chin lipo Vs gaining weight after kybella?

Question

Which "after" is predictably gonna look worst? Of course only a guess can be made but if it could be supported by scientific facts that would be really helpful. Does lipo remove fat cells symmetrically? Does kybella destroy fat cells symmetrically?

Benjamin Caughlin, MD, FACS · Answer

Both potentially should remove fat symmetrically. In my hands, I can make this more perfect with my own hands meaning lipo. The medicines can have a mind of their own. Maybe you sleep on one side or more fluid and edema develops on that side and then the kybella works better on the other side. There are many factors at play.  
  
Long story short. I am a surgeon and I get better results with lipo. I am sure there are people who would say the same for kybella. Be sure to do your research to ensure you are seeing a reputable provider, and you should have no problem.
Hope this helps.
  
Best of luck,
  
DrC

Jonathan Kulbersh, MD · Answer

Both can destroy fat cells permanently, but liposuction may give a smoother result. Neck liposuction is a great option for patients with good skin elasticity and excess fat in the neck and around the jawline. Liposuction is effective at removing this excess fat and stimulating the skin to contract over time to create improved angulation and definition along the jawline. I hope this helps!

George Bitar, MD · Answer

Lipo, kybella, even CoolSculpting reduce the number of fat cells in the neck, and with skilled, experienced practitioners, patients usually can expect a symmetric result.  As there are fewer fat cells, weight gain will likely affect the neck to a lesser degree, and the fat will be distributed to other parts of the body.  Know that which technique is right for you can only be determined with a consultation, discussion of your goals, physical exam, and thoughtful assessment.  No matter which procedure is recommended, maintaining your weight and a healthy lifestyle would be recommended.

Jed H. Horowitz, MD, FACS · Answer

If you experience weight gain, pregnancies, or any other drastic body altering changes following #liposuction, it is very possible the results may be compromised.  Hence, it is usually recommended that patients who have recently experienced weight loss and massive weight loss (#MWL) remain consistent at their weight for at least six to twelve months prior any cosmetic surgery. Such will better ensure longer lasting results of the procedure without risking the fluctuation and stretching of the skin tissue.

William Portuese, MD · Answer

Everyone is born with a certain amount of fat cells. Each fat cell itself cangets bigger  or smaller depending upon weight gain or loss. Removal of those fat  cells with liposuction means  they are never coming back in that area.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin, lips), liposuction and/or facelifts for over 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  When a "double chin" exists, this might be due to a lack of forward chin projection and sometimes there's excess skin under the chin as well as fat.  Reducing fat alone by any method will not correct a weak chin nor will it remove excess skin from under the chin.
 In general terms, liposuction remains the "gold standard" in immediate, effective and reliable reduction of excess fat.  Injections are far less immediate or reliable which is why they have to be repeated.  In my experience and humble opinion, having liposuction of the neck under local infiltration is very minimally invasive, quick, easy and highly effective (reliable).  For that reason, it remains the procedure of choice for reducing unwanted fat. Fat cells are distributed throughout the face and body and can increase in size as weight is gained.  Liposuction reduces the amount of fat cells in the area treated.  Significant weight gain "will" cause fat cells i other areas of the face and or body to increase in size.  Where that occurs can not be predicted.
  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  
Hope this helps.

Francis (Frank) William Rieger, MD (retired) · Answer

Plastic Surgical judgement will always dictate how even the loss of fat from either procedure may be.  The more experienced the doctor, the better might be the results.  One procedure is the surgical approach, and the other(Kybella) is the nonsurgical technique. Choose a good Plastic Surgeon if you can in your area of the country, and good luck to you!Frank Rieger M.D.  Tampa Plastic Surgeon

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