Kybella for Double chin
What is Kybella?
Kybella is an injectable treatment containing synthetic deoxycholic acid for permanent fat reduction. Kybella is FDA approved for the removal of fat under the chin also known as the submental area. Deoxycholic acid is naturally produced by our body to break down and absorb dietary fat. By the same principle, Kybella is designed to permanently reduce fat under the skin for desired aesthetic outcomes such as reducing the appearance of a “double chin”.
Who is a good candidate for Kybella?
Kybella is indicated for reduction of moderate to severe fat in the patients with double chin. However, for people with very large amounts of submental fat, liposuction might be more beneficial than Kybella. Alternatively, some people may mistaken loose skin tissue for fat. For those with loose skin rather than fat, skin tightening procedures would be more beneficial. Treatment options for skin tightening include Genius RF Microneedling or EXILIS (radiofrequency and ultrasound). Patients who are taking blood thinners or who are pregnant cannot be treated with Kybella.
What to expect after Kybella treatment?
After Kybella is injected under your chin, it starts breaking down fat cell membranes. This causes temporary swelling as the contents of the fat cells are being released into the tissues. Swelling peaks in the next 2-3 days, and then gradually improves over 2-3 weeks. Brusing can also occur. We re-evaluate the results in 5-6 weeks and will continue treating to achieve the desired outcome. Kybella usually requires several sessions, depending on the amount of fat in this area.
Patients may experience temporary numbness as the swelling can push against the nerves. Your body will mobilize macrophages (white cells) to clear out the dead fat cells which usually takes 4-6 weeks. Reassessment after 6 weeks is necessary to evaluate for the need for any additional treatments. The average number of treatment sessions varies between 2 and 4. The average number of vials of Kybella per session varies between 2 and 4 depending on the amount of fat we are targeting.
How is Kybella performed?
We assess the area of treatment for presence of fat tissue. We can determine the depth of the fat tissue using ultrasound. After prepping the area with a medical grade cleanser, the margins of the treatment field are marked with a brow pencil. Injections are spaced about 1 centimeter apart and cover the entire area targeted for treatment.
How do I prepare for Kybella treatment?
The most important thing to consider before treatment is to expect social downtime due to post procedural swelling. To minimize likelihood of bruising, we recommend avoiding consumption of alcohol, NSAIDs (ibuprofen type of products), Vitamin E, and flaxseeds. It would be helpful to take a dose of acetaminophen (Tylenol) 30 minutes prior to treatment unless you don’t have contraindications to this medication. Please, stay well hydrated. You will be able to drive yourself home.
What are alternative treatments to Kybella?
At Rejuve Medspa, Kybella has fallen out of favor due to it’s high cost, associated swelling causing prolonged downtime, and need for repeat treatments to produce noticeble results. In addition, Kybella does not help with skin laxity (loose skin) once volume has been reduced. On the other hand, Genius RF microneedling can both target fat and tighten skin. A newer technology called XERF, can also target fat while in addition to address structural skin tightness.
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Wrinkle Prevention with Botox or Dyport - What Else Can It Do?
Most people know that Botox/Dysport can help relax muscles, thereby preventing wrinkles such as frown lines, smile or laugh lines, “crow’s feet” or eye furrows, & forehead wrinkles. But did you know that Botox/Dysport can also be used to contour the face, treat TMJ or teeth grinding, or correct uneven facial features. Botox/Dysport can even treat excessive sweating & reduce pore size, thereby controlling acne. Some people also use Botox to help control migraine headaches.
Most people know that Botox/Dysport can help relax muscles, thereby preventing wrinkles such as frown lines, smile or laugh lines, “crow’s feet” or eye furrows, and forehead wrinkles. But did you know that Botox/Dysport can also be used to contour the face, treat TMJ or teeth grinding, or correct uneven facial features. Botox/Dysport can even treat excessive sweating and reduce pore size, thereby controlling acne. Some people also use Botox to help control migraine headaches.
WHAT IS A NEUROMODULATOR (BOTOX, DYSPORT)?
Botox is the “Kleenex” of neuromodulators. In other words, when we think of Botox, some of us don’t realize there are more than one of its kind. Neuromodulators are the family of onabotulinum toxin A proteins, which temporarily relax muscles. Botox, Dysport, Xeomin and Jeuveau are four neuromodulators currently approved by the FDA in the United States.
When making facial expressions, lines form on your face as muscle under the skin contract. Each smile, frown, or squint you make contributes to the wrinkles that appear on your face. By temporarily relaxing muscles, neuromodulators soften facial creases and undesirable lines that form over time. Left untreated, some of these facial lines may leave you with unintentional worried or angry expressions.
what is the difference between botox & dysport?
Both Botox and Dysport contain Botulinum toxin Type A (BoNT-A). Botox is manufactured by Allergan, while Dysport is manufactured by Galderma. All BoNT-A products have the same size and weight of active neurotoxin. However, Botox and Dysport have different accessory protein complex components. Dysport is known to have a faster onset of action. 30% of patients have some response to Dysport within 24 hours, 73.3% have response within 48 hours, and 86.7% have response within 72 hours. However, the full effect of either Dysport or Botox will be apparent after 2 full weeks.
For most people, Botox and Dysport lasts for about 3 months. For many patients, Dysport also has a longer duration of action compared with Botox, sometimes up to 4-5 months. Results will vary depending on your individual muscle size, strength, and activity, among other factors.
WHAT ELSE CAN botox or dysport TREAT BESIDES WRINKLES?
Gummy smile - showing too much gums when smiling can be alleviated by relaxing the muscles that elevate when you smile.
TMJ - teeth grinding or clenching causing jaw soreness can be improved by relaxing the masseter muscles that help with chewing.
Uneven facial expressions - stronger muscles causing uneven facial expressions can be relaxed to create symmetry.
Facial contouring - muscles tend to atrophy (shrink) after repeat dosing of neuromodulators. Thus jawline slimming can be achieved after treating the masseter muscles that help control chewing.
Acne - by reducing pore size and sebum (oil) production, there is improvement of acne breakouts.
Excessive sweating - by relaxing the sweat glands, there is less sweat production.
Hair restoration - by relaxing the ciliary muscles that are attached to hair follicles, there is improved blood flow. Improved blood flow to the scalp allows for better nutrient (growth factor) supply to the hair follicles. One study showed 8 of 10 people treated with Botox for male pattern baldness had good to excellent results: "A Pilot Study to Evaluate Effectiveness of Botulinum Toxin in Treatment of Androgenetic Alopecia in Males"
WHAT TO EXPECT with botox or dysport treatment?
Reducing the use of facial muscles with a neuromodulator can help smooth the appearance of facial expression lines for 3 to 4 months. Duration varies between individuals and may be affected by your metabolic rate.
During consultation, your provider at Rejuve Medspa will discuss your medical history, observe animation of your facial muscles, and develop your treatment plan. After marking targeted muscles with brow pencil, you will be injected with Botox or Dysport using a very small gauge needle. Due to the proper technique and fine size of the needle, the discomfort is minimal. You may have slight redness at the injection site, which disappears in less than an hour after treatment.
IS THIS botox or dysport RIGHT FOR ME?
Botox Cosmetic is FDA approved for adults for temporality improvement in the appearance of moderate to severe frown lines, forehead and lines around the eyes known as crow’s feet. Off label use includes correction of “gummy smile”, lip lines known as “smoker’s lines”, wrinkling in the area of chin, and injection in masseter (muscle involved in chewing) for the purposes of slimming effect as well as relief of clenching and teeth grinding.
This treatment is not recommended for individuals who have infection at the proposed injection site, during pregnancy or lactation, anyone with known hypersensitivity, or in presence of certain neurological diseases.
IS THERE ANY DOWNTIME with botox or dysport?
Besides the possibility of mild redness at the injection site lasting less than an hour, this procedure is considered to have no downtime. We recommend abstaining from massaging the area, lying down flat and avoiding vigorous physical activity for about 4 hours after the treatment to prevent migration of the product from strategically injected areas.
WHEN CAN I EXPECT RESULTS with botox or dysport?
While the effects of an injection are not immediately apparent, results are visible after a few days. However, the full effect takes 14 days before you appreciate the final outcome.
WHEN SHOULD I FOLLOW UP?
FDA treatment recommended doses come in ranges. If you are a new client, we will start you on the lower end of the therapeutic range and will reassess in two weeks if you would require additional Botox enhancement. Once you are pleased with your outcome, no follow up is needed. However, we will be delighted to meet with you for any questions or concerns.
Learn more about botox & dysport
Rejuve Medspa is located at the Newcastle Commons in Newcastle, WA. This area is conveniently close to Seattle, Bellevue, Mercer Island, Sammamish, Issaquah, Renton, and Redmond.