Am I a candidate for Kybella? (photo)

Hi-Thank you for submitting your question. Kybella was specifically designed to treat small areas of submental fullness that does not respond to diet and exercise. Often times fullness under the chin can be hereditary. Looking at the photo you submitted, a single treatment of Kybella may be all that is needed. Be sure to consult a Kybella trained healthcare specialist. A trained healthcare specialist will carefully examine the area you would like to address. Your specialist will tailor the treatment plan according to the amount of fat under your chin and your individual goals. Best of luck! Dr. Pedro Rodriguez

Yes, you are a great candidate. Kybella offers a non-surgical option to redefine the chin and jawline in patients with mild skin laxity and moderate to severe submental fullness. A series of treatments may be needed.

"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, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, 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, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, 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"

Dear MariaLudwig,
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

Yes you are a candidate fr either non surgical sun mental fat reduction via injections of KyBella in 2-3 sessions (cost total $2,000-$4,000). Or minor surgical liposuction. Fee $3,000. Best to virtual to discuss these options in more detail.

The lower 1/3 of the face and neck is primarily determined by what the shape and size of the mandible is.

Especially the relationship between the Mandible and Maxilla.

These two bones and their relationship it’s also very important in dentistry because they determine the inclusion of how the teeth come together.

When the mandible is short and lacks projection the person develops a dental overbite occlusion. You can sometimes see this on profile pictures because the upper lip will have more forward projection than the lower lip. This is usually reversed in those who have a more substantial or more developed mandible.

Unless projecting mandible will also cause the underlying platesism muscle to drape the neck in the more oblique fashion.

On top of this in the area of a protrusion or the area of concern in your picture there are also submandibular salivary glands.
Lean people tend to not have problems with having too much fat in any part of their body and the face is no exception. your facial contour is not related to excessive fat. each person‘s unique facial appearance is primarily determined by bone structure. I don’t know if Cabela would give you a result you’re happy with but I can tell you that you don’t have an abnormal fat distribution in the area and overall your fat layers are thin because your lean.

I’ve seen Caibella create permanent disfigurements on people. The drug can be unpredictable and sometimes remove too much fat leaving people with a skeletonized look that cannot be corrected.

Personally I don’t think it’s a good treatment and I generally don’t recommend anyone using it.

If someone needs fat removal then it’s better to do it with Liposuction in the hands of an experienced plastic surgeon.

Best,

Mats Hagstrom MD

Hi there,

Absolutely you are a candidate for Kybella. I think the results would be very satisfying.
See an expert injector and best of luck!

Thank you