Can CoolSculpting or Kybella cause scar tissue? If so, can it be removed? Or, can the submental fat be removed still? (Photo)

Question

I’m 30 years old and have done several treatments in hopes of eliminating my double chin. None of them have worked. I’m not overweight, it’s hereditary. I’ve tried Kybella (1x), CoolSculpting (1x), and have done submental liposuction 2x (In this order!) I still have a lot of noticeable fat under my chin. The last surgeon said the scar tissue was in the way of him taking the fat out. How can there be scar tissue? is there anything else I can do to get rid of the submental fat?

Afshin Farzadmehr, MD · Answer

Past two months I have performed chin lipo on 15 patients that had Kybella or coolsculpting with not much improvement.  Yes there is scaring but there is much to improve.   Also techinque and instrumentation of lipo in that area is paramount.  IG PlasticSurgeyCentersDr92010 has video of one undergoing the chin lipo after Kybella.  Thanks for great question

Michael P. Morrissette, DDS, FACS · Answer

I find that Cool-sculpting and Kybella injections provide minimal results in the submental region. In your photo it appears that you have both a recessive chin and excess submental fat. For a mouth youthful and well-defined chin and jawline, i would recommend submental liposuction and a chin implant.

Monika Soni, MD · Answer

Thank you for your question! Past two months I have performed chin lipo on 15 patients that had Kybella or coolsculpting with not much improvement.  Yes there is scaring but there is much to improve.   Also techinque and instrumentation of lipo in that area is paramount.  Best of luck!

R. Laurence Berkowitz, MD · Answer

It is misleading to offer a patient a single dose of Kybella and expect much of a result--especially from your photograph.  Kybella often will take 5 to 6 treatment sessions--each a little less traumatic than the previous.  The advantages of these injections are preservation of other supportive structures to the skin that are disrupted by liposuction.  Many surgeons prefer liposuction because it is single stage, but I have seen significant bunching of the skin, thick scarring and disappointing results on some occasions. We offer Coolsculpt as well but we like that Kybella can be targeted to the necessary zones.  You need to visit with both a board certified plastic or facial plastic surgeon AND a board certified cosmetic dermatologist with Kybella experience before you make a decision.  The last resort is an open submittal lipectomy which may require a skin tightening procedure depending upon skin elasticity and your age.

Can CoolSculpting or Kybella cause scar tissue? If so, can it be removed? Or, can the submental fat be removed still? (Photo)

Answers (4)

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