Will kybella injections help sagging neck muscles?

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

Doctor Answers 31

The difference between kybella and surgery

Kybella is a non-invasive injectable medication used to dissolve fat under the chin.  The procedure is safe and effective when used appropriately.  Most patients experience swelling for a week or more after treatment and require several treatments at 6 week or more intervals to get their intended result. Patients are awake during the treatment and able to return to work immediately.  As the fat dissolves, the inflammation caused by the process also tightens the skin.  However, it will not give the same results as a surgical neck lift with liposuction.  If you are considering the latter invasive option, then have a consult with a surgeon prior to Kybella.  If surgery is not for you, then Kybella offers results more gradually and noninvasively.

I hope that answer was helpful. Best wishes.

New York Dermatologist
5.0 out of 5 stars 10 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.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 6 reviews

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

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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
4.4 out of 5 stars 67 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 Plastic Surgeon
5.0 out of 5 stars 15 reviews

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  

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 46 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 21 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 18 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

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 147 reviews

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 103 reviews

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.