Kybella is an injectable medication that has been recently approved for the treatment of a double chin, turkey neck, or submental fullness. As we age, there are volumetric changes that occur in the neck and facial region. While the face will lose fat and bone as we age, the neck will tend to gain fat.
A well-defined and elegant jawline is beautiful or handsome. An increase in fat in the neck region can blunt the neck and jawline and have a negative impact on facial balance and harmony. Kybella is an exciting non-surgical treatment to improve definition and melt away the fat of a double chin. Our expert injectors, Dr. Kulbersh, Heather Bryant PA-C, and Courtney Whitley, FNP-C have great insight into the art of facial rejuvenation with Kybella.
The Science Behind Kybella
Kybella is a concentrated and injectable form of deoxycholic acid. Deoxycholic acid is a naturally-occurring bile acid that is produced by the liver and gallbladder that is secreted into the intestine where it has many functions including:
- Aids in the digestion of fat
- Aids in the absorption of vitamins
- Aids in the breakdown of cholesterol
- Functions as a hormone in the digestive system. The gallbladder is next to the liver and it holds and secretes enzymes into the intestine to help with digestion. One of the substances that the gallbladder secretes is deoxycholic acid. While in the intestine, the deoxycholic acid helps break down and digest fat.
Who is a Good Candidate for Injectable Double Chin Treatment?
Kybella is a great option for patients with fullness in the submental (under chin) or neck region that is caused by the collection of excess fat. At times, the fullness in the chin and neck region could be caused by other reasons including enlarged thyroid or lymph nodes. For this reason, it is important that patients who are interested in Kybella undergo a thorough physical examination of the neck region to ensure they are a good candidate. Contact Carolina Facial Plastics today to schedule a consultation and examination.
How Does Kybella Erase a Double Chin?
Kybella essentially dissolves fat cells by interrupting their cellular membranes. The cellular membrane is what protects the fat cells from the surrounding environment. If the cellular membrane is disrupted, the cell will implode and die before it is gradually absorbed by the body, allowing the skin to contract and create a slimmer neck and jawline.
The injectable submental fat treatment is minimally invasive and typically takes a matter of minutes. Kybella is injected directly into the pre-platysmal fat or superficial fat of the neck using a superfine needle, which causes little if any discomfort. At times, ice packs or numbing cream may be used to improve patient comfort.
It is important to note that patients will require a series of Kybella treatments in order to achieve the best results. It is recommended that patients undergo a session every 4-6 weeks. Depending on the heaviness of the neck, most patients will require between 2 to 4 treatments.
What is the Downtime or Recovery after Kybella Injections?
After treatment, patients will be able to return to their normal activities within 1 day. Patients may experience temporary soreness, bruising, firmness, lumps, bumps, or redness in the treatment area. In most cases, the area under the neck where Kybella was injected will be swollen for 2-3 days.
Are the Neck and Chin Injections Painful?
Before injecting the neck with Kybella, Dr. Kulbersh numbs the area to be injected. During this process, patients will feel a few minor pricks and stings, but it is very well tolerated. The overall pain level during each injection is quite low.
Potential Risks of Fat Dissolving Treatments
In all medical treatments, there are potential risks involved. Risks are minimized by proper patient selection and proper injection technique by a highly skilled and experienced facial plastic surgeon. The risks associated with Kybella injections included:
- Weakness or injury to the nerve that moves the lower lip. (This occurred in only 4% of the patients during the clinical trial. Amongst all of these patients, the nerve recovered and the patients regained full functioning of the nerve. It took an average of 44 days for the nerve to return back to normal.)
- Difficulty swallowing. (This occurred in only 2% of patients during the clinical trials. It took an average of 3 days for swallowing to return to normal.)
If properly injected, the chance of the above-mentioned issues is very rare following a non-surgical neck lift.
Learn More About Chin Contouring with Kybella
Who Is Not A Candidate for Kybella Treatments?
Kybella has shown to be not as effective in patients with excess skin laxity (loose skin) or vertical banding (lines) around the neck. These patients would make less than ideal patients. Additionally, patients who have undergone previous neck lift surgeries or operations on the neck or submental area may not be good candidates for Kybella. This would depend on the nature of the surgery and the current anatomy of the neck.
Other patients that would not be candidates for Kybella are:
- Have a history of swallowing difficulty
- Have bleeding disorders
It is crucial to speak with a board-certified facial plastic surgeon in order to determine whether you are a candidate for this cutting-edge treatment. Contact Dr. Kulbersh to learn more.
Can Kybella be Injected into other Areas of the Face and Body?
At this time, Kybella is limited to injections only to the neck and submental area. There may be a time in the future when Kybella will be injected into other areas of the face and body to remove excess fat.
What is the Cost of Kybella Injections in Charlotte, North Carolina?
Kybella is priced by the vial. A patient will typically need between 1-3 vials a treatment as well as between 1 and 4 treatment sessions depending on the heaviness of the neck and the desired result. The price of a vial of Kybella in Charlotte varies from 700 to 800 dollars a vial. Please call Carolina Facial Plastics to learn more.
Combination Treatment Options for a Slimmer Neck
There are instances where the fullness of the neck region are attributed to both excess fat and a weak chin. In this situation, to get the best result, the chin must be augmented as well. The chin can be augmented non-surgically with the addition of fillers to the region or permanently with the placement of a chin implant.
Visit fda.gov to learn more about your next Kybella procedure.
Remarkable Results, Exceptional Care
Carolina Facial Plastics was founded and directed by Beverly Hills-trained, double board-certified facial plastic surgeon, Dr. Jonathan Kulbersh. We are one of the first practices to offer Kybella in North and South Carolina. If you are interested in learning more about treatment options for a double chin or turkey neck or would like to schedule a consultation, please call our office at (704) 842-3644 or fill out our online contact form.
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