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The criteria for selecting Kybella are the same for all patients regardless of their past surgical history. Kybella treats contour bulges in the central part of the upper neck (or submental region) that are caused by the build up of subcutaneous fat. In order for Kybella to be effective, the patient should have good skin tone without significant inelastic or sagging skin. Kybella would therefore be an appropriate treatment for any patient with good skin tone that has a small pocket of persistent fat following face and neck lift surgery. Kybella should not be used to treat the other common causes of bulging neck contour, which include prominent submandibular glands, deep (sub-platysmal) fat, and issues with either banding or redundancy of the platysma muscles. You surgeon can perform a quick physical exam to determine whether Kybella is the correct choice for your particular problem. Best wishes.
Absolutely! Having had a previous facelift is not going to affect whether or not you are a good candidate for Kybella. It’s possible that after a facelift procedure, patients will still have some submental fat under their chin, which is exactly what Kybella is indicated for. Kybella is a great way to address these concerns without having to undergo surgery. I suggest scheduling a consultation with a board certified facial plastic surgeon to discuss Kybella and to create a customized treatment plan for you.
Yes, patients who have previouslyhad a facelift are still able to get Kybella injections. Ulthera may also be anoption to help firm the submental (under chin) area. Both are greatnon-surgical treatments that can be discussed at a consult with a qualifiedprovider.
Kybella can be used safely after a prior facelift, necklift, or even submental liposuction procedure. It is important to make sure that your physician is aware of these prior procedures on your neck, which they should be asking about at length anyway. Timing after your prior procedure is important, and I would make sure that you wait until your previous procedure is completely healed and settled before considering injections. To ensure you are receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
If your plastic surgeon agrees that you have healed sufficiently after a face / neck lift, then Kybella can be injected to reduce residual fat deposits in the neck should they persist. Although most plastic surgeons attempt to address this at the time of a face / neck lift with liposuction, there may be reasons that neck fat reduction is staged and not done, or not done sufficiently during the surgery.Should you consider having another physician treat you with Kybella, you should get your plastic surgeon's approval to make certain there are no reasons to avoid such treatment based on what your surgeon experienced during your surgery and convalescence.The information provided in Dr. Shelton'sanswer is for educational purposes only and is not intendedto constitute medical advice. The information provided shouldnot be relied upon as a substitute for consultations with a qualifiedhealth professional who may be familiar with your individual medicalneeds.
I appreciate your question.Yes, you can get Kybella injections if you have previously had facelift surgery. There is no contraindication. If you have any residual submental fat, Kybella can be used to dissolve it. Liposuction may also be another option for you.The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.Best of luck!Dr Schwartz
