Will kybella injections help sagging neck muscles?

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

Doctor Answers 39

The difference between kybella and surgery

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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.

Kybella (Belkyra) & Sagging Neck

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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

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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!

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Kybella and sagging neck muscles

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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.

Will Kybella help sagging neck muscles?

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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.  

Kybella vs. Neck Surgery

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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  


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Thank you for your question about Kybella.  Unfortunately Kybella only targets the fat in the submental area.  It does not tighten muscles, nor does it tighten skin.  If the skin has some elasticity, the skin will retract as the fat resolves.  

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Does kybella help a sagging neck?

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Kybella works very well to reduce and eliminate unwanted fat under the chin.  The inflammation created by the drug can also create some mild tightness in the skin.  Excessive skin sagging, if present, will not improve with kybella injections and would require a necklift. 

Kybella is not designed to replicate a neck lift

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Kybella is a non-surgical option to remove unwanted fat under the chin area. As an added benefit, there is some mild tightening of the skin there. I often combine it with non-invasive skin tightening devices for an added benefit. However, Kybella is NOT designed to give you results compared to a neck lift. Kybella can dissolve fat. If there is no fat but loose tissue Kybella won't do much at all. An in person evaluation is helpful. 

Sameer Bashey, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Kybella Neck

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Kybella is a Doexcholic Acid injection, FDA approved to reduce submental fat. If the patients concern is to simply treat laxity, our leading non-invasive treatment is to do a combination of Botulinum Toxin with Radio-Frequency lasers. Treatment plans are mapped out around the patient’s lifestyle.

  • Botox, Dysport, Xeomin:
  • Thermage:
  • Intensif:

Botulinum Toxin is first injected in the Platysma neck band to reduce activity in the muscle. This will result in streamlining the neck, as well as improving the silhouette of the lower face. This procedure has recently been nicknamed the “Nefertiti Lift”.

Presuming the patient’s lifestyle allows for no downtime we select Thermage. Celebrity cliental have praised this laser since coming on the market over a decade ago. Thermage uses radiofrequency energy to heat the underlying connective tissue that support the skin. Patient are asked to retreat in 6 month.

Endymed is a combination of radio-frequency and mirconeedling. The energy promotes the body’s natural production of collagen and elastin, and overtime the targeted tissue is replaced by healthy, younger-looking skin. Patients may experience a day of redness. Multiple treatments are needed to improve laxity.

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.