You’ve noticed it in photos—that stubborn fullness under your chin that seems resistant to diet and exercise. Perhaps you’ve tried tilting your head strategically in pictures or using contouring makeup, but nothing truly hides what’s commonly called a “double chin.” This excess fat under your chin can also affect your confidence and make you feel older or heavier than you are.
At the New York Group for Plastic Surgery, we often hear from patients who are exploring their options to achieve a more defined jawline. Two of the most popular methods are Kybella and liposuction, each with its own benefits and considerations. Let’s break down these treatments to help you determine the best fit for your needs.
Overview
Kybella
Kybella is a revolutionary, non-surgical treatment specifically meant to reduce submental fullness, commonly known as a double chin. The procedure involves injecting deoxycholic acid, a naturally occurring molecule in the body that helps break down dietary fat. Over time, Kybella destroys fat cells, leading to a noticeable reduction in fullness under the chin. This FDA-approved treatment is ideal for those seeking a gradual improvement without surgery.
Liposuction
Liposuction is a surgical procedure that directly removes fat deposits from specific areas of the body, including under the chin. For double chin removal, a small incision is made, and a thin tube called a cannula is used to suction out the fat. This procedure provides immediate and dramatic results, making it a popular choice for individuals seeking a one-time solution to submental fullness. Liposuction is often performed under local or general anesthesia.
Mechanism of action
Kybella
Kybella is a non-surgical injectable that utilizes deoxycholic acid, a naturally occurring bile acid that aids in the breakdown and absorption of dietary fat. When injected into the submental area, deoxycholic acid disrupts the integrity of fat cell membranes, causing the cells to rupture and die. The body’s lymphatic system then clears away the cellular debris, leading to a gradual reduction in submental fullness. This FDA-approved treatment is delivered over multiple sessions, typically spaced one month apart, for precise jawline contouring.
Liposuction
Liposuction, on the other hand, physically removes fat cells through suction. For double chin removal, a small incision is made in a discreet location beneath the chin or behind the ears, and a thin, hollow tube called a cannula is inserted. The cannula is attached to a vacuum device, which suctions out the fat cells, permanently eliminating them from the area. This is often performed under local anesthesia and provides immediate results, allowing surgeons to sculpt and contour the jawline in a single session.
Invasiveness and recovery time
Kybella
Kybella involves a series of quick injections that take about 15 to 20 minutes per session. While there’s no surgical incision, the treated area may experience swelling, bruising, and tenderness. Most patients return to their daily routines within a day or two, but optimal results often require multiple sessions spaced about a month apart.
Liposuction
As a surgical procedure, liposuction requires small incisions and the use of anesthesia. Recovery involves wearing a compression garment for about a week to minimize swelling and support the treated area. Although most patients can resume work and light activities within a few days, full recovery may take several weeks.
Effectiveness and results
Kybella
Results with Kybella are gradual, as the body takes time to process the dissolved fat. Most patients notice visible improvement after two to four sessions, with full results apparent after six months. The outcome is permanent as long as you maintain a stable weight.
Liposuction
Liposuction offers immediate and noticeable results after the procedure. Once the swelling subsides, typically within a few weeks, you’ll see the full effect. Like Kybella, results are permanent, but significant weight gain could cause the remaining fat cells to expand.
Suitability for different candidates
Kybella
Kybella is best suited for patients with mild to moderate submental fullness who are looking for a non-surgical solution. It’s also ideal for individuals who cannot take time off for surgery or prefer a more gradual transformation.
Liposuction
If you have significant fat deposits under your chin or desire dramatic results with just one procedure, liposuction may be the better choice. It’s also more suitable for patients with good skin elasticity to ensure a smooth contour after fat removal.
Cost considerations
Kybella
The cost of Kybella depends on the number of sessions required to achieve your goals. While each session may cost less than liposuction, multiple treatments can add up over time.
Liposuction
Although liposuction has a higher upfront cost, it’s a one-time expense that typically provides immediate results. For some, this makes it a more cost-effective option in the long run.
Verdict: which is better?
There’s no one-size-fits-all answer to the Kybella versus liposuction debate. Both treatments are highly effective for reducing a double chin, but the best option depends on your lifestyle, goals, and preferences. Kybella is ideal for those who want a non-invasive approach, while liposuction is better suited for individuals seeking immediate and dramatic results with a single procedure.
At New York Group for Plastic Surgery, we’re here to guide you through this decision-making process. Our experienced surgeons and aesthetic specialists will assess your unique needs and help you choose the treatment that aligns with your goals. Schedule a consultation today to explore your double chin treatment options and achieve a chiseled jawline.
