Should I get a filler for jaw line contouring? Kybella? Or both? (Photo)

Liposuction can dramatically change the neck and jawline in 1 day under tum. local and has almost no bruising or swelling so you can go to work in 1 day.  It is so easy and really works.  Don't waste money on gimmicky things that don't work or are so painful and can mess up the neck/jawline.

I use the following combination of treatments on a case by case basis to define the jawline: CoolSculpting (CoolMini), ThermiTight, Sculptra, Kybella, Ultherapy, Fillers. Which treatments would be most appropriate for you would be determined after an in-person consultation and examination as well as a discussion of your goals and how aggressive you want to be with treatments. In general, Kybella is not my first line choice as the other treatments can provide equal or better results with less number of treatments, less swelling, and less discomfort. Make sure you are under the care of an experienced physician provider that has different treatment options to address your concerns. Best wishes.

You appear to be a candidate for Kybella. Keep in mind, a combination approach would give the most improvement. Kybella, PDO Nova Threads, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening. VASER with ThermiRF is a great alternative for contouring and tightening the chin and neck. See a cosmetic dermatologist for a long term treatment plan. 
Best, Dr. Emer.
 

Unfortunately, not even the best of HD photos is a good subsitute for an in-person examination that allows for palpation and manipulation of the skin. In this instance, the inclusion of a frontal view would have been extremely helpful. However, from what I can see in this profile view, there may be some flattening (loss of volume) in the upper cheeks,  general loss of definition along the jawline and posterior angle of the jaw,  as well as early jowl formation along the jawline--all of which are likely contributing to the apparent loss of the sharper, more youthful cervico-mental (neck-chin) angle. If this is indeed so, then the use of a volumizing filler to restore a more youthful high-cheek bone look, as well as volumizing filler for redefining the posterior angle of the jawline and reducing the jowl formation would be in order. In my NY practice I would use Voluma XC for cheeks and Restylane Lyft for the jawline (In my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Stylage XXL for the cheeks and Restylane Volyme for the jawline. As a final tightening, Botox microdroplets may be used in the neck and along the jawline a particular injection pattern to achieve jawline tightening and neck tightening, known as the "Nefertiti Lift."  In short, simple nonsurgical rejuvenation techniques, such as those described here are likely to yield very gratifying results without the need for expensive, aggressive surgery, liposuction with attendant downtime, or even Kybella, which requires several treatments and also gives rise to a bullfrog neck-like swelling that can persist for two weeks. Results of injectable volumizer treatments are typically immediate and engender a "Wow!" reaction, while Botox results generally take about a week or so to be realized. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her personal before and after photos before agreeing to proceed. Best of luck. 

Thank you for your pictures and questions. I think that if you are not ready for a surgical solution, then a non-surgical option might be ideal for you. As for the options you mentioned, they are both indicated to treat different things. If you are mostly concerned with the submental fat area, then Kybella can be a great treatment option for this area. Be aware that while you may require repeat treatments to get the desired result, with Kybella, the results are permanent. If you are more concerned with the lack of posterior jaw definition, rather than the fat distribution, then perhaps a filler (I prefer Juvederm Voluma for this area) would be the right solution. If both areas are of equal concern, then perhaps a combination approach would be best. At this point, your best bet is to see a plastic surgeon who is board certified by the American Board of Plastic Surgery for a consultation. That person will be able to give you an in-depth analysis of your areas of concern and provide both surgical and non-surgical options to you and help you choose what is best for you. If you go to a "med-spa" that only offers non-surgical options, then they are only going to be able to offer you what they have which might not be the best thing for you.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

I have had excellent results in cases such as yours with neck liposuction and a Thermi-Tight neck skin tightening. The cost is about the same or less than all of the Kybella and fillers you will require and your results will be better. You may have some swelling for 5-7 days but this is the same as Kybella as well.  I hope this has helped.

Dear nd81,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

Hello nd81
Great question, In our experience we would start with the fat breakdown treatment first and then bring you back to assess if you required filler to then extend and define your jawline. I would suggest waiting for your review though to see how your results have worked and if you require further treatment. 
I hope that helps
All the best from London

While I think you would be pleased with the results of submental liposuction, I also think you are an excellent candidate for Kybella and Filler augmentation. Cost wise, you may be looking at similar pricing. You will most likely require 3 or more treatment sessions with Kybella and I would use Juvederm Voluma to lift the upper and midface and augment the jawline. Neuromodulators such as Botox or Dysport to the jawline area will also contribute to a straighter jawline, but would need to be repeated every three months. If you feel that surgery is not for you, I believe you can still achieve the desired results with the minimally invasive techniques mentioned above. Best wishes. 

To treat submental fat, kybella and liposuction are both good options. With liposuction you see  immediate results however with some downtime. Kybella also works well but gradually and you need several treatments spaced about a month apart. If you want to start with something noninvasive then Kybella is your answer. Please seek a consultation from a dermatologist or board certified plastic surgeon for best results.