Can I be treated with Kybella to reduce all the fat in my neck and jaw line of my face?

I'm a male hiv + I'm suffering a lot of changes in my face called bullfrog neck I'm not sure if because of my meds or the hiv infection I want to try if kybella can works for me

Doctor Answers 7


Thank you for your question Franciscojbarraza. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. It is difficult to make an assessment without photographs. Most patients are very happy with their results. It is important to include all of your medical history with your injector. Please consult with a doctor for specific recommendations. Good luck!

Encino Physician
5.0 out of 5 stars 4 reviews

Kybella for bullfrog neck

It is hard to tell without photos but Kybella melts fat cells in the neck area or so called submental fat. In my opinion bullfrog neck requires more intensive treatments or combination of treatments to achieve desired results. Kybella would not do the work alone. I advise you to make an appointment with board certified provider to get examined and discuss your options. Good luck! 

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews


While Kybella is a fantastic treatment for the submental fat (that pocket right under the chin), it is not an option for treating fat throughout the neck and jawline. My best advice would be for you to schedule a consultation with a board certified plastic surgeon in LA to be assessed in person. You may need a combination of Kybella and another non-surgical procedure to achieve your desired results. 


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.8 out of 5 stars 35 reviews

Kybella and patients with HIV - could be a good option for some

Over time, being HIV+ actually changes the composition of the fatty tissues in your body, even for patients who have undetectable viral loads and high CD4 counts.  These changes can be addressed with a combination of fat-targeting therapy (eg, Kybella) and/or fillers such as Restylane or certain non-hyaluronic acid fillers.  There are lots of safe and effective types of treatment to correct these changes.  I recommend you set up an in-person consultation to get an individualized treatment plan.

Jill C. Fichtel, MD
Columbus Dermatologic Surgeon
5.0 out of 5 stars 16 reviews

Kybella and Fat in Jaw Line

Kybella is a great injection for the submental area.  It can not treat all of the fat however under the neck.  Coolsculpting may be a better method for you and I would consult with your treating physician regarding your HIV status.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Can I be treated with Kybella to reduce all the fat in my neck and jaw line of my face?

Thank you for sharing your question and I am sorry to hear of your lipodystrophy accumulation.  Though nothing replaces an in-person examination or full series of photographs I would first speak with your HIV doctor to see if you can change your HAART program as this condition is typically seen in patients taking efavirenz.  Cessation may correct the lipodystrophy to some degree.  What remains can then be evaluated for kybella treatment versus formal surgery.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 69 reviews

Can Kybella reduce fat in neck from HIV-associated lipodystrophy?

Kybella is FDA-approved to reduce fat in the upper neck under the chin.  There are normally two compartments of fat under the chin.  One compartment is just under the skin and the other compartment is deeper under one of the muscles of the neck.  When Kybella is used cosmetically to treat excess fat in the neck, it normally is only injected in the fat compartment that is more superficial (the one just under the skin).  It is possible that some of the Kybella could dissipate to reach fat under the muscle, but this is not the primary area of treatment.  

In HIV-associated lipodystrophy, fat in the neck can accumulate but tends to increase more in the deep fat compartment than the superficial one.  So, when there is fat in the neck due to HIV, Kybella could be used, but would primarily only reduce fat in the superficial compartment.  Improvement could be obtained but it would not normally target all of the fat causing the issue.  It can be dangerous to inject the Kybella directly into the deep layer of fat because there are important structures, such as nerves and blood vessels that could be affected.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.