The dreaded double chin. Most of us think that other people have a double chin, not us. But truth be told, two-thirds of Americans have some extra business going on beneath their chins, and they’re not happy with it. The problem has always been what to do about it. Really the only way to address fat collected under our chin was through surgery, either a midface lift or a neck lift.
But that changed in April 2015 when the FDA approved Kybella for the treatment of double chins. Kybella is an injectable product made from deoxycholic acid that dramatically reduces fat accumulated under the chin, tightening and slimming the patient’s profile.*
We offer Kybella at Advanced Aesthetic Plastic Surgery.
What is Kybella?
Kybella could just be called deoxycholic acid because that is basically all it is. Deoxycholic acid naturally occurs in the body and is responsible for breaking down fat. In 2015, the FDA approved Kybella to be given by doctors in a series of injections under the chin. How many injections in a single session and how many overall treatment sessions (the limit is six) are variable based on the individual needs of each patient.
How does Kybella change your profile?
In the human body, deoxycholic acid’s job is to break down dietary fat. When doctors isolated this acid and its task, the obvious question was “Would it work on other fat?” It does. Deoxycholic acid doesn’t differentiate between fat that is ingested (dietary fat) and fat that exists under your chin. So, when Kybella is injected into the fat that has accumulated under your chin it breaks down the fat, just as it would if it were dietary fat. Once this fat is destroyed and flushed from the body, the storage mechanism of this fat (which is a leftover from our prehistoric days when stored fat was an insurance policy against lean times when food was scarce) is also gone. This means that you won’t accumulate fat again under your chin, unless you gain a great deal of weight. When the fat is gone, your profile returns to that of your younger, much younger, days.*
Would Kybella work for me?
This depends on what is the main factor behind your double chin. For all of us, submental fullness (that’s the clinical term for a double chin) is a factor of sagging skin (as gravity and simple aging make our skin sag) and accumulated fat. Kybella does not tighten the skin. But by removing the fat, which is pushing the skin downward, most patients see dramatic changes in their profile with Kybella. Still, if you are thin and your problem is really one of sagging skin, you would be better served with a neck lift than using Kybella.
Is Kybella permanent?
Unlike dermal fillers or Botox, the results you achieve with Kybella are permanent. Once the fat is gone, it’s gone for good! This is more in line with the surgical results of liposuction than with dermal fillers. Prior to your first treatment with Dr. Dahan, you’ll decide on how much you want to change your profile. Once you get there, your results are permanent. Of course, there will be some additional slackening of your skin as you continue to age, but the fat is gone forever.*
How many treatments do I need with Kybella?
The maximum number of Kybella treatments is six, but most patients don’t feel the need to have that many.* We find that most patients opt for from two to four treatments to achieve their goals. Each treatment session involves a number of injections throughout the area under your chin with a very small needle.
What Our Patients Have to Say
“Dr. Dahan and his staff have been great! The surgery process and everything has ran so smoothly and I am so happy with results! The staff has also been great and I would highly recommend!” -Rachel L.
“I would give Dr. Dahan a 10 star rating if I could, he deserves it! Dr. Dahan is truly amazing and I I highly recommend him to anyone who is seeking first class services, skills and results. His office staff is always very helpful and compassionate. I love Dr. Dahan and his team, best surgeon and best office ever!” -Rosie K.
Can I use Kybella on other areas with unwanted fat pockets?
The makers of Kybella are researching using deoxycholic acid on unwanted fat in other areas of the body, but at this point the FDA has only cleared it to be used under the chin on submental fullness.
Kybella Side Effects
Serious side effects are rare with Kybella, but they do exist. These include nerve injury in the jaw that can create an uneven smile, trouble swallowing, and some weakness in the surrounding facial muscles. In clinical studies, these side effects have not continued long-term, but they do not resolve immediately either.
Kybella’s common side effects are similar to those involved with dermal fillers:
- Residual pain
- Areas of hardness in the treatment area