Kybella vs chin filler (or both?) (Photo)

Question

I’m a healthy body weight but have always struggled with a little extra fat under my chin, and would like to have more definition (as well as improved chin projection). What treatment(s) would you recommend to achieve a more refined profile? Thank you!

Jonathan Kulbersh, MD · Answer

Both Kybella or neck liposuction are good options and will improve the double chin.  Chin filler or implants can improve projection. It depends on your lifestyle and personality which would be better for you. 
Kybella is best for patients that:
1)  Do not want surgery 
2)  Are not surgical candidates 
3)  Not willing to wear a compression dressing around the face for 1 week 
4)  Patient-  The results of Kybella will take months
Kybella take 1-3 treatments every 6 weeks.  Patient will develop swelling and possible bruising after each injection that may last a few days.  The benefit of Kybella is each treatment is quick and completed in the office.
Neck Liposuction is best for patients that:
1)  Want a single treatment 
2)  One recovery time-  Downtime for neck liposuction require wearing a wrap around face for 1 week. 3)  Less painful 
4)  Quicker results 
5)  Cost is a concern
Neck liposuction is a quick surgical procedure that can be complete while the patient is awake.  It cost around the same price a Kybella and can be less in patients with heavier necks.  The single recovery of neck liposuction may be a better option for some patients.
I hope this helps.

Jason Emer, MD · Answer

Kybella is good for dissolving fat under the chin, but a combination approach is needed to get the most improvement with non-invasive options. I recommend Kybella with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is a great alternative for contouring the chin. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Aldo Guerra, MD · Answer

Thanks for your question. I’m leaning towards Kybella, but realize you need a formal in-person consultation to determine the best approach! Kybella melts the fat under the chin and can improve the facial contours extremely well. Good luck.

Shaun Patel, MD · Answer

Kybella would help with the fat below the chin and a hyaluronic acid based filler like Restylane Lyft would help with chin definition. The combination of both would also improve jawline definition. I think the combination treatment will work best.

Violetta Mailyan, DO, MS · Answer

hello, 
I would recommend starting with Kybella, and waiting 4months before you add fillers to jawline.  Stepwise and slow approach to transformation gets best results and patient satisfaction. Hope that helps, Dr Violetta Mailyan.

Anteneh Roba, MD · Answer

I think you can reduce submental fat by getting Kybella injections and fillers like Juvaderm, Restylane or Radiesse for chin projection.

Sapna A. Patel, MD · Answer

I think either option would be great. kybella is great to dissolve the fat and good skin elasticity then there should not a significant amount of laxity in the area. Adding filler to the chin can also be done to see after Kybella to improve overall definition/ projection of this region. Much of it depends on what part bother you the most.

Kyle S. Choe, MD, FACS · Answer

Difficult to tell based on the limited photo, but kybella can improve the fullness under your chin and adding filler such as voluma to your chin can add projection. I would consult with a facial plastic surgeon and discuss your situation.

Laura Riehm, MD · Answer

Thanks for your question and posting pictures.  Kybella has been the standard treatment recommendation for treating submental fat or a double chin.  The FDA recently approved SculpSure Submental.  It is very new to market and this feature has to be added on to the laser.  Call around to find out what office has it close to you.  Reading the SculpSure literature, the 57 patients in the FDA study were 100% satisfied after 1-2 treatments.  The Kybella literature touts satisfaction rates after 6 treatments.  We are still evaluating, but we presume SculpSure Submental will have significantly less swelling and it will resolve quicker.  We get our training next week and we will first hand experience.  Best of luck.

David A. Lickstein, MD · Answer

It is always difficult to tell from photos - but kybella does tend to be an effective product in this location.

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