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As we age, our skin becomes increasingly lax and due to the effects of time and gravity, some areas are more susceptible to generalized aging. One specific area that patients frequently ask Dr. Michele Green for treatment is the infamous “double chin” and sagging which occurs along the jowls and neck area. This loose skin can cause us to be very self-conscious. The neck and chin area is where skin tightening procedures can make a real difference for how we feel about our appearance.

A treatment that is ideal for both targeting the neck area and giving the appearance of a neck lift are Kybella injections. If you suffer from the appearance of sagging skin along the jawline or jowl area due to excess fat, Kybella injections are sure to improve the definition of your jawline. Dr. Michele Green is an expert in minimally invasive cosmetic dermatology including Botox, Juvederm, and Kybella injections. As one of the first dermatologist in NYC to offer Kybella injections to her New York patients, she is an expert at this permanent solution to treat sagging jowls. Contact us today to learn how Kybella can rejuvenate the jawline and produce a more youthful appearance.

Kybella Treatments

Kybella was approved by the FDA in 2015, and is designed to target submental fat in the jowl and neck area of the face. FDA approval for treatments is important because this means the drug is thoroughly tested and proven to be effective. In the case of Kybella, it has been approved as a non-invasive procedure for fat reduction along the jawline. It’s considered an innovative treatment as it operates like non-invasive liposuction, and you can use Kybella on jowls, double chin, and around the jawline.

Does Kybella work on Jowls?

One question that we’re commonly asked by male and female patients is: can Kybella be used be used on jowls? The answer is yes it can. Oftentimes, sagging skin around the jawline can be caused by excess fat, and Kybella can effectively dissolve these cells over time. Not only can Kybella treat jowls, but it can also be combined with other treatments for optimal results.

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Thermage, which uses radiofrequency technology to safely heat inner layers of skin in order to stimulate collagen production, is used by Dr. Green in conjunction with Kybella for tightening the skin around the neck and jowls. The combination of Kybella and Thermage acts as a unique non-invasive “facelift” for most patients, which is an easy and safe alternative to plastic surgery.

Do Kybella injections work for double chin?

Yes. Kybella is the only injectable which can permanently reduce the fat and treat the “double chin.” Regardless of whether Kybella is used for the neck, double chin or the jowls, this treatment can have a positive effect on the skin laxity, neck fat and jowl fat that accumulates in these area and the lower face. Submental fat along the jawline, the double chin, is exactly the area in which the Kybella treatment was designed for. Kybella has been proven to be safe and effective in creating a more beautiful defined jawline and chin in patients with little to no downtime.

Can Kybella be used on cheeks?

At our office, we are frequently asked about Kybella treatments for the cheek area. Unfortunately, Kybella is considered “off-label” for use on the cheeks, as it has not been FDA approved for the cheek area. Because of this, use of Kybella for cheeks is not recommended at this time.

Which procedures give me a defined jawline and treat double chin?

Kybella treatments are an excellent non-invasive option to help redefine the jawline and dissolve excess fat around the chin area. Kybella can be combined with Thermage treatment in order to target fat cells and to promote elasticity in the skin due to new collagen production, creating a holistic skin rejuvenation treatment.

An additional treatment option is CoolSculpting. Coolsculpting is a targeted treatment designed to reduce dietary fat pockets within the skin, such as bra fat and submental fat. Coolsculpting and Thermage can also be combined to great effect, and are excellent non-invasive alternatives to Kybella treatments.

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Before and After: Male patient, Kybella

What are Kybella Injectables?

Kybella, originally known as ATX-101, is an injectable drug that relies on synthetic deoxycholic acid as its active ingredient. In its natural form, deoxycholic acid is created by the body to absorb fat, primarily by breaking down the membranes of fat cells. When this fat-dissolving process is activated, the body can then absorb and essentially metabolize the cells, which reduces the appearance of excess fat at or near the injection sites. Similar to many injectable treatments made by Allergan, such as Botox and Juvederm, Kybella requires minimal downtime and is relatively pain-free.

The amount of fat that Kybella can target is moderate to severe which means it can be very effective for a wide range of individuals. Kybella is designed to target small areas of fat in the submental area, specifically in the chin and jowl area. Kybella is injected into the target area and the substance helps break down the fat and the fat cells are removed through the body’s own natural processes.

How long do the results last from Kybella injections?

Kybella treatments were designed to create permanent results through this non-invasive injectable. The majority of patients find that, after a few sessions, cosmetic results are achieved and the effects are permanent. However, it’s good to note that additional weight gain or fluctuation can affect the shape of the jawline and, in turn, impact the results of Kybella injections.

How Does Kybella Work?

The procedure for Kybella treatment is quite simple. Patients arrive an hour prior to treatment and a topical numbing cream is applied to the treatment area. Then, once the numbing cream is cleaned from the skin, the submental area or any other injection sites are marked with a grid, and Kybella is injected into these marked locations. Due to the nature of injectables, we advise all patients to refrain from using any blood thinners for at least one week before Kybella treatment.

After any Kybella procedure, ice is applied to the injection sites, and it’s good to ice the affected area throughout the day following treatment in order to minimize any swelling. Dr. Green recommends that patients keep their heads elevated both during the first day and overnight, and encourages patients to avoid intensive exercise for several days post-treatment.

For the most effective results, a patient will need between three and four sessions. After the first treatment session, a patient should wait at least a month before having the second treatment. Sessions are generally spaced four to six weeks apart, depending on both swelling and the amount of submental fat present. The reason for this is because the dissolution of fat occurs over time and is a relatively slow process. Typically, results begin to show after several weeks.

How many vials of Kybella are needed for jowls?

Many patients wonder how many vials of Kybella for jowls are necessary for a single treatment. Typically, 2 vials are used per treatment of the jawline and chin. When it comes to treatment plan, the number of treatments required does vary substantially from patient to patient, which is why experience is key when it comes to your Kybella injector. Dr. Green has worked with a variety of patients and patient needs, and will be able to work with you to achieve your desired look.

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How many Kybella treatments are needed for the jowls?

The number of Kybella treatments needed for the jowls depends on the size of the submental fat in the area and the size of one’s neck. Typically three to four treatments are needed, spaced 4 to 6 weeks apart, for the best cosmetic treatment to rejuvenate the jowls.

What are the side effects of Kybella?

When it comes to side effects, generally there are minimal side effects from Kybella injections. There may be some swelling around the area where the series of injections occurred, along with some general soreness, bruising and numbness at the injection site. In rare cases, side effects have included hair loss or infection around the injection site. Inexperienced injectors may cause temporary damage to the submandibular never. For this reason, to avoid unnecessary side effects, it is imperative to consult an expert like Dr. Michele Green for your Kybella injections.

Many people dislike injections but with topical numbing, there is minimal discomfort to the Kybella injections. At first you may also experience a mild burning sensation when the injections take place, but this sensation fades after a few minutes.  In terms of non-surgical treatments designed to tackle facial rejuvenation, without having to visit a plastic surgeon, Kybella is an extremely effective and popular treatment in Dr. Green’s office.

Can Kybella make my jowls worse?

Trying a new treatment can be nerve-wracking, and many patients wonder, can Kybella make jowls worse? Rest assured, Kybella is safe to use for under the chin and won’t make jowls appear larger. In fact, Kybella treatments will improve your jawline and jowl area with each subsequent treatment.

If you’re interested in Kybella and wondering, does kybella help with jowls long-term?, or in particular, can Kybella help sagging jowls permanently?, there’s good news ahead. Though Kybella as an injectable is a non-invasive treatment, most patients do find that the shape of their jowls or sagging jawline shift dramatically–and permanently – after just a few Kybella treatments. Depending on the patient, several initial treatments or an occasional touch-up treatment may be needed.

How can I get rid of a sagging jawline without surgery?

Thanks to innovative treatments such as Kybella, Thermage and Coolsculpting, as well as other injectable treatments, it is entirely possible to reduce the appearance of a sagging jawline without surgery. Kybella, Thermage and Coolsculpting all have long-lasting, rejuvenating effects, but do require multiple treatments for optimal results.

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Before & After: Kybella and Botox, 3 months

Neck Contouring with Kybella, Coolsculpting and Dermal fillers

A combination treatment of Kybella, Coolsculpting and dermal fillers can be used in order to create a youthful and defined jawline. Dermal fillers, such as Juvederm, Restylane, and Sculptra, are designed to stimulate collagen and elastin production in the skin, which plumps the areas around the cheeks, nasolabial folds (smile lines), oral commissures, and jowls. By plumping up these deep wrinkles, creases and areas of lost volume, a younger looking appearance is created and the jowls and neck rejuvenated and contoured.

Kybella and CoolSculpting will eliminate fat cells, contour the neck, and firm sagging skin. If you’re seeking rejuvenating neck contouring treatment, Dr. Green will work with you to create a custom treatment plan that will most effectively meet your needs.

Coolsculpting vs. Kybella

When it comes to treatment for jowls, double chin, and jawline, CoolSculpting and Kybella are both amazing treatments, which often work in tandem for the best cosmetic results. CoolSculpting is used for neck and jawline contouring using the CoolMini applicator, which is a smaller applicator designed to specifically to reduce the fat cells of the neck and treat the “double chin.” The CoolMini uses CoolSculpting’s patented cooling technology to deliver targeted and controlled cooling to specific areas on your body, which allows the body to metabolize and eliminate fat, leaving you with tighter, firmer skin.

Unlike CoolsSculpting, Kybella is an injectable, designed to target excess fat through a chemical process rather than through temperature shift. However, the two contouring methods can actually be combined within a treatment plan in order to rejuvenate the neck and jawline. If there is a large amount of submental fat, Dr. Green will treat and “debulk” the area first with Coolsculpting, using the CoolMini applicator. After a significant amount of fat is eliminated, she will target the remaining fat cells with Kybella injections to permanently dissolve these fat cells.

Other dermatology treatments for the jowls

Other common treatments for a defined jawline and reduced appearance of a double chin are the SkinTyte laser, also known as the BBL broadband laser, and eMatrix. The eMatrix laser is another laser treatment which utilizes radiofrequency technology to tighten the skin. Thermage, BBL laser, and eMatrix lasers are particularly useful for those with darker skin tones as both of these lasers are “color blind” and can be used on all skin types. These lasers are best for patients who don’t have excess fat along the jawline and predominately need skin tightening.

Skincare for the best neck rejuvenation

Dr. Michele Green’s MGSKINLABs line of products offers some of the best anti-aging skincare designed to reduce the visible signs of aging and to prevent premature aging. When it comes to neck rejuvenation, Dr. Green’s Neck Renew Skin Rejuvenation Cream is uniquely formulated to tighten the neck and give it a more youthful appearance. Dr. Green recommends using her Neck Renew in combination with the Antioxidant Infusion, which is formulated with retinol, to revitalize and firm the skin. These cutting edge products rejuvenate your skin while encouraging the natural restorative elements of the skin itself, such as collagen and essential amino acids.

How do I get started with treatment for my jowls?

Whether it be Kybella treatments, dermal fillers, or laser skin tightening treatments, Dr. Michele Green will customize a unique treatment plan to rejuvenate your jawline and jowls. An expert in noninvasive cosmetic procedures in NYC, Dr. Green will help you design the best treatment created individually for you. Find out more and contact us online or at 212 535 3088 to arrange a consultation with Dr. Green today.

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