Kybella in jowl area, good or not so good?

Question

I'm in my 60's, always had chubby cheeks even though I've always been thin. Now in my sixties, I am lucky to not have so many wrinkles, but sagging jowls, I have. Two doctors have told me it's fat and if I get 3 treatments of Kybella on jowls, my jowls will disappear, they say it's just fat weighing my jowls down... Is this true? My fear is it will dissolve the fat, but leave loose skin hanging there.

Jason Emer, MD · Answer

For a double chin, InMode FaceTite with VASERlipo would give you the best result.With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, or Erbium) and microneedling RF (Fractora, Morpheus8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:
1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.
Best, Dr. Emer

Dmitriy Schwarzburg, MD · Answer

While Kybella could help, it is hard to say without seeing your face from a profile view. If there is fat under your chin and around your jaw, Kybella or CoolSculpting could be an option. You may need a PDO thread lift if there is sagging skin once the fat is dissolved.

Michele S. Green, MD · Answer

It is difficult to give you any advice when there are no photos.  Generally when you are in your 60's there is both facial sagging and in your case fat in that area.  You may need a combination of Thermage FLX for skin tightening and Kybella to treat the fat in the jowls.  Please consult an expert in these treatments for the best cosmetic results. Best, Dr. Green

Matt Tahsini, MD · Answer

Hello and thank you for your question. It would be helpful to see pictures. More importantly, I think you need an in person consultation with a plastic surgeon to evaluate your situation and offer the best options for you. Best wishes.Dr. T

William Portuese, MD · Answer

If you're in your 60s and you have significant jowls, a  facelift procedure is going to be required. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fatty deposits in the neck in addition to a platysma-plasty. Kybella  is not very effective, must be treated multiple times with significant swelling after each procedure, and placement of it in the jowls is off label from the FDA.

Kybella in jowl area, good or not so good?

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Answer: Kybella in the jowl area, good or not so good?

Answer: Kybella in the jowl area, good or not so good?

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Kybella in jowl area, good or not so good?

Answers (7)

Answer: Kybella in jowl area

Answer: Kybella in jowl area

Answer: Kybella in the jowl area, good or not so good?

Answer: Kybella in the jowl area, good or not so good?

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Everything you need to know about Kybella

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