For years patients have been bothered by their “double chin” but have had few options to treat this submental area. Historically, the only choice patients had was liposuction, which is an invasive procedure performed by plastic surgeons. Now, thanks to Kybella, dermatologists like Dr. Michele Green in New York City, can inject this submental fullness or “double chin” in a targeted way to dissolve the fat under the neck, without the need for surgery. Dr. Green was one of the first dermatologists in NYC to offer Kybella as a treatment at her NYC office. Kybella injections are a unique injectable treatment which are performed in Dr. Green’s NYC office to dissolve this submental fullness and contour the jawline with little downtime. A recent survey by the American Society for Dermatologic Surgery (ASDS) found that two thirds of patients were bothered by submental fullness – nearly as many as those bothered by lines and wrinkles around the eyes. Submental fullness detracts from your profile by making you look heavier and older due to the excess fat under the chin. Despite diet and exercise, many patients cannot get rid of this submental fullness. Kybella injections are the safe, effective and permanent way to treat this double chin.
What is Kybella?
Kybella and is the first and only FDA injectable drug approved for dissolving and contouring submental fat, reducing the appearance of moderate to severe fat under the chin. The active ingredient in Kybella is comprised of deoxycholic acid, which occurs naturally in the body and aids in the absorption and breakdown of dietary fat. Kybella was under development for more than 9 years and has been the subject of over 20 clinical studies involving over 2,600 patients. Clinical trials went on for several years to ensure that Kybella injections were a safe and effective treatment for this submental fat. Kybella is injected into targeted areas of fat under the chin and through a series of injections Dr. Green is able to shape the jawline and help improve the overall contouring of the neck and chin area. Once the fat cells are destroyed, they are gone permanently. The fat that is dissolved from these injections is processed and excreted from your body though its own natural metabolism. Since the process is gradual, the fat that is dissolved through Kybella injections gradually disappears.
Female patient treated with Kybella & Thermage – 4 months
How Does The Kybella Consultation Work?
If you are concerned with your jawline or double chin you would first plan a consultation with Dr. Michele Green in her Manhattan Dermatology office. Most of our patients do not want plastic surgery and prefer injectables and non-surgical treatments to cosmetic surgery. They prefer quick injections of Kybella in our NYC office to liposuction which involves a prolonged recuperation. The neck and jaw area is examined and photos are obtained for your records. The patient’s weight is also documented since weight gain could interfere with the treatment results of Kybella if a patients gains weight in the neck area. A careful examination of the neck and jowl’s skin laxity is also examined since a patient who has too much skin laxity may not be the best candidate for Kybella injections. A treatment plan is then discussed and the number of treatments needed to dissolve the submental fat is discussed. Many patients see results in as little as 2 to 3 sessions. The number of treatment sessions depends on the degree of submental fat in the area and the desired results. Kybella injections for the destruction of fat cells are typically spaced four to six weeks apart, depending on the degree of swelling. The Kybella treatment, of deoxycholic acid, typically takes fifteen minutes to perform in the office and can be done on your lunch break. Again, optimal results are obtained if a patient does not have too much skin laxity, although Kybella does tend to tighten the neck area as well. Depending on the degree of skin laxity or excess skin, Dr. Green may recommend Thermage FLX for skin tightening or a neck lift and refer you to a qualified plastic surgeon.
What is the Procedure?
The patient will arrive in Dr. Green’s NYC office one hour early to have a topical numbing cream applied to the treated area. After one hour, the numbing cream is removed and the area of injection, in the submental area, is marked with a grid applied to your face. The grid is removed and Dr. Green follows the grid and injects Kybella into all of these pre-marked injections sites. Ice packs are immediately applied to the treated area and patients are advised to sleep with their head elevated on a pillow to decrease the amount of post-procedure swelling at the injection site. Typically, patients have five days of swelling from Kybella injections. Dr. Green advises her patients to avoid exercise for several days after treatment and any strenuous activity or hot yoga as this can prolong the length of the swelling and increase bruising. We advise all patients to refrain from any blood thinners for at least one week before Kybella injections. Re-treatment is performed in four to six weeks depending on the degree of swelling in the treatment area. If there is prolonged swelling or numbness, Dr. Green will wait several additional weeks before she re-injects the Kybella.
What are the side effects of Kybella?
Potential side effects of Kybella injections are localized numbness at the site of injection and bruising. Side effects for Kybella in terms on bruising are similar to other injectable procedures. Discontinuation of blood thinners, fish oils, and vitamins, are advised for one week before the Kybella treatment. Other side effects include improper injections outside the approved submental area or injecting too close to the marginal mandibular nerve with subsequent nerve irritation. These side effects resolve in several weeks. However, it is best to consult a board certified dermatologist, like Dr. Michele Green, who is an expert in Kybella and other cosmetic injectables for the best cosmetic results.
Are the results of Kybella permanent?
Kybella was specifically formulated to be a permanent way to accomplish the degradation and absorption of dietary fat. As a synthetic form of deoxycholic acid, Kybella permanently reduces the fat cells. However, excess weight gain can impact the results of your treatment since new fat cells can accumulate in the treated area.
Can Kybella be combined with other treatments?
Many of Dr. Green’s patients combine Thermage FLX for skin tightening with Kybella injections to reduce the submental fat, thus giving her patients the best jawline. In addition, patients who are concerned about the lines on their neck may also choose to have Botox or fillers injected into these wrinkles to soften their appearance.
Female patient treated with Kybella, Botox & Fraxel – 2 Treatments of Kybella
The treatment is available for men and women, in fact some early reports note that the Kybella procedure is just as popular with men as it is with women.
Male Kybella patient before and after photo, after two treatments of Kybella
Find out more about Kybella injections and how you can remove fat on the upper neck and chin areas, and say goodbye to the “double chin” – contact Dr. Michele S. Green for additional information and to schedule an appointment to see if you are the right fit for Kybella or call 212 535 3088 today.