Thermage, Kybella or Ultherapy for fat and sagging jowls? (Photos)

There's not much fat, but I do appreciate a small bulge of fat in the photos. I think on or two treatments with Kybella might be enough, but have to confirm on examination.Best wishes, Dr. ALDO

You look much better than you think you do! You have just a slight amount of submental fat that could be improved with Kybella. I doubt you would need more than two treatments, I sometimes put a little Kybella in the jowls to also contour the lower face.  To help lift your jowls and make your face look more symmetrical, Ultherapy would be a wonderful choice. Consulting a board-certified dermatologist who can spend time evaluating your skin, fat pad and your jowls will give you a much clearer idea of how to proceed to get the results you want. Ultherapy will also make your skin look and feel younger, which would be a nice bonus.

Thank you for your question mrsdrw. I am sorry to hear about your
situation. Kybella is the first and thus-far only FDA-approved non-surgical
injectable treatment for the double chin. If I had a patient who looked like the person in these photographs I would say she is a good candidate for Voluma in the cheeks. This will restore the youthful apple of the cheeks while at the same time pulling up on the lower face to improve jawline definition. Please consult with a doctor for specific recommendations. Good luck!

Kybella is great for getting rid of submental fat while Ultherapy is great for skin tightening and overall sculpting. It is hard to tell by looking at your photos if you are the right candidate for Kybella. You may have small bulge of fat and one treatment of Kybella would remove that permanently. You can potentially benefit from both treatments. You can even consider some fillers to contour your jowls. I advise you to make an appointment with experienced provider to discuss your options and choose the right treatment plan. Good luck!

There are different options for you as RF, focused US ( Ultherapy), INFINI ( Microneedling and focused RF) works really good in your particular case. Patients are very happy with the results. I think you don't need Kibella.

Hi and thanks for your question.  Kybella may help with the submental area.  Thermage uses radiofruequency and Ultherapy uses Micro Focused Ultrasound.  Either one of these modalities would help address your concerns.  Ultherapy would have a more structural effect and thus have a more sustained response.  Since the treatments are different modalities, they can be combined for a more robust effect in more stubborn situations.  I hope this helps.

I don't think Kybella would be a good option for you.  The other modalities are potentially going to be more beneficial to you at this point.

In your 30's is an excellent time to start treating the aging neck.  I would recommend a combination of Thermage and Kybella to treat this submental area.  Thermage is an amazing skin tightening laser.  With the new CPT technology you can heat the area of the jowls and neck and produce new collagen and tighten the skin without any pain like Ulther and no "down time".  In addition a small amount of Kybella placed in the submental area will permanently remove the fat and also tighten the skin under the neck.  Please consult an expert in these treatments for the best cosmetic results. Best, Dr. Green

Thank you for your question. I truly believe Ultherapy is far superior to the other two modalities. You are at the right age to begin stimulating collagen to prevent further jowling.  Loss of elasticity, decline in collagen production and weakened collagen fibers result in skin laxity and wrinkles. Ultherapy utilizes advanced ultrasound technology to stimulate the growth of new collagen. This cutting-edge technology allows practitioners to see the layers of tissue targeted during the treatment, to ensure that the energy is deposited to where it will be most beneficial. Patients love this procedure because Ultherapy stimulates natural collagen growth to provide subtle and gradual results that continuously improve over time. This procedure is FDA approved to lift and tighten the skin on the face, neck and chest with no downtime.Best,Ariel Ostad MD PC 

After evaluation by one of our board certified dermatologists they  will advise the best option for you based upon their examination of the condition with which you present.