Does the skin under my chin look too lax for Kybella treatment? (photos)

Dear Tate222,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi @Tate222! I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

This is a great question. If you do a Kybella treatment you will most certainly need to do a skin tightening treatment as well. Whenever reducing unwanted fat tissue the skin will hang differently. I would recommend 3 Morpheus treatments after the kybella and you should get great results. Good luck!!

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

I think that you probably have good quality skin for any procedure but Kybella will only produce a minimal effect in your case. I would recommend submental and jawline liposuction and a platysmaplasty to address the fat below the platysma muscle. This will likely give you the best result.

Firstly why would you even listen to an aesthetician over a boarded PS or Derm??? I would ok use of a few sessions of KyBella but why not do sub mental liposuction under local anesthesia for faster results? Expect 3 sessions of KyBella in the $5,00+ or 1 session/minor operation of chin lipo $5,000.

Hi there, and thanks for your question. I would recommend multiple rounds of Kybella to remove fat especially around the chin/neck/jowl area. My patients have a very high satisfactory rating when using Kybella in the face. There is a slight chance that you may develop sagging skin, but you can always get a skin tightening treatment afterwards (Facetite is an example of a great skin tightening treatment) if that does happen. Synthetic deoxycholic acid is the ingredient used in Kybella, which is a naturally occurring molecule in the body that aids in the breakdown and absorption of fat. When injected into fat, Kybella destroys fat cells, resulting in a noticeable reduction in fullness on the face. However, because of the amount of fat in that area, I do think your best bet would be a combination of chin/neck liposuction and facetite for best results (more invasive and expensive than Kybella). Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Based on the photographs, it appears that Kybella would be a good choice, but it would have to be performed in a very conservative manner. You should be aware that the treatments are very uncomfortable and very expensive. Another option which is more predictable is lipo contouring of the neckline.