Should I use Kybella or BTL Exilis to get rid of my banana roll?

Question

I recently had CoolSculpting done on my thighs and banana rolls. I was pleasantly surprised that I only needed one treatment, but I still want more fat reduction. The medical assistant said it would be bad to do another treatment because I don't have enough fat per se to be suctioned. She recommended BTL Exilis on my thighs and Kybella for my banana rolls. Do you think I could just do the BTL for my thighs AND banana rolls and get a great result? Can you use BTL on your calves? I have big calves.

Jason Emer, MD · Answer

Hi Hunter, Kybella is a great option for the banana roll -- both for fat reduction and overall skin tightening. We actually combine this treatment with BTL and Venus Legacy, energy devices like Thermage and Ultherapy, and internal threads to improve the tightness and tone as needed.However, to get the most fat removal, contouring, skin tightening and definition, a VASER HI-DEF Liposculpture procedure with ThermiRF, Renuvion (J-Plasma), InMode BodyTite and fat grafting is your best bet. This will give you the most toned result and can also help shape the calves. I recommend getting a formal evaluation with a body contouring and hi-definition physique expert. Best, Dr. Emer.

Iacob Marcovici, MD · Answer

I do have issues with the coolsculpting treatments because there is no real control on the dept of the treatment; in other words is lacking the finesse and precision that a liposuction is offering. In addition, patients might need additional procedures to get the expected results and in many cases they need to ad also a skin tightening procedure. Without a picture or a real time evaluation of your condition is really hard to make a recommendation. Good luck!

Val Lambros, MD, FACS (retired) · Answer

in general removing fat from a banana roll makes it worse. The fat is what holds the skin up and removing fat makes the skin wrinkle like the creases on an elephants leg.

Should I use Kybella or BTL Exilis to get rid of my banana roll?

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Should I use Kybella or BTL Exilis to get rid of my banana roll?

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Everything you need to know about Kybella

Our mission is to create a world where every investment in modern beauty is Worth It.