What are the long term effects of Kybella? (photo)

Without assessing you in person, it is impossible to say for certain. My best advice would be for you to schedule an in person consultation with a board certified plastic surgeon in your area. However, two factors to consider: 1) Kybella creates inflammation in the treatment area as it dissolves fat which does result in a mild tightening effect. 2) Kybella works over multiple treatments so you have time to decide if the removing fat to sagging skin ratio begins to become less beneficial to you. Hope this helps.Kindly,Kouros Azar

Because the deoxycholic acid in Kybella both dissolves fat and creates inflammation in the process, we have found that inflammation to thicken up collagen production as well under the chin, so sagging skin may not be a problem once your double chin is gone. Also, Kybella is administered in several sessions, which gives the skin time to adjust and retract. However, if your skin is already sagging, you may need Ultherapy in addition to Kybella to tighten the skin. Please see a board-certified dermatologist.

Kybella permanently reduces fat under the chin- We do see some slight tightening of the skin but it is not the same result as a facelift.  And reducing the fat could expose muscle bands or prominent glands under the neck and look worse in some patients.  But not everyone wants a facelift, and 67% of patients report that they have fat under their chin that they don't like.  If you can pinch extra fat under your chin, then the Kybella can be a help- I would recommend a consultation with a board certified plastic surgeon who has experience in both to understand your options better.