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Kybella: It’s Effective Use

Posted: 6:00 a.m. Sunday, April 24, 2016

By Anita Mandal, M.D.
Question: I am 64 years old and have extra fat under my chin which I want to get rid of without the risk of surgery. Will Kybella work for me?

Answer: Kybella is an FDA approved injection for submental neck fat or fat under the chin. While Kybella can effectively dissolve submental fat in 2-4 injection treatments, it is important to seek a qualified plastic surgeon who thoroughly understands the anatomy of face and neck aging.

Key differences exist between a doctor who has learned the simple technique of Kybella injection compared to a physician with a high level of skill in providing a well-rounded Kybella treatment. While anyone, even one not board certified in Facial Plastic Surgery, can learn how to inject Kybella, there are important nerves which can be injured when treatment is performed by a less qualified physician. One should also be leery of quick-fix marketing ads to merely get you into a medical office.

Aging of the neck is not limited to build up of fat deposits under the chin. With age, we also develop platysmal banding of the vertical neck muscles and loose neck skin. A doctor who performs Kybella for neck fat, but fails to address platysmal bands and loose skin, is not disclosing the full extent of treatment needed for successful results.

In younger patients in their 20’s and 30’s, Kybella alone can effectively dissolve excess fat under the chin. Other tissues must also be addressed with age. In many cases, removal of fat alone can make your neck worse. A skilled plastic surgeon can more specifically identify and simultaneously treat the co-existing skin and muscle issues to achieve a tighter, more defined neckline.

For loose neck skin plus excess neck fat, I typically advise Infini RF for skin tightening combined with Kybella if a patient does not want a face or necklift. In those with prominent vertical platysmal neck bands, Botox to relax muscle bands combined with Kybella fat reduction is a popular option when surgical correction is not desired.

In summary, while Kybella injection is relatively simple, effectively addressing the aging neck can be quite complex. A skilled Facial Plastic Surgeon who understands the anatomy and function of the aging neck to give you the tightest neck possible is an option to be strongly considered.


Kybella,10 Minutes: Permanent, minimal invasive neck fat removal for double-chin.

SculpSure, 25 Minutes: The new standard in permanent, non-invasive fat reduction with skin tightening: treats abdomen, flanks, back, hips, thighs, knees, arms and chest.

Infini RF, 40 Minutes: Non-Surgical Facelift tightens sagging jowls and neck & softens wrinkles with no downtime.

Bellafill, 90 Minutes: The 5-Year Filler. Dr. Mandal is a BellaDiamond physician in the top 1% of expert Bellafill injectors in the world.


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