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 utilize Kybella as a treatment for submental fat in her private NYC office. Kybella is manufactured by Allergan cosmetics, the same maker of Botox and Juvederm dermal fillers. 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 chin 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 chin fat and submental fullness. For many patients, the neck countour is often hereditary, and patients have a difficult time slimming this area without cosmetic treatment. Kybella injections are a safe, effective, and non-invasive way to permanently eliminate your double chin.
What is Kybella?
Kybella is the first and only FDA injectable drug approved for dissolving and contouring submental fat and reducing the appearance of moderate to severe fat under the chin. The active ingredient in Kybella is comprised of deoxyycholic 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, by the Kythera Corporation, 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 the submental fat. Kybella is injected into the targeted areas of fat under the chin to dissolve these fat cells.
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. These fat cells can then no longer store or accumulate fat. The fat that is destroyed through these Kybella injections is processed and excreted from the body, though its own natural metabolism. Since the process of fat metabolism is gradual, the fat that is dissolved through Kybella injections gradually disappears. Due to the effectiveness of Kybella injections, they have become one of the most popular cosmetic procedures in Dr. Green’s private NYC dermatology office.
Male patient treated with Kybella
How does Kybella work?
Kybella is a non-surgical injectable treatment to remove the double chin fat. Kybella is a synthetic form of deoxycholic acid, which is a natural occurring molecule in the body that assists in the breakdown and absorption of dietary fat. When Kybella is injected into the submental area, or double chin, these fat cells are quickly destroyed. This process prevents these fat cells from future accumulation of fat. Over the coming days and weeks after Kybella injections, these fat cells are cleared from the body through natural metabolic processes.
How does the consultation for Kybella work with Dr Green in NYC?
If you are concerned with your jawline or double chin it is best to schedule 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. During the consultation, Dr. Green will review all of your medical conditions as well as past cosmetic procedures. Then, your neck and jawline are examined and photos are obtained for your records. The patient’s weight is also documented during the consultation since weight gain could interfere with the treatment results of Kybella. It a patient were to gain weight, they might gain fat in the neck area and effect the results of the Kybella injections. A careful examination of the neck and jowls is done to determine if there is any skin laxity. If a patient who has too much skin laxity, they 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 Dr. Green’s NYC 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 does the Kybella procedure entail?
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 the neck, in the submental area, is marked with a grid applied to your neck area. 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 treatment 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, 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?
Common side effects of Kybella injections are localized numbness, pain, redness,and swelling, and areas of hardness (nodules or lumps) at the site of injection. Possible side effects of Kybella also include bruising at the treatment area, which is similar to bruising from other injectable procedures. Discontinuation of blood thinners, fish oils, and vitamins, are advised for one week before the Kybella treatment.
More serious side effects have occurred, although rare, including nerve injury in the jaw, which can cause an uneven smile, facial muscle weakness, or trouble swallowing. Other side effects are the result of 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. There have also been reports of hair loss in the beard area in men, based on this study in late 2019, but it is not a common side effect.
To avoid these side effects, it is best to consult a board certified dermatologist, like Dr. Michele Green in New York, who is an expert in Kybella and other cosmetic injectables for the best cosmetic results. If you experience any severe side effects post-treatment, you should immediately contact your healthcare provider.
What post-op instructions are given after Kybella injection?
The most important recommendation is to ice the treated area to minimize swelling. It is best to remain upright the day of your procedure and sleep with your head elevated, (with two pillows), the night of your Kybella injections. Refrain from excessive exercise, saunas, steam rooms, or heat, for two days after your treatment. Arnica can be taken to minimize any bruising from the injections.
Are the results of Kybella permanent? What happens if I gain weight?
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.
How many vials of Kybella are needed?
In general, two vials of Kybella are needed per treatment with 3 to 4 sessions to obtain optimum results. If the submental fat is a very small amount, only one vial of Kybella may be necessary. Most patients experience visible results in 2 to 4 treatment sessions. Similarly, if there is a large area of submental fat, 3 vials may be required to reduce the double chin area with up to 6 treatment sessions.
How much does Kybella cost?
The average price for a session of Kybella treatment costs between $1200 and $1,800. The price ranges both in the number of vials needed and the experience of your cosmetic injector. The total cost of Kybella depends on the total number of Kybella treatments needed to permanently reduce the submental fat cells.
Female patient treated with Kybella, Botox & Fraxel – 2 Treatments of Kybella
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 with a Nefertiti Lift or fillers injected into these wrinkles to soften their appearance.
Why are so many patients bothered by their profile?
We live in a world of Instagram, Facebook, “selfies” and social media. Many of us are concerned with our profile, especially that of our nose and chin profile. Treating this submental area with Kybella gives a beautiful and permanent aesthetic result.
Does Kybella work on knees?
Kybella was originally FDA approved for the double chin, but it has been used to treat small localized areas the body, including the inside of the knees. Kybella can be combined with Thermage to tighten the knees and give you a sleeker, rejuvenated appearing leg.
Does Kybella work on bra fat?
One of the most popular areas on the body to use Kybella is the bra fat area, known as Brabella. Unwanted bra bulges are simple to treat with Kybella injections and allow you to wear tank tops and dresses without being self-conscious.
How does Kybella compare to CoolSculpting?
Kybella is primarily designed to treat moderate to small areas of fat, such as the chin fat, and takes several sessions. CoolSculpting can be used to debulk larger areas of fat, with greater surface area, and has no downtime. If someone has a large about of submental fat, they can first get treated with the Coolmini applicator, and then follow up with Kybella injections for the remaining submental fat. CoolSculpting also has several applicators to treat the abdomen, inner out outer thighs, flanks, buttock, and upper arms.
How do I know if I am a good candidate for Kybella?
The best way to know if Kybella is right for you is to schedule a consultation with Dr. Michele Green in her New York dermatology office. Dr. Green is an expert in non-invasive cosmetic injections, laser treatments, CoolSculpting body contouring, skincare, and anti-aging procedures, and was one of the first dermatologists in NYC to inject Kybella. Dr. Green will need to assess the amount of fat in the area and skin laxity, in order to customize the best treatment for you. The treatment is available for men and women, in fact reports show 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.