I recently got Kybella. After a few weeks I noticed that the area underneath had some sagging that was not there before.(photos)
Doctor Answers 9
Neck sagging vs. platsyma show after Kybella...
Kybella dissolves the fat under your chin. If enough fat is dissolved, you may start to reveal the muscles of your neck (e.g. platysma muscle) or even have some left over sagging skin depending on the state of your skin elasticity.
An exam MAY indicate that you are dealing with some platysma muscle banding and not a lot of loose skin. If that's the case, some Botox may solve the problem. If it's a skin issue, there are several non-surgical skin tightening options that you may want to consider.
It is still fairly soon after your injection so I would wait another few weeks before judging your final results. However, now that the fat is gone, it often reveals other underlying issues. Botox may be helpful to soften the muscles in the neck and/or some RF therapy to tighten the skin. Hope this helps.
Kybella and vertical skin laxity
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Kybella and Skin Laxity
Without a doubt this is something you need to discuss with your Kybella injector. A thorough repeat examination with your pre-treatment photos and original consult to act as a guide will be invaluable.
I am somewhat surprised to learn that your skin laxity showed up after only a few weeks. Typically within the first month the Kybella product is still working away at the fat deposit and the area is swollen and somewhat tight, rather than being lax and saggy. Results are usually not fully appreciated until 3 months after the final series of injections (perhaps you have already had 2 or 3 sessions).
Also, because Kybella triggers an inflammatory response there is some early evidence to suggest that it may result in slightly tighter skin in the chin and neck area. That too will take a few months to develop so don't lose hope yet!
There are some in office maneuvers that can help better determine what you are seeing - loose, excess skin or underlying structures like the platysma muscle. Assuming this doesn't resolve to your satisfaction on its own, and depending on your exam, you might be a candidate for Botox to the platysma and or non-surgical skin tightening technologies like Thermage. These tend not to be overly expensive options.
Give your treatment team a call.
I'm sure they want to hear back from you.
Kybella and Skin elasticity
You should return to your treating physician for examination and look at your before and after photos. I generally consider Thermage and Kybella on each patient who has submental fat. Depending on how much skin laxity you have, Kybella also tightens up the area under the chin as well. Please consult an expert. Best, Dr. Green