Kybella or chin liposuction?

Question

Hi! I have a fat under the chin and it gets large when I try to gain weight. Kybella is 1200$ per session and I might have 3 sessions and lipo is only 1250$. Which is the best option? Will I have scar after liposuction? Will I have hanging skin after lipo?

Jacob Sedgh, MD · Answer

Thank you for your question! This is a common question for patients who are trying to treat that stubborn double chin area. Kybella is a great non-surgical option for smaller amounts of fat under the chin. However, if you're looking to address a larger amount of fat, submental liposuction is preferable. If you're ok with the surgical option, that often leaves little to no scarring, I would encourage you to go with that. There is often minimal, to no scarring. Make sure that you go with an experienced surgeon who can give you the best result possible. We wish you the best!

Jason Emer, MD · Answer

For a double chin, InMode FaceTite with VASERlipo would give you the best result.
With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, or Erbium) and microneedling RF (Fractora, Morpheus8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:
1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.
Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

Kybella is a dog of a treatment in my opinion. It is an option for those who simple refuse to consider surgery. However, the results are not very impressive and the service is uncomfortable. The price you are being quoted for neck liposuction is very low. Make sure you are seeing an ethical cosmetic surgeon without any State Board licensing issues.

Daniel Barrett, MD · Answer

Dear sk22561,
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

Chris Funderburk, MD · Answer

This is a very common question. The answer will depend on the amount of fat currently in your neck. (Photos are helpful.) If the amount is significant, there is a chance that you will have resulting skin laxity, especially with liposuction. The effect of Kybella will be more minimal in both fat decrease and skin laxity creation. We perform neck liposuction through needle holes (like a 16G syringe hole) to prevent scarring. Be sure to find a fully-trained plastic surgeon to do your liposuction procedure, if you go that route.

Luis Mario Salazar, MD · Answer

This is the area where most of the people can go for one of both procedures, you have to know there are different non surgical options for that area, you have to put in a scale how fast you want the results, and how much you want to spend on it.
Non surgical Pros are, no downtime, not that expensive. Cons, takes more time, depends on the injector experience to get rid of the fat completely.
Surgical Pros, gives you immediate results. Cons, more expensive, requires downtime. 
So if you take this as your guide, you will know what to do and set a plan for your goals with an experienced physician. 
Dr Luis Salazar. 
Aesthetic Solutions

Dmitriy Schwarzburg, MD · Answer

To provide you with the best assessment it would be crucial to have your baseline pictures, your age, and your goals to make any decision in the direction of injectable vs. surgery.

Yirae Ort, MD · Answer

In my hands, liposuction is a much more predictable and cost effective outcome. A well trained and experienced surgeon has tactile control and directional control on where and how much fat to remove through a gentle suction, whereas kybella is unpredictable in that, spread of the material and penetration is variable once injected subcutaneously, leaving some lumpiness.
Both are minimally invasive procedures. Liposuction can be done under local anesthesia with minimal discomfort, and the wholes made to pass the cannula are smaller than a pencils eraser. Kybella is multiple small injections using a fine needle. 
 Downtime is also about the same, one day of soreness and rest, and most patients go back to routine the next day.
Hope this answered some of the things you were wondering about either option.

William Portuese, MD · Answer

Much more information is needed, such as Your age, and a full set of facial and neck photographs from all angles make a determination. It's also important to evaluate the amount of fat in the neck located above and below the platysma muscle. Kybella is not very effective, must be repeated, and has significant swelling after each treatment, therefore we do not recommend it. Chin liposuction only accomplishes removal of fatty deposits above the  platysma muscle. Surgery is required to remove the  fat deposits below the platysma muscle which also includes a platysma plasty to significantly improve the jawline.

Mats Hagstrom, MD (license on probation) · Answer

In every category Liposuction is the better treatment option for you. I can’t see a single benefit to choosing Kybella.That treatment causes massive swelling far beyond what Liposuction does and you have to go through the treatment multiple times. It’s also painful and takes a long time to get your results. I don’t think I’ve ever had a patient ever complain about scars from Jim Liposuction. they are so well concealed and heal so well that they are generally a non-issue.In my opinion Kybella is an awful treatment choice. The only worst treatment choice is cool sculpting because it is dismal in effectiveness.Best, Mats Hagstrom MD

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