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What is the secret to celebrities, like Chloe Kardashian, chiseled jawline? Their secret is the FDA approved injectable by Allergan for fat cells called Kybella.  Kybella is composed of deoxycholic acid, which occurs naturally in the gut, and dissolves the fat cells present. Dr. Michele Green, was one of the first dermatologists in NYC to utilize Kybella to inject submental fat and treat the “double chin.” Dr. Green is an expert in minimally invasive cosmetic procedures in New York, including Botox, Juvederm, skincare, liquid facelifts, and lip augmentation, and as an Allergan Platinum provider, brings this expertise to Kybella injections. If you are frustrated with your double chin or bra bulge, Kybella treatment can easily dissolve this area of fat without the need for invasive liposuction. With minimal downtime, Dr. Green’s expertise in Kybella can be the perfect solution for your fat reduction without plastic surgery. Kybella is the ideal non-surgical fat reduction treatment for the submental area, or other areas of fat on the body.

How does Kybella work?

Kybella is the only FDA approved injection designed to dissolve fat cells. Kybella is formulated from deoxycholic acid, also known as cholanoic acid. Deoxycholic acid, is derived from one of the secondary bile acids. The active ingredient in Kybella is Deoxycholic acid, and is a cytolytic agent. This means means that it causes lysis of fat cells, or permanently destroys adipocytes in the area injected. When Kybella is injected into the fatty tissue, a chemical reaction occurs with the deoxycholic acid dissolving the fat cells. Kybella permanently destroys these fat cells and they can no longer store or accumulate fat. The results of Kybella are permanent and once the treatment sessions are completed, no follow up or further treatment is necessary. Generally 3 or 4 treatments sessions are needed, approximately 4 to 6 weeks apart. Once the desired aesthetic goal is achieved, there is no maintenance required.

Kybella for Double Chin

The most popular area for Kybella is for the double chin, or submental area. In the past, plastic surgeons would perform liposuction to the neck area to remove unwanted fat. There was a great deal of pain, swelling, and recovery associated with traditional liposuction. Luckily, today there are many non-invasive alternatives to traditional plastic surgery. Many patients are genetically predisposed to a double chin and want a non-surgical method of body contouring. The number of vials and treatment sessions for the chin area depends on the amount of fat in a given area. Typically, for the submental area, two vials are required, with 3 to 4 treatment sessions, to permanently dissolve the fat cells.

What is the cost for Kybella?

The cost for Kybella treatments ranges from $1200 to $1500 per session, for two vials in New York. If additional vials are needed for a larger area, the price will increase based on the amount of Kybella needed for injection.

Kybella for Bra Fat and Armpit Fat

Kybella has several “off label” indications which have been used for fat pockets in other areas of the body. One very popular place to have Kybella injected is the area in the back known as the “bra fat” or armpit fat.  This area of fat is the result of many factors, including genetics, and hormones. Many patients have a fat bulge in the back or around their bra area and Kybella is a simple and effective way to permanently dissolve this fat. One of the advantages of Kybella is that a small area, no matter what size, can be treated with this injection.

kybella bra fat

Kybella and the treatment of bra bulge

When we try on clothes, sometimes there are small areas of fat that show through. These lumps or rolls of fat are especially noticeable about the bra line. Kybella is the hottest way to reduce the fat in this area, so that you can wear tight shirts or dresses. The term “brabella” has been coined to describe the injection of Kybella into the bar line area, to dissolve unwanted bra bulges. Patients who undergo this procedure tell Dr. Green that they are no longer self-conscious in wearing tight shirts or bathing suits. Since there is no need to incisions, and the only side effect is swelling, you can return to your normal routine immediately following your treatment of your bra bulge.

Can Kybella treatment be used in other areas of the body?

Kybella can be treated in various “off label” areas, where there is a fat bulge, such as the bra line, the lower belly, the tops of the knees, calves, back, thighs, abdomen and lower buttock area.

What are the side effects of Kybella

The main side effects of Kybella are localized bruising and swelling in the treatment area. Due to the chemical reaction that occurs from the deoxycholic acid, Kybella, swelling at the injection site is a normal and expected part of this procedure. Generally patients have swelling for a few days, although there are a subset of patients who have swelling for a few weeks. The swelling always resolves with each treatment, the fat cells are decreased and there is some skin tightening effect. Some patients have some temporary redness or soreness at the treatment site, which also resolves in a few days.

What are the results from Kybella Injections?

The results of Kybella are permanent and once the desired aesthetic results are achieved, no further treatment is necessary. A good candidate for Kybella injections is a patient with good skin tone, with little skin laxity, who want a small area of stubborn fat dissolved.

How soon do you see the results from Kybella?

The results from the first treatment session of Kybella are typically noticeable within a few weeks. It is common to have some swelling after the procedure which can initially obscure the positive results of Kybella injections. After the swelling has resolved, you can appreciate the results of your first treatment session. Sessions of Kybella injections will be repeated every 4 to 6 weeks until the desired cosmetic results are achieved.

Kybella Vs. Liposuction?

In the past, liposuction was the only method to remove fat in the submental area, and treat the double chin. Liposuction, in any area of the body, requires numbing, cannulas, and a significant amount of recovery time. Due to the sudden loss of fat from a liposuction procedure, the skin is often left hanging. Many patients who have had liposuction on their legs, or other areas of the body, have been unhappy with the ripples that remain and uneven skin as a side effect of the procedure. With Kybella or CoolSculpting, the fat is gradually decreased and the skin is tightened as well with this loss of fat. Because of the slow reabsorption of fat with these procedures, you do not have the same side effect as liposuction. In addition, with liposuction, the fat can return to its original location after they are removed. With Kybella, there is a permanent destruction of fat cells in the treated area. The only down side of Kybella or Coolsculpting, is that it can take more than one treatment session to achieve the desired results.

Who is the best injector for Kybella?

It is important to consult a board certified dermatologist with experience in cosmetic injectables since Kybella is a permanent injection. Dr. Michele Green was one of the first injectors of Kybella in NYC and has been trained extensively by Allergan and Kythera in advanced techniques of Kybella and cosmetic injections. With other two decades of experience in cosmetic dermatology, Dr. Green is an expert in dermal fillers, such as Juvederm and Sculptra, and understands all the potential side effects with these injectable procedures. When having permanent cosmetic injections performed at a medspa, you are not having a trained New York physician performing your procedures. It is always best to consult an expert in the field to avoid any potential side effects or complications.

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Kybella versus Coolsculpting

Coolsculpting and Kybella are both fantastic ways to reduce a bulge in the abdomen, flanks, bra fat, banana rolls (lower buttock area), arms, and inner and outer thighs. With Coolsculpting, an applicator is placed on a given area, and after 35 to 60 minutes, depending on the area, the fat bulge is treated. One of the advantages of Coolsculpting is that it can treat an area without needles, or any down time. Coolsculpting can also be used on larger areas of the body. Kybella has the advantage of being able to treat areas in which the Coolsculpting applicator does not fit. Both Kybella and Coolsculpting can require multiple treatments, depending on how much fat is in the treatment area. For the jowls and the submental area, if the double chin is large, Dr. Green will first treat the area with the Coolmini applicator of Coolsculpting. Once the submental fat is reduced to a smaller size, Dr. Green will then inject Kybella into the area to contour the stubborn fat and give you a beautiful jawline. In this way, Kybella and Coolsculpting can work together synergistically to provide the ultimate results in body contouring treatment.

Can I combine Kybella with Laser Skin Tightening Procedures?

Most patients today do not have the down time required for a facelift and want non-surgical, non-invasive procedures with little or no downtime. In order to have a contoured jawline, Dr. Green often combines Kybella with laser skin tightening procedures such as Thermage and BBL. Thermage is the gold standard for non-invasive laser skin tightening. Through radiofrequency heat, the dermal layer of the skin is stimulated to produce new collagen production. The result is firmer, tighter skin with Thermage. By combining Thermage and Kybella, your jawline will be smooth and taught and rejuvenated to give you a more youthful appearance.

Does Kybella work on armpit or bra fat?

Kybella is an extremely effective way to treat “brabella” or bra fat. Dr. Michele Green is an expert in non-invasive cosmetic procedures, especially for body contouring. If you have a fat bulge that you want removed, and do not want surgery, the first step is to call 212-535-3088 or contact us online to set up a consultation with Dr. Green in New York to discuss what the best treatment options are for you.

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