Will kybella injections help sagging neck muscles?

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

Doctor Answers 35

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 11 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 9 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
4.6 out of 5 stars 52 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 68 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 49 reviews

Kybella to solve sagging neck?

Regarding your inquiry, Kybella injections will not give you the same results as with liposuction and muscle tightening for sagging neck skin. You see, Kybella is a non-invasive procedure, where fat beneath the chin is dissolve via injecting Kybella medication. This is a very effective and safe procedure for what it’s worth. Patients also experience less swelling and will be able to go to work immediately. In contrast a surgical neck lift using liposuction is different. It is an invasive procedure that will work best in doing surgical neck lift.

Kybella only eliminates extra submental fat or what is commonly known as double chin. It will not target platysmal bands or sagging neck. If you have a saggy neck, skin with poor elasticity, or muscle banding, injecting Kybella will only make the case worse.

In the case of a saggy neck, you will do well with surgery since it is more in-depth and cost effective. Consult a board certified specialist so you will be able to get a better grasp as to what surgery will be able to do with sagging neck.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 31 reviews

Will Kybella help sagging neck muscles?

Thank you for your question. Kybella dissolves the fat in the double chin area and treat fat excess. It has no effect on the neck muscles.

Neck muscles can be treated by off label Botox or by surgical neck rejuvenation.

I hope this helps. Best wishes! (Dr. Salameh, Plastic Surgeon, Bowling Green, KY)

Bernard S. Salameh, MD
Bowling Green Physician
5.0 out of 5 stars 19 reviews


Kybella does not have an effect on sagging neck skin, it is used for the treatment of submental fat, also known as double chin fat.  Kybella injections essentially give you a sleek, attractive neck lipo appearance without any surgery involved.  Manufacturer of Kybella, Kythera Biopharmaceuticals, reports that their breakthrough injectable is a safe and effective version of deoxycholic acid, a molecule found naturally in the body that contributes to breaking down dietary fat. After completing 19 research studies examining the fat-dissolving effects of injecting deoxycholic acid into submental fat, Kythera Biopharmaceuticals presented their findings to the U.S. FDA, which then approved its use for getting rid of prejowl sagging and neck and chin fat.  I recommend booking a consultation with an experienced physician to see if this treatment is right for you.  Best of luck.

P. Alexander Ataii, MD
San Diego Physician
5.0 out of 5 stars 6 reviews

Kybella is for fat, not sagging skin

Hello Myrna and thank you for your question. Kybella is a great option for removal of under chin fat but it will not affect the sagging neck muscles. It may help with small amount of saggy skin from all the inflammation but you need an in person evaluation to determine if that's the case for you. The best option also depends on the type of result you wish to achieve, your budget and the downtime you can afford. Surgery is not for everyone but sometimes it cannot be avoided. You need to find an honest provider who will have no problem referring you if they feel there is a better treatment option for you which they cannot provide.  Great non invasive options for neck skin tightening are Ultherapy and Nova Threads.  Hope this helps,  Best, Dr.Avaliani

Anna Avaliani, MD
New York Physician
5.0 out of 5 stars 8 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.