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.

Michelle A. Radeka, DMD · Answer

Hello and thank you for your question.  Although Kybella has been FDA approved, the area it is approved for is the submental fat area.  However, there are entire courses devoted to Mesotherapy (Google defines Mesotherapy as-(in cosmetic surgery) a procedure in which multiple tiny injections of pharmaceuticals, vitamins, etc. are delivered into the mesodermal layer of tissue under the skin, to promote the loss of fat or cellulite) in which jowl reduction is an option.  Whatever you decide to use, just make sure you know and trust the provider.  You are correct in having concerns of loose skin after you dissolve the fat and that is definitely a possibility.  A great option to consider to help with this is the use of PDO Threads.  You can do an amazing things with PDO Threads and lift the jowl area with minimal bruising or downtime. Hope this answer helps and best of luck from the Art of Ageless Aesthetics.

Mats Hagstrom, MD (license on probation) · Answer

Based on what you’ve said so far you don’t sound like a great candidate for this treatment. I suggest having a few it in person consultations with experienced board-certified plastic surgeons who have extensive background in facial aesthetics. If you ask someone with less training they will steer you towards the simplistic tools in their toolbox.This is not the correct treatment for jowls for a multitude of reasons. It’s not FDA approved for treatment in this area.Best, Mats Hagstrom MD

Kybella in jowl area, good or not so good?

Answers (7)

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