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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.
Sagging skin is definitely a concern and one reason to consider a different approach to addressing your neck. In people with alot of skin laxity, Kybella's reduction in the "double chin" can actually worsen banding or cords in the neck area. An experienced physician injector should be able to evaluate you and let you know whether or not you are a good candidate for Kybella injections. If you are not a candidate there exists a handful of other options to address the double chin. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
The long-term effect of Kybella use is fat reduction. That is the desired goal, and in properly selected patients the results are excellent. Our neck ages with both excess skin, fat, and muscle. Kybella addresses the fatty portion of that equation, there is some skin tightening that happens with it, but that is not dramatic when compared to surgical options, for instance. Satisfaction completely boils down to patient selection. Make sure you have an injector very familiar with the product and its abilities and outcomes.To ensure you are receiving the highest level of care, seek out a modernly trained, new-school 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.Cameron Chesnut#realself500 Physician
Kybella is safe to use and it is FDA approved. It is injected in your tissue in the chin and neck area, and it works by dissolving fat. Since it is injected in the tissue it can not migrate to your brain, heart or some areas of your face. There are some side effects that can occur after Kybella treatment such as numbness, scabbing, and scarring but those risks are not life-threatening by any means and usually go away within few weeks.
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