“Kybella is an excellent alternative to liposuction for patients who want a non-surgical treatment to improve the appearance of a double chin.”
- Dr. Lupo
According to a 2014 survey by the American Society for Dermatologic Surgery, approximately seven out of 10 consumers are bothered by submental fullness (also known as a double chin). Submental fullness is a common yet undertreated condition that can detract from an otherwise balanced and harmonious facial appearance - leading to an older and heavier look. Submental fullness can affect both women and men of all ages and weight, and it is often resistant to diet and exercise and can be influenced by multiple factors including aging and genetics.

An insight to destroying excess fat with Kybella® explained by Dr. Mary Lupo

An insight to destroying excess fat with Kybella® explained by Dr. Mary Lupo
Are you someone looking to get rid of the double chin on your face? Then Kybella® is the treatment you are looking for. Watch this video to learn more about how Kybella® can help as Dr. Mary Lupo from Lupo Center for Aesthetic and General Dermatology explains.

What is KYBELLA®?

The active ingredient in KYBELLA® is deoxycholic acid. This acid is produced by the gallbladder.

It is produced by the gallbladder to emulsify fat for proper digestion.

How does KYBELLA® work?

  • KYBELLA® is injected into the area of fat.
  • The fat within the fat cells is immediately emulsified.
  • The fat cells explode and are permanently destroyed.
What are the side effects of KYBELLA®?

Swelling and numbness are the common side effects to be prepared for when undergoing treatment.

This is a great non-surgical option for the permanent reduction of excess fat.

The FDA recently approved the first and only non-surgical treatment for reduction of submental fullness called Kybella (formerly known as ATX-101). It has been under development for more than nine years, and it is the subject of over 20 clinical studies involving more than 2,600 patients. Dr. Lupo was one of the investigators during the clinical trial, and she has been named a trainer for Kythera, the makers of Kybella.

Kybella is a non-human and non-animal patented formulation of deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into subcutaneous fat, Kybella causes the destruction of fat cells, followed by a natural healing and elimination process to improve the chin profile. Once destroyed, those cells cannot store or accumulate fat. Patients who want to dramatically improve their jawline with non-surgical options can be treated with Kybella in conjunction with dermal fillers and/or radio-frequency and ultrasound devices for additional definition and skin tightening.

Kybella® treatment at Lupo Center for Aesthetic and General Dermatology - Dr. Mary Lupo

Kybella treatment at Lupo Center for Aesthetic and General Dermatology - Dr. Mary Lupo
Do you have a double chin that you want to get rid of? Watch this video to learn about Kybella®, as Dr. Mary Lupo from Lupo Center for Aesthetic and General Dermatology explains how this procedure can help you look your best.

What is Kybella®?
Kybella® is Deoxycholic acid. The fat inside the cells explodes from the emulsification, causing a permanent disruption and destruction of the fat cells.

What should someone expect when getting Kybella®?
We use Kybella® at the Lupo Center for submental fullness, but we also use it to shrink the fatty deposits along the jawline, often called the jowls.

Patients who are getting Kybella® should expect one to two weeks of swelling, and we at our clinic here at the Lupo Center make sure that patients understand this.

What are the benefits of Kybella®?
The beauty of Kybella® is whatever fat cells are destroyed by the process are permanently destroyed. We find that using Kybella® for the submental fullness or double chin results in a more accentuated and defined jawline.

All patients are candidates for Kybella® who have submental fullness and are willing to accept the one week of swelling, perhaps occasional bruising and numbness.

Kybella is administered by injections into the fat under the chin through a series of treatments spaced no less than one month apart. Many patients experienced visible results in two to four treatments, and up to six treatments may be administered depending on the desired outcome of the patient and treating physician. Once the aesthetic response is achieved, retreatment is not expected.

If you are interested in learning more about this treatment or to see if you are a candidate, please contact our office to schedule a consultation.

Kybella injectable for non-surgical double chin treatment

Kybella injectable for non-surgical double chin treatment

So with that we are going to have Kendall lower her hand and as you can see, we have marked the typical dots that we want to use. We like to have the most concentration in the center part of the chin. The other thing is my assistant is going to be handing me the syringes so that I don’t lose my place. I think it is important to pinch the skin and go all the way down follow the grid, I usually stick inside the actual spot that the grid makes but rather I tend to go alongside of it. The grid is meant to be a spot where you know that you haven’t missed anything. Because ideally you want to have these injections about a centimeter apart and especially when you are near the jawline, you really want to pinch and pull it forward like that. It is great to have your assistant hand you the syringes because then you don’t miss your spot. I usually don’t go beyond the sternal plidomastoid in that area. And now we are going to go more centrally. Over here. The strips are anywhere from 0.1 to 0.2 ccs preferably 0.2. And you just want to course it along. Notice I am not going inside the tattoo. We don’t want to tattoo the patient. I always tell patients that they are going to need anywhere from 2 – 3 sessions depending on the severity, it takes a good six weeks to get the full effect. And again when you are near the jawline, you really want to pull it out so that you don’t hit the nerve. There is a technique where you can put it in the jowls for people who have severe jowling. But you do have to remember that the increased risk for marginal mandibular palsy is there. Now, Kendall what’s the maximum pain level you would give this and you can be honest. I would say maybe a 4 or 5. That’s good. Now the final thing that I do when I am done is I do a manual massage and what I use is an anti-bruise gel but the purpose of this is that the lymphatics which drain the fat and remember deoxycolic acid works by releasing the liposides. Deoxycolic acid emulsifies the fat and the cells actually rupture so the fat reduction is permanent. The lymphatics drain the fat away. The lymphatics are on the side of the neck. So I do this massage. And then last but not least, I tell the patient to do this massage as well when they are home. I think that it helps. As far as anesthesia, all we did is we used ice. In my experience, topical anesthetic does not make any difference. The reason is it is not the needle stick that causes the discomfort. The discomfort is caused by the burning as the cells are being lysed.

Dr. Lupo discussesthe benefits of Kybella

Dr. Lupo discussesthe benefits of Kybella

So one of the most exciting new products on the market right now is Kybella. Kybella is Deoxycholate – I was very very proud to be part of the clinical trial that resulted in the FDA approval of this product.

This is a first in kind product that is used as an injectable to dissolve sub mental chin fat – in other words dissolve your double chin. This is going to be extremely popular in my practice because I am non-surgical and I don’t do face lifts, and I don’t do liposuction. So this is a tool that we have – it is a nonsurgical noninvasive. It is a series of injections that cause destruction of the fat cells.

Now one of the things my patients want to know is – how does this fit in with Exilis? How does it fill in with other procedures for my neck and for my face so this is what I tell my patients. Kybella will over a very short period of time, dissolve your double chin. If you are using this in conjunction which a device such as Exilis then you will get skin tightening and in addition to that I will often add filler along the jaw line for jaw line lift and definition and occasionally a neuromodulator such as Botox or Dysport to inject into the platysma muscle of the neck – the platysma muscle is the muscle that actually pulls your face down. So it is a synergy of treatment. What we are doing is we are dissolving the fat, we are tightening the skin and we are injecting and augmenting and defining the jaw line, with an injectable filler – and we are decreasing the platysma pull down of the lower face, and what does this achieve? This achieves a face lift like effect for a sculpted and defined chin and jaw line.
Meet one of the countrys leading experts in the field of non-surgical skin rejuvenation.

Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin

Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.

Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.

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