How do I rid possible If it is scar tissue under chin? Massage? Will more Kybella help or is chin liposuction my only option?

Question

A little over two years ago I received one treatment of kybella. Several months later I received coolsculpting in the same area. Now, I have many hard lumps under my chin. If you pinch the fat you can actually see the lumps. At first I thought they would dissolve with time. The other day a physicians assistant in a surgeon’s office looked and said it could be scar tissue, but couldn’t say for certain. She said another round of coolsculpting MAY help with excess fat surrounding the tissue.

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. Chin 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

John L. Burns Jr., MD · Answer

I think Kybella might help in this situation.  CoolSculpting can be associated with paradoxical lipodystrophy where is has the opposite effect.  Liposuction might make the scar tissue worse.

Monika Soni, MD · Answer

Thank you for your question! If you are hoping to avoid chin liposuction, another round of Kybella may help the area. Kybella only dissolves fat so it would only work if the hard areas are residual fatty deposits. If it truly is only scar tissue, then your next best treatment would be liposuction or direct excision (Removal) of the scar tissue using a tiny incision underneath your chin. Best of luck!

Shaun Patel, MD · Answer

It's hard to comment on your case without evaluating you in person. That being said, additional Kybella treatments may help particularly if the lumps are residual fat deposits. If it is in fact scar tissue, then surgery maybe your best option. I recommend you schedule an in person consultation with a local aesthetic physician.

Johnson C. Lee, MD · Answer

If you are hoping to avoid chin liposuction, another round of Kybella may help the area. Kybella only dissolves fat so it would only work if the hard areas are residual fatty deposits. If it truly is only scar tissue, then your next best treatment would be liposuction or direct excision (Removal) of the scar tissue using a tiny incision underneath your chin. Hope this helps!Johnson C. Lee, MD
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

How do I rid possible If it is scar tissue under chin? Massage? Will more Kybella help or is chin liposuction my only option?

Answers (8)

Answer: Kybella for submental fat

Answer: Kybella for submental fat

Answer: Kybella vs liposuction

Answer: Kybella vs liposuction

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Everything you need to know about Kybella

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How do I rid possible If it is scar tissue under chin? Massage? Will more Kybella help or is chin liposuction my only option?

Answers (8)

Answer: Kybella for submental fat

Answer: Kybella for submental fat

Answer: Kybella vs liposuction

Answer: Kybella vs liposuction

Browse related questions

Recommended reading

Everything you need to know about Kybella

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