Off label kybella for jowls to firm or define jaw line? (photo)

Kybella does a wonderful job of melting excess fat in the jowls with deoxycholic acid. Yes, it is an off-label use, but as long as you are being treated by a medical doctor who has knowledge of anatomy, there is no cause for concern. I have used Kybella many times to remove the small pouches of fat that occur when someone first begins to develop jowls. It's a very effective treatment, as the fat loss is gradual so that the skin has time to adjust. Kybella also has a slight skin-tightening effect, which will help to rejuvenate your jawline.However, if your skin is inelastic to begin with, you may need co-treatment with Ultherapy. You will probably need at least two to three more sessions of Kybella to get the kind of defined improvement you are seeking. Consulting a board-certified dermatologist who has a lot of experience with Kybella will help you feel more at ease with your treatment. We are always happy to answer your questions.

Kybella is a dynamic product with broad capabilities, including off label and off the face. It truly is surgery in a bottle, with permanent removal of fat - the main alternative treatment being liposuction. 
I have always used Kybella to not just treat the area directly under the chin, but to blend it in to the lateral neck and jawline. This yields a more natural and thorough treatment. The only time I use the cookie cutter grid is when I am teaching other physicians how to use it,  which you can see in the attached video.
With the ability to treat broad area, it is easy to customize a Kybella treatment to match your exact goals, needs and anatomy. It can take multiple treatments, but I tend to get towards final results after two treatments, and the second treatment can be even more custom tailored to achieve that final result. Liposuction can achieve results with one treatment, but does not allow for the fine-tuning when needed, so which treatment will be best for you will depend on a discussion with your surgeon.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Thank you for sharing your question.  If you understand the benefits and risks of treatment, Kybella can be injected into the jowls in an off-label manner to obtain a noticeable improvement in jawline definition and contour.  I have had good success with treatment as a part of an overall facial rejuvenation program.  Be sure to see an ASPS board certified plastic surgeon.  Hope this helps.

You are correct in stating that Kybella is off label when treating the jowls.  While products are often used off label, I do not recommend the use of Kybella in the jowl area for two reasons.  First, the mandibular nerve runs along the jawline, and if the Kybella were to affect this nerve it can lead to damage and an asymmetric smile.  Second, jowls are typically the result of skin laxity rather than fat tissue.  Kybella targets fat cells, so treating the jawline with Kybella is typically ineffective since there is little fatty tissue and more skin laxity.  Consult with your injector to ensure optimal outcomes.

hi, this is not an area I have treated and therefore am intrigued as to how you will do.  Having said that, I noticed the sides of your lips are turned downwards, indicating to me that you likely have mid face volume loss.  If you don't address the mid face with fillers then no mater how much fat you remove lower down, I don't think the "bounce up" will be as dramatic.  Combination of ultherapy and or fillers would be a fabulous result.