Can you mix CoolSculpting and Kybella to eliminate fat under the chin area?

Question

I had two treatments of Coolsculpting over the past year and the doctor told me I do not have enough fat left for the device so she recommended one Kybella treatment to fine tune the results and finish off a small area under my chin. Has anyone mixed these two treatments and how were the results?

Vaishali B. Doolabh, MD, FACS · Answer

Hi MelBrady. Yes, combining CoolSculpting and Kybella can be done safely and with good results-provided you have given each time to take full effect. The advantage to CS is that more fat out to the sides can be treated with overlapping (advanced) protocol, while Kybella can be used with precision.  Good luck!

Jason Emer, MD · Answer

Yes, usually a combination approach is needed to get improvement. Coolsculpting in combination with Kybella, thermage, ultherapy, and exilis will improve under the chin. VASER liposuction in combination with ThermiRF is an alternative for contouring the chin, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Robert F. Centeno, MD, FACS · Answer

Thank you for your question. While it is probably safe to follow CoolSculpting with Kybella, the more important question is making sure that you have the right diagnosis. Sometimes submandibular glands and neck muscles can masquerade as residual fat.  In this case, Kybella is unlikely to help and may actually be harmful.  This is one of the challenges and limitations of non-surgical treatments...they are modestly effective, but often leave patients dissapointed or spending more out of pocket than a more definitive procedure would have.  To be certain, seek a second opinion from an independent physician prior to undergoing another treatment. Best wishes.

Thomas Fiala, MD, FACS, FRCSC · Answer

This is a reasonable approach - to use Kybella for the "clean-up" areas remaining after Coolsculpting.  Alternatively, a little liposuction under local anesthesia could be performed.

Payman Kosari, MD, FAAD · Answer

You can definitely alternate or switch between these two treatments to get optimal results.  Probably not the type of treatments that you would want to combine in one visit but alternating between these treatments is no problem and will likely yield great results.  Best of luck!

Julie A. Maughan, MD · Answer

Yes, you can combine these two treatments.  In fact, this is often done to maximize outcomes.  Good luck!

Lisa Airan, MD · Answer

You can definitely mix treatments for targeting submental fat.  I like treating the "leftover" fat with Kybella because I am able to tailor the amount of Kybella injected to target certain areas appropriately.  This will give patients optimal results.

Nitin Bawa, MD · Answer

We have had multiple patient's combine their treatments. You stated that you were treated over a year ago with Coolsculpting, so opting to do the Kybella treatment at this time would give you the optimal result to complete the process.

Garry K. Kim, MD · Answer

MelBrady,
You can most definitely combine the two procedures to get more effective results.  CoolSculpting, with the CoolMini applicator, is good if you have a moderate amount of fat under the chin.  After a treatment or two, you can fine tune the results with Kybella.  Combining the treatments should produce optimized results.  
Hope this helps,
Dr. Garry K. Kim

Steven Costalas, DO · Answer

This can absolutely be done. We usually get great under the chin results but Kybella is a great adjunctive therapy for any left over fat.

Can you mix CoolSculpting and Kybella to eliminate fat under the chin area?

Answers (16)

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