Do I need Kybella to improve my jawline? (Photo)

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center.

Kybella is a great option for reducing small to moderate amounts of fat under the chin. It offers a non-surgical alternative to liposuction, helping to improve the appearance of a double chin with less downtime and a quicker recovery. Many patients also notice enhanced jawline definition as the area becomes more contoured.

It’s important to know that Kybella often requires multiple treatment sessions to achieve optimal results. If your primary goal is to enhance the jawline rather than reduce fullness under the chin, jawline filler may be a better option — or the two treatments can be combined for even more defined results.

As always, the best next step is to consult with a skilled provider who can assess your unique anatomy and goals to create a personalized treatment plan tailored just for you.

​It takes a series of treatments to get good results with Kybella. Keep in mind, Kybella is good for dissolving the submental fat under the chin area while contouring the jawline and making the chin more defined, but a combination approach is needed to get the most improvement with non-invasive options. I recommend a combination approach with Thermage, Ultherapy, and Exilis.

InMode FaceTite / AccuTite with VASER Neck Liposuction is the best option for contouring and tightening the chin, neck, and jawline area. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​

Traditional submental and jawline liposuction with a cannula will get you the best results. Kybella is good for small isolated pockets of residual fat, There will only be one treatment needed with the traditional liposuction and the recovery is easy and fast. We perform this procedure in the office with sedation anesthesia.

I do think you would benefit from additional doses of Kybella. It usually takes 3-5 *full* treatments to yield significant results. Also, make sure you are being dosed correctly. Most people need more than one vial of Kybella at a time. Make sure your provider is using a grid system and dosing you fully and appropriately. Chin and jawline filler would be great additions to creating a stronger profile.

From the one limited photograph, it appears that you have a recessive chin, and fat deposits in your neck, most likely located both above and below the platysma muscle in your neck. Consider placement of a chin implant to augment your chin further forward for better facial balance and proportions. This will also help with your jawline. If the fat deposits are only located above the muscle, then liposuction can accomplish improvement. A neck lift procedure can accomplish surgical removal of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. No skin removal is needed. Both a chin implant and necklift surgery can be accomplished together under one anesthesia with one recovery.

Issues related to the lower 1/3 of the face and neck are usually related to issues regarding the size, shape, and projection of the mandible.If this skeletal structure is small than the soft tissues, don’t have a great foundation to support them and they tend to sag. You don’t have an abnormal fat, distribution and fat really isn’t the problem.Fillers can do amazing things, but it is completely dependent on your choice of providers.The number of providers of truly mastered the work of facial volume augmentation is fairly small.Simply having fillers may not get you quality results unless you’re working with someone who is exceptional. The standard of what can be done using fillers alone I recommend people take a look at the website of Dr. David Mabrie MD in San Francisco.He has an impressive collection up before and after pictures and this can Gibbs some insight into what’s possible, when comparing results from providers in your community. If you look at pictures of Carmen Dell'OreficeWho is the oldest living model currently you will see that one of her features is a very powerful and strong mandible. In her case, that in combination with having protect herself from damage or entire life, has given her a life of Aesthetic advantage decade, after decade after decade.She’s also had work done, but rarely does someone age as well and it’s not simply coincidence. Kybella can work, but it is in my opinion, unpredictable, emphasize and inferior to Liposuction.From your own first hand experience the first treatment didn’t do much so you should expect less from the second treatment. Fillers can do amazing things, but only on someone who is a good candidates, and when the treatment is done by someone who has the skill and experience. Best,Mats Hagstrom, MD