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Does Kybella Really Work on Fatty ‘Turkey’ Necks?

Posted: 4:49 p.m Friday, Dec. 8, 2017

By Anita Mandal, M.D.
Question: I’m 65 years old and have a turkey neck with alot of fat – no neck wrinkles, just very fatty and heavy under the chin. While there is alot of talk about Kybella being used for neck fat, I’ve also heard that it only works in a minimal way to reduce fat.

Answer: Kybella is FDA approved for submental fat reduction. In my experience with it, Kybella is quite effective in reducing fat under the chin. However, as with any cosmetic procedure, important factors must be considered when selecting the proper candidates for Kybella treatment.

First, there are different types of neck fat. Kybella is specifically indicated for submental fat under the chin. If Kybella is used for other types of neck fat deep to the submental region, it may not work.

It is equally important to assess the quality of the skin overlying the fat to be injected with Kybella. Unlike liposuction which removes fat but can leave loose skin, there is some contraction of the skin that is noted to occur with Kybella as it gradually dissolves treated fat. Because of this “contraction” effect, certain patients also benefit from some skin tightening after Kybella injections. However, patients with submental neck fat who have very poor skin elasticity or significantly loose neck skin may require simultaneous skin tightening with the Infini RF. While Kybella alone will still reduce the fat, the result may not be as noticeable unless the skin is also addressed.

The decision process over whether to use Kybella alone or in combination with other treatments can be a complex process requiring a highly knowledged and experienced Facial Plastic Surgeon who understands the aging anatomy of the neck. A thorough consultation is the first step in determining your most optimal rejuvenation approach.


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