Unhappy with side profile - Kybella? (photos)

Hi @losangeles90909. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Based on the limited photos you may benefit from chin enhancement with a chin implant or genioplasty. The vertical length of your chin appears short so vertical lengthening might be a consideration. The jawline and submental area can be improved with liposuction of each area. You appear to have a deep mentolabial fold and this may get deeper with a chin implant so a genioplasty may be a better option.

you have an incompplete treatment, I dont use kybella for shaping and sculpting. if you want contouring you need buccal fat pad reduction and facetite (see link).

most of my youger clients do buccal fat pad reduction, facetite/liposuction of the neck, and fillers to chin/cheeks/jawline/temples,  to give them a more contoured face.  see my IG and links. at home dermarolling should be started to Improve texturea nd tone and tighthing along jawline ( recommended daily skincare and weekly MTS + anteageMD dermarolling protocol).

For facial slimming a combination of treatments are always needed. Options include:

1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined
See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Dear losangeles90909,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello
Kybella is working in some if the extra fat is mostly located under the chin. that requires 3-4 sessions of injections to reach the final results.
Liposuction does the job in one session under local anesthesia.
whole treatment costs for lipo may come out better than Kybella.
See an expert.

For a sharp jawline, you would benefit from a little liposuction but the greatest benefit will be from a chin implant. You can also consider injectable filler as well however a chin implant is a more permanent option. Cheek slimming can be done with buccal fat pad removal which can all be done at the same time. Kybella can work to remove fat however that does not appear to be your main issue when compared to the short distance of your jawline. A combination of fat removal with chin augmentation will be life-changing and dramatic. Hope this helps!


Johnson C. Lee, MD
Board-Certified Plastic Surgeon​

The Photographs demonstrate a recessive mandible bone, and fat deposits in the neck. The fat deposits in the neck may be located above and below the platysma muscle. Consider placement of a chin implant to augment the chin forward for better structural support the soft tissues in the neck. Liposuction can accomplish removal of fat deposits in the neck. For significant improvement of the jawline in the neck, consider a platysma plasty as well.

The primary issue is skeletal. You don’t have an abnormal fat distribution.

Your mandible lacks forward projection at the same time as a pointed tip.

You must likely have a dental overbite. This is also shown with your upper lip projecting further than your lower lip.

The ideal treatment would consist of advancing your mandible behind your molars.

This is not a realistic option.

Fat removal works very well in this area.

Of the treatment options available Liposuction is by far the best option with the easiest recovery, most consistency and effectiveness.

And easy in office procedure that’s easier than going to the dentist.

Can be done with you fully awake or with local anesthesia and sedation.

The recovery is easier and the results are more predictable using Liposuction compared to chemical fat destruction.

This is realistically your only treatment option despite that the primary problem is skeletal.

Liposuction in the chin and neck gives impressive results.

Best,

Mats Hagstrom MD

Hi There,
Kybella can be used to decrease mild-to-moderate fatty tissue under the chin and jaw area. It does not, however, change the jawline. Based on your photos, it does not seem that you have a significant amount of fatty tissue under the jawline. If you would like your jawline more defined, filler to the chin and jawline would be helpful. This would help frame your face and bring strength to your chin/jaw, which would in turn improve your neckline in the profile view. Because you don't seem to have a significant amount of fatty tissue under your chin/jaw, I'm not sure if Kybella will improve your side profile or jawline significantly.
Hope that helps!