Will kybella injections help sagging neck muscles?

Does fixing the muscle under neck and smart lipo help sagging neck

Doctor Answers 30

Kybella vs. Neck Surgery

Kybella is a medication that permanently dissolves the fat that makes up the double chin (submental fullness).  It is great for those patients that have minimal excess skin and muscle banding as well as those patients with good skin elasticity.  

For patients with excess neck skin, muscle banding, and poor skin elasticity, injecting Kybella can actually make the condition look worse!  In these instances, surgery would be a better and more cost effective option.  
For this reason, it is best to consult with a core physician (facial plastic surgeon, plastic surgeon, or dermatologist) who can properly evaluate your neck to help guide you in the right direction.

I wish you well!
Dr. Parker Velargo  

New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews


Unfortunately Kybella will not help with sagging neck muscle nor significant laxity. It helps with removal of the unwanted fat under the chin. Some tightening will occur. Minimal down time or complications from the injections. Most patients are totally pleased and the results last forever following the appropriate amount of treatments  

Rick Rosen, MD
Norwalk Plastic Surgeon
5.0 out of 5 stars 20 reviews

Kybella (Belkyra) & Sagging Neck

Dear myrna eisenberger:

Belkyra is used to reduce sub-mental fat by selectively destroying fat cells.  It does not work on improving a neck with sagging muscles.  Please consult an expert injector who can delineate the difference to ensure optimal treatment results are achieved with the appropriate therapy.  Best wishes.

Sagging neck muscles and Kybella

Kybella does not have any effect on platysmal bands (which you are referring to as “sagging neck muscles”).  What Kybella does is permanently eliminate excess submental fat (the “double chin”), which  can reveal prominent platysmal bands that were already present.  The reason they weren’t seen prior to the Kybella injections is because the submental fat was creating an extra layer, or barrier, between the skin’s surface and the already present underlying platysmal bands, thereby hiding them from being seen.  Botox can be used to soften the tightness of platysmal bands.  They can also be corrected surgically. 

Hope you found this answer helpful.  All the best!

Burke Robinson, MD, FACS
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Kybella and sagging neck muscles

Unfortunately, no. Kybella only targets excess fat deposits underneath the chin, also called “submental fullness” or “submental fat”.  It does not target either sagging neck muscles or loose, sagging skin. Individuals who are concerned about neck banding or sagging neck muscles may require a more invasive surgical procedure such as a cervicalplasty or a facelift.

Gary Motykie, MD
Los Angeles Plastic Surgeon
4.3 out of 5 stars 64 reviews

Kybella and Sagging Neck Muscles

Thank you for your question. Kybella injections permanently reduce fullness due to fat. Kybella has no direct effect on sagging neck muscles. Some patients have fullness in the neck due to fat and, once that fullness is removed, sagging neck muscles may be more visible. A skilled and experienced physician should be able to delineate the cause of the neck fullness (fat versus sagging neck muscle or combination thereof). For patients with sagging neck muscles and/or fat plus sagging neck muscles, I recommend a submentoplasty or necklift. A submentoplasty allows us to removed fullness due to fat and tighten the neck muscles through a small incision hidden in the chin crease. If a patient has significant skin laxity, the excess skin can be removed through small incisions hidden behind the ear during a necklift.

Rami K. Batniji, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Kybella Injections Treat Fat no Loose Skin

KYBELLA® is used to improve the appearance and profile of moderate to severe fat below the chin --often referred to as a “double chin .
1, 2 or 3 treatments might be needed 4-6 weeks apart depending on individual needs.

Surgical procedures or non-invasive aesthetic treatments can help the saggy neck problem.

#Kybellatreatments   #doublechintreatments   #Saggingnecks

Kybella Treats Double Chins

Kybella is an exciting new FDA approved treatment for submental fullness, or double chin. Kybella is Deoxycholic Acid and it is injected into the fat pad under the chin. Most patients will have four to five days of swelling, discomfort and redness.   Although, Kybella can destroy the fat that will help reduce the look of a double chin , it does not treat sagging skin from aging or fat loss. A consultation would be best to determine if surgery or a non-invasive skin tightening procedure would be beneficial

#Kybellatreatments   #doublechintreatments   #Kybelladestroysfat

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Will Kybella help sagging neck muscles?

This is a fantastic question! The answer is no.  The chemical that Kybella is made of is used to dissolve fat cells.  In fact, in some patients using Kybella can actually make their neck look worse because you will further expose "sagging" neck muscles that were previously camouflaged by fat in the neck.  The best ways to correct muscle laxity in the neck is to directly tighten the muscles with a surgery such as a platysmaplasty or a lateral platysmal suspension.   So in short, Kybella will help remove the fat, but it won't correct the muscle bands that develop in the neck.  

Josh Waltzman, MD, MBA
Long Beach Physician
5.0 out of 5 stars 12 reviews

Kybella and sagging neck muscles

Kybella will permanently dissolve the submental fat under the chin.  In reducing the fat, there is definitely a skin tightening effect that is achieved at the same time.  If there is significant skin laxity I often recommend combing Kybella treatments with Thermage and Botox for the best results.  If there is a great deal of skin laxity then you are best to have a surgical procedure performed.  Best. Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.