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As we all go through the natural aging process, we may start to notice sagging skin and excess fat gathering in the submental area – the area right under your chin. This excess fat can cause the jawline and neck to lose its youthful shape and you may develop what is sometimes referred to as a “turkey neck.” The gathering of excess fat in the submental area can also lead to a double chin, which, once acquired, is difficult to get rid of – even with a healthy diet and a strict exercise routine. Some patients start feeling self-conscious about the appearance of a double chin or turkey neck. Luckily, there is a non-invasive dermatological treatment to permanently get rid of these fat cells in the neck: the injectable Kybella. Through a Kybella neck lift, Dr. Michele Green can sculpt your jawline without plastic surgery or any down time.

Kybella is the first and only FDA approved injectable to target the neck and jowls. Since the treatment was approved in 2015, Kybella® has become a popular, safe, and effective treatment to reduce the amount of fat in the neck. Patients may have heard of the surgical procedure of a neck lift to reduce the appearance of sagging skin, double chins, and or turkey neck. Neck lifts and liposuction, however, are painful, invasive procedures that require a lengthy recovery period. Kybella, on the other hand, is non-invasive with no downtime and will permanently reduce the appearance of double chins and neck fat in just a few sessions. Most patients experience no discomfort and are thrilled to remove their double chin, with amazing non-surgical contouring of their jawline and neck.

Expert, board-certified dermatologist Dr. Michele Green was one of the first dermatologists to utilize Kybella treatment in her discreet, private, Upper East Side office in New York City. Dr. Green is an expert in cosmetic injections, including the best Botox injections, and lip fillers in NYC. Dr. Green is consistently voted as one of the best dermatologists in New York by New York Magazine, Super Doctors, Castle Connolly Best Doctors, and the New York Times. Dr. Green is at the forefront of of the most innovative non-invasive cosmetic treatments to help you look your very best.

smb kybella thermage before after 4months RIGHTb MGwatermark

Kybella 3 months before and after

Who is a good candidate for Kybella treatment?

It is very common to develop excess fat in the area under the chin, called the submental area. This submental fullness can occur for a variety of reasons, such as genetics, weight gain, or as a result of the natural aging process. If you are feeling self-conscious about submental fat in the neck area, Kybella is an amazing, permanent method, to dissolve the fat cells. If you are interested in rejuvenating your neck, Kybella treatment is a non-invasive, FDA approved injectable treatment with fabulous results. The best candidate is an individual who has a moderate amount of submental fat, but without a great deal of skin laxity. If that is the case, then you are the perfect candidate for a Kybella neck lift.

What is Kybella?

Kybella is the first FDA approved injectable treatment that is used to treat excess fat on the neck and along the jawline (also known as jowls). While you may think of an injectable treatment as injecting a filler like Juvederm® or a neurotoxin like like Botox, Kybella is a prescription medication composed of deoxycholic acid. Deoxycholic acid is a naturally occurring chemical in the body, which dissolves fat cells in our intestines. This permanent, non-invasive treatment is simple, quick, and effective at reducing fat in the neck to reshape the contour of the neck. As Kybella injectable treatment targets the fat cells specifically, it can be used in combination with other treatments, such as Thermage and BBL, which can help regenerate new collagen and elastin to tighten the skin.

How do Kybella injections work?

Kybella is a chemical injectable that is used to dissolve the fat cells in the neck and jowls. The injection contain a naturally occurring enzyme,  deoxycholic acid, which is a chemical that occurs naturally in your intestines. Deoxycholic acid is manufactured in your body to break down fat cells by dissolving the membrane of those cells. The injectable works in much the same way, slowly breaking down the fat cells at and around the injection site, which in turn reduces the submental fullness in the neck. Since deoxycholic acid is naturally occurring, your body knows how to flush out the fat cells from the area once they have been broken down. The process takes place gradually over the course of about four weeks. Kybella injections are best for moderate to severe fat in the chin, neck, and jowls and is effective for all skin types. The result, is a rejuvenation of the neck for a slim, youthful appearance.

Can Kybella be used on neck?

Yes! Kybella has been specifically approved to treat the submental area of the face, meaning the area that is below the chin. Kybella can be used to treat the jowls – the fat or sagging skin that appears along the jaw line – or turkey neck, as well as double chins. Kybella injections help to permanently dissolve the fat cells that cause these issues. When you make your first appointment with Dr. Green, the two of you will discuss the treatment area as well as your unique personal and aesthetic goals. She will help you to determine the treatment plan and schedule that will work best for you.

kybella jowls 1311824384

What is the procedure for Kybella injections?

You will start the process by consulting with Dr. Michele Green in NYC, to discuss your aesthetic and physical goals for the procedure. Dr. Green will also assess the treatment area to create the unique treatment plan that is right for you. Kybella injections can be used in combination with other treatments, such as Thermage and CoolSculpting, which can also be included in your treatment plan.

You will apply a topical numbing cream one hour before your appointment for Kybella injections to minimize discomfort during the procedure. After the cream is washed off, Dr. Green will mark the treatment area in a grid pattern. Dr. Green will inject Kybella, directly into the fat cells, using a very fine needle. Patients typically receive anywhere between 12 and 20 injections depending on the size of the treatment area. The procedure usually takes about 15 minutes to complete. To minimize the risk of bruising at the injection site, Dr. Green advises patients to discontinue taking blood thinners for at least one week prior to the procedure.

Kybella is a non-invasive treatment so there is minimal downtime following the procedure and very little discomfort during the treatment – especially with the addition of the topical numbing cream. After the injections, Dr. Green’s office will apply an ice pack to the injection site to further minimize the risk of bruising and swelling. You can return to your daily activities immediately after your treatment, but Dr. Green advises against intense exercise for 48 hours after your Kybella neck lift.

What is the aftercare following Kybella treatment?

Kybella treatment is simple, painless, and has almost no downtime after the procedure. Directly following the injections, Dr. Green’s office will apply ice packs to the treatment area and recommends that you continue to ice periodically during the day after the procedure. Icing the injection site will help to reduce the swelling in the area, which is a common side effect that occurs as a result of the Kybella injections. Dr. Green also recommends that you sleep with your head elevated with two pillows and sleep on your back, during the first evening after your Kybella treatment. For two days after receiving the injections, you should also refrain from doing extensive physical activity or heavy exercise.

What are the side effects of Kybella injections?

As Kybella injection treatment is a non-invasive treatment, the risk of significant side effects is minimal and common side effects from the treatment are mild. After the treatment, you may experience swelling, bruising, or soreness at and around the injection site. Icing the treatment area and keeping your head elevated during the the day of the procedure should reduce the likelihood of experiencing significant swelling. More significant side effects can occur if the person administering the Kybella injections is inexperienced or imprecise. These side effects may include infection at the treatment area or hair loss. The risk of experiencing these side effects is greatly reduced if you book your Kybella injection appointment with an expert, board-certified cosmetic dermatologist, such as Dr. Green.

How many treatment sessions do you need?

When you first consult with Dr. Green, together you will determine the treatment plan and schedule that works best for you. Since the number of treatments varies from person to person, Dr. Green will establish your treatment protocol during your consultation. In order to see the best results from the treatment, Dr. Green typically recommends that patients come in for 3 or 4 treatment sessions. These sessions should be spaced at least a month a part to allow for the injection to work through your system. The deoxycholic acid breaks down the fat cells gradually over time, so it is important to give enough time between sessions for that to occur. Sessions are usually spaced between four and six weeks a part, depending on the concentration of fat in the treatment area, the size of your neck, and the amount of swelling.

How soon until you see results?

The Kybella treatment process requires 3 to 4 sessions spaced between 4 and 6 weeks a part. Since the Kybella injectable contains deoxycholic acid, which is a chemical that occurs naturally in the body, it takes some time for the dissolution of fat cells to occur. As such, it should take several weeks before the results begin to show. However, once the treatment process is complete, the results are permanent and you will not need to come back for treatment again.

45-54 year old male treated with Thermage & Kybella

45-54 year old male treated with Thermage & Kybella

How long do results of Kybella last?

The Kybella injections are designed to create permanent results! Once you have gone through the treatment process – 3 to 4 treatment sessions – you will see the physical results of the fat reduction in your neck. While the effects are meant to be permanent, any weight gain or fluctuation (weight loss and then gain) going forward can result in increased fullness of submental area and affect the contour of the neck.

How many vials of Kybella are needed?

There is not a one-size-fits-all treatment plan when it comes to Kybella injectable treatment. The amount of vials or injectable solution necessary for the Kybella treatment depends on several factors, including the size of the treatment area, the size of the patients neck, and the severity of fat concentration in the area. When you meet with Dr. Green for your consultation before the Kybella treatment, she will determine the number of injections needed to fit your specific needs and aesthetic goals.

Kybella vs Neck Lift

For some patients, there is a question about what kind of treatment they should get to address the signs of aging in their neck. Some may consider a surgical neck lift – but what is the difference between neck lift surgery and Kybella? The biggest difference is in how the procedures themselves go in that the Kybella injections are a non-surgical treatment with minimal recovery time and the surgical neck lift is plastic surgery with significant risks and downtime. A neck lift is cosmetic surgery akin to a facelift, or facial plastic surgery, in that a plastic surgeon will make incisions along the face for muscle and skin tightening under general anesthesia.

A surgical neck lift is a good option is you are looking to address loose skin and muscle laxity in addition to excess fat in the submental area. The neck lift procedure begins with the plastic surgeon making a series of incisions: typically behind the ears, under your chin, and along the hairline in the back of your neck. The plastic surgeon will first address the fat in the submental region by redistributing the fat cells for an optimal neckline contour and then use liposuction to get rid of any excess fat. As a part of the procedure, the plastic surgeon can also tighten the muscles along the neck for a firmer, more youthful appearance. Once that is finished, the surgeon will lay the skin back over the neck and cut away any excess skin.

Kybella injections and surgical neck lifts also differ in the amount of time that the procedure takes as well as the amount of recovery time necessary following the treatment. For Kybella treatment, the series of injections take about twenty minutes each and there is minimal down time after each injection. Mild symptoms such as swelling and bruising are possible but after one day of icing and keeping your head raised, you should be able to return to your regularly scheduled activities without any trouble. For surgical neck lifts, on the other hand, the procedure can take anywhere between 2 and 4 hours and the recovery period is painful and extensive. Healing from a neck lift surgery can take from 2 weeks to a full month.

If you are comparing Kybella injections and neck lift surgery, it is important to consider the cost of the procedure. Plastic surgery tends to be much more expensive than cosmetic  injections, which can give you excellent results with no recovery time or discomfort. If you have an excessive amount of skin in the neck area, only a neck lift will treat this condition. However, if you have mild skin laxity and submental fat, combining Thermage® skin tightening with a Kybella neck lift will give you excellent results. It is always important to consult an expert injector, like Dr. Michele Green in New York, when choosing a physician to perform these advanced cosmetic procedures.

Does Kybella tighten neck skin?

Kybella injections treatment are best used to dissolve the excess fat cells in the neck, which create a double chin or “turkey neck” look. The active ingredient, deoxycholic acid, breaks down the fat cells around the injection site to create a smooth, slim contour of the neck. Kybella itself cannot resurface or tighten highly lax skin, also known as loose skin, which is why Kybella is often used in combination with other treatment such as Thermage, which is a radiofrequency treatment that helps to rejuvenate the skin by promoting the creation of new collagen. However, Kybella has been seen to have some skin tightening results when there is not an issue to extreme skin laxity.

LT kybella 2 sessions

Kybella in chin/neck area – 2 treatments

Can Kybella help turkey neck?

Turkey neck is the unflattering term for the condition in which excess skin or fat gathers underneath the chin to create a loose and wobbly appearance of the skin. Having this submental excess can make you feel self-conscious, raising questions about how to address it. Kybella injections are great to use if the appearance of the turkey neck is caused by excess fat. Kybella treatment works to break down and remove fat cells, leaving you with a slim, wobble-free neck. If your turkey neck is caused by loose skin, Dr. Green might recommend other treatments, such as Thermage, which is a laser treatment that helps to promote smooth and firm skin via the stimulation of collagen production.

Can Kybella be used in conjunction with other treatments?

Yes! Dr. Green often combines Kybella® injections with other treatments for optimal cosmetic results. Common treatments that can be used in combination with Kybella injectables include CoolSculpting® and Thermage. CoolSculpting can be used before Kybella treatment is done to eliminate some of the excess fat in the area. Using what is called the CoolMini® applicator, CoolSculpting uses cooling on targeted sites to trigger your body’s metabolism. When your metabolism is triggered in this way, fat is eliminated, helping to “debulk” the area.

Botox injections are often combined with Kybella injections for a non-surgical neck rejuvenation. Botox injections, when administered into the neck cords and the wrinkles of the neck, will serve to tighten the area and improve the cosmetic appearance of your neck line. This type of Botox injections in the neck is called a “Nefertiti lift” and is a very popular non-invasive neck lift procedure which is often done in combination with Kybella injections for contouring the neck.

Thermage is another treatment that is used alongside Kybella injections and can be particularly helpful in addressing loose (also known as “lax”) skin. Thermage is a treatment that uses radiofrequency to heat the inner layer of the skin. This heating causing slight damage to that layer of the skin and your body reacts by producing collagen. Collagen is responsible for smooth, firm, and youthful-looking skin. Since Kybella primarily addresses the build up of excess fat in the neck, Thermage can be used if you are also experiencing increased skin laxity as a result of the natural aging process. In addition, Dr. Green can inject Botox into the neck cords themselves to tighten the neck and rejuvenate the area as well.

How much is Kybella for neck?

Many factors go into determining the price of Kybella treatments including your geographic region, the scope of the treatment area. Price can vary depending on how many vials of Kybella injectable you need, which is determined by the size of the treatment area, the amount of fat in the neck, and the size of your neck. Additionally, it can be less expensive to go to a MedSpa for the Kybella treatment, however, the risk of developing more severe side effects is greater if you do not go to an expert injector, such as Dr. Michele Green. When you schedule your consultation appointment with Dr. Green, her office will be able to determine the cost of the Kybella procedure after taking your individual goals into consideration.

How do I get started with Kybella injectable treatment?

If you are looking to get rid of excess fat in your neck, a Kybella neck lift may be the solution you’ve been looking for. Dr. Michele Green is an expert in Kybella injections and was one of the first dermatologists in NYC to use Kybella in in her New York practice. During your consultation, Dr. Green will review your skin care, facial anatomy, and develop the best treatment plan for you. If you are interested in skin tightening, Kybella injections, or a non-surgical neck lift, please contact the NYC office of Dr. Michele Green online  or call 212 535 3088 to schedule a consultation today.

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