Kybella or PDO Threads for neck lines and loose skin? (photos)

Question

I have kind of loose skin on my neck/chin area. I also have lines going across my neck. Would Kybella Fox this? Or what other treatment could I use for this?

Ellen A. Mahony, MD · Answer

Great question! I do not recommend Kybella for patients who have loose neck skin, because dissolving the submental fat can make the loose skin worse. I would recommend PDO threads to help you get to your goal! There are threads that are “smooth,” which are placed to improve the thickness and integrity of the skin, such as in areas of crepey skin.    Threads that have a “rougher” surface are pulled and smoothed to tighten and lift the area creating a refreshed and younger look. Both types of threads will be beneficial to help improve your neckline. The thread material is safe (it’s used for surgical sutures and considered one of the safest materials). Perhaps the most amazing thing about the threads is that they are absorbed into your body after 3-6 months but while disintegrating they stimulate your body to produce collagen in the areas in and around the insertion area. This is the manner in which crepey skin is smoothed and thickened. It’s FDA approved and the studied effects have shown to last anywhere from 6-18 months and sometimes longer. In Good Health,Dr. Ellen Mahony

Sabrina Fabi, MD · Answer

From your photos, it looks like you have a small amount of submental (under chin) fat that could be helped with Kybella. Kybella injections melt away fat permanently with deoxycholic acid. The healing process also contracts the skin slightly in the submental area. As for the neck bands, those are genetic and improve best with neuromodulators like Botox. I don’t really see any loose skin on your neck itself. Consulting a board-certified dermatologist will let you have a more up-closed and personalized evaluation of your bands and skin quality so the perfect treatment plan can be devised for you.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question! PDO threads are very effective in treating this area. Thread lifts not only lift and tighten the skin, they also stimulate collagen production, improving the skin's texture. Schedule a consultation with an experienced injector for more information, or to discuss other treatment options.

Anil R. Shah, MD · Answer

Horizontal neck lines are typically cause by flexion.  There are some cases where fat deposits along lines of flexion and can make these lines more pronounced.  Treatment options include the use of filler (dilute Sculptra or HA product), RF needling, PDO threads (not barbed but to create more collage along the area of concern) and laser resurfacing.  Since the lines are caused by a natural process of the neck patients can not expect complete elimination of horizontal lines.  Best Dr. Shah

Jonathan Kulbersh, MD · Answer

You have a few options. Try Botox to soften your platysmal bands and chemical peels to improve the quality of your skin and, one hopes, restore a bit of elasticity. A neck lift with platysmaplasty to tighten the underlying muscle will give you a rejuvenation that can last for up to 8 years or more. I recommend discussing your concerns at a consultation. I hope this helps.

Tanveer Janjua, MD · Answer

These horizontal neck lines are difficult to eradicate. They improve with use of Botox and fillers. Kybella will not help in this case. If you only wanted to improve the fullness under the chin then Kybella would work well. RegardsDr. Janjua

Daniel Barrett, MD · Answer

Dear MiamiAngel305,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

Jason Emer, MD · Answer

There are non invasive options for improvement to the neck, which include:
botox, dysport or xeomin and/or fillers to help platysmal bandsthermage radiofrequencyultherapy high intensity ultrasoundPDO nova threads or instalift for liftingsculptra injections for collagen productionbtl exilis ultra, venus legacy, and thermi250 for constant collagen stimulationJ plasma or thermiRF internal tighteningI recommend getting a formal evaluation with an expert. Best, Dr. Emer

Monika Soni, MD · Answer

You have a few options. Try Botox to soften your platysmal bands and chemical peels to improve the quality of your skin and, one hopes, restore a bit of elasticity. A neck lift with platysmaplasty to tighten the underlying muscle will give you a rejuvenation that can last for up to 8 years or more. I recommend discussing your concerns at a consultation. Best of luck!

Costas Apostolis, MD · Answer

Hello, thanks for your question!
For loose skin you do not want to do kybella. Kybella dissolves fat for double chin. If you already have loose skin the kybella will remove the fat and make skin appear more loose. I would recomend ultherapy, or skin tight procedure done with sciton bbl machine. Some places will inject the lines in the neck with filler to reduce the appearance. Hope this helps!

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