Can you get a mini neck lift/neck lift after Kybella gone wrong? (Photos)

Question

Had Kybella in 2017, 2 sessions. Was happy with results as skin was firm and taught now THREE years later my neck is suddenly floppy and lax. What can I do? Was done by board certified plastic surgeon. Am I a candidate for a neck lift/mini neck lift? Have read about damage that means you aren’t a candidate after Kybella as possible nerve damage? How would I know if this applies to me? Doctor who did it is suggesting neck threads, filler and if all else fails a fat transfer.

Jason Emer, MD · Answer

you have laxity this isnt from botched kybella years later this is from aging as well as kybella removing fat and now you being left with skin looseness. start at home peels and MTS rolling now( see link)

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin.

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite 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 full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Zoran Potparic, MD · Answer

Based on presented condition you would benefit from neck lift. However, we have noticed that patients who have previously treatment with Kybela and other non-surgical modalities, have significantly higher incidence of postoperative scarring which may require prolonged treatment and make surgery itself more challenging. In person consultation with a plastic surgeon with expertise in neck and face lifts is recommended. Good luck.

David Hansen, MD · Answer

Kybella is usually worthless and painful.  You would do so well with a neck lift under local . It is easy to undergo and give dramatic results.

Gregory S. Keller, MD, FACS · Answer

A consultation is important. You seem to have both aging (platysma band/sagging/skin looseness) and some lumpy irregularities. It appears (hedging without a consultation) that FaceTite to tighten the skin and smooth irregularities and a minimally invasive Ellevate/Trampoline platysmaplasty procedure (probably can be done without incisions) would likely tackle your problems.

Tanveer Janjua, MD · Answer

There are many non invasive treatments to help with loose neck skin. Here are the options available.
1.	Neck liposuction 
2.	Neck liposuction combined with Thermitight
3.	Neck liposuction combined with necklift and lower facelift
4.	Necklift and lower facelift
In your case the best option will be #4, Necklift and lower facelift including some liposuction and platysmaplasty. It will give you the best neck profile, tightness and longevity.
Regards
Dr. J

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  I can see your neck asymmetry and loose skin and you would be a candidate for a neck/facelift despite the Kybella treatments of the past.  Hope this helps.

Andrew M. Ress, MD · Answer

The Kybella worked in removing the fatty tissue. What now remains is looser skin and a vertical muscle band that was previously disguised by the fat that was removed.
A neck lift with muscle tightening (platysmaplasty) will completely correct your neck line.
I have operated on at least five patients with prior Kybella treatment at least a year prior and there was no scarring that made surgery more challenging.

William Portuese, MD · Answer

Yes, it is possible to undergo neck lift after Kbella treatments.  More information is needed, such as your age and the quality of the skin tone in your neck.  A neck lift procedure can accomplish removal of residual fat deposits above and below the platysma muscle in your neck, and a corset platysma-plasty.  If the skin tone in your neck is loose, then a lower face and neck lift may be required.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem but a well performed necklift should correct your issues. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results

Dr Corbin

Dr Corbin

Darryl J. Hodgkinson, MD, FACS, FRCSC (retired) · Answer

Your photographs demonstrate laxity of the neck muscles loose skin in the neck and horizontal wrinkles
Threads and fat injections will fail to give you the neck rejuvenation you expect
Only a surgical neck lift with attention to a platysmaplasty will give you a more youthful neck and at the same time will improve the jowls.

Can you get a mini neck lift/neck lift after Kybella gone wrong? (Photos)

Answers (11)

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