Will Kybella help this pocket of Fat/ tissue? (photos)

Question

I’m 61 had 2 deep plane facelifts in 13 years. This year another Plastic Surgeon did a scar revision for the scar under chin from previous FL. He tried to cut out this fat as well as release a sub-mental crease that was tethered down. The fat And crease is still there. Help ! I can deal with crease but this pocket of fat is horrible. What can be done?

Daniel Barrett, MD · Answer

Dear Vander123,
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

Jason Emer, MD · Answer

A combination approach would give the most improvement. Nonsurgical options such as Kybella, PDO NovaThreads, and Ultherapy do well in combination for skin tightening, but the results are mild compared to surgical options.

I would recommend a VASER Hi-Definition Liposuction with ThermiRF, Renuvion (J Plasma) and InMode BodyTite to contour and tighten the chin and neck. A neck lift can be performed at the same time, if you're a good candidate. I suggest seeing a board-certified cosmetic dermatologist to develop a personalized treatment plan that works for you. Best, Dr. Emer.​

Mats Hagstrom, MD (license on probation) · Answer

I don’t believe the contour irregularity is related to being fat. I think it’s a skin bulge that’s caused by contractile forces of excessive previous surgery in the surrounding areas.

Direct skin excision is probably a far better approach to dealing with it.

Do you know firsthand how well facial scars heal on you. If you’re willing to have a 1 inch scar directly over the area of concern and that sounds like a far better approach to fixing it.

If other surgeons have tried and failed to cut out fat then it isn’t fat.

It shouldn’t be that difficult to differentiate on an examination. The tethering may prevent you from pulling the skin tight but if you pull the skin tight and the area is a fat problem then you should see it even with the skin under tension.

Either go back to your previous surgeons or get in person second opinions I have a more consultations.

I would highly avoid going in there and trying to take out subcutaneous fat and create more scarred tissue in an area that seems to have had removal  of fat and now has excess of scar tissue.

Best,

Mats Hagstrom MD

Will Kybella help this pocket of Fat/ tissue? (photos)

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Will Kybella help this pocket of Fat/ tissue? (photos)

Answers (3)

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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.