Kybella and Facial Liposuction for Double Chins – Why the Fat Doesn’t Come Back
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A woman wants to know the results if she gains weight after getting Kybella™ treatment. She also wants to know the results despite doing her best to maintain her weight through exercise and healthy diet.
Dr. Amiya Prasad is a board certified oculoplastic surgeon who specializes in facial cosmetic surgery and complex eyelid surgery. He is also board certified in general cosmetic surgery or full body cosmetic surgery by the American Board of Cosmetic Surgery which means he does body procedures like breast augmentation, liposuction, tummy tucks, and many more. He also explains to patients that whether it’s for fat under the chin, or in the jowl areas, or in the body like love handles and stomach, that when fat is reduced, regardless of the method, whether it’s by suction, sculpture, laser or injection of a fat metabolizing drug, those fat cells are gone. If they gain weight, the weight will be gained in different areas.
There’s a myth in liposuction that once someone has liposuction, the fat just moves somewhere else, which isn’t true. The fat itself doesn’t move and it’s the weight gain that becomes disproportionate. If someone has liposuction in the abdomen and in the flanks, if they were to gain weight, they might gain weight disproportionately in the thighs and get increased volume of fat behind the muscle or visceral fat. The fat that was reduced or removed from whatever method won’t come back because it was physically diminished. but they can still gain weight in other areas.
Dr. Prasad explains that if she was someone who tends to become more rounded in the face, then that will still happen, but the area under her chin will not get fat in the same way. Under the chin, there are deeper fat pockets that are not being addressed by subcutaneous or under the skin liposculpture or needles as these are in a deeper compartment. It doesn’t mean someone won’t get elevation, but it depends a lot on genetics and tendencies. It’s just a matter of how they tend to gain weight and where the fat ends up. If fat is left behind, that can expand but it won’t typically be the same as it was prior to their procedure.
Dr. Prasad suggests that she should meet with doctors and get a proper diagnosis. People misdiagnose themselves as having excess fat under their chin. As a facial cosmetic surgery specialist, he deals with this question every day. People who have no significant fat under the chin might have a little loose skin under the chin. For someone who have loose skin, this is not an appropriate procedure. Doctors don’t do liposuction or Kybella™ because it’s not going to address skin laxity. The same applies for people who have neck bands or extra cords under the neck.
The ideal candidate for this type of injection or liposuction of the chin is a younger person who has good skin quality and tone, but doesn’t have these other limiting issues. They must have fat accumulation present in spite of being close to their ideal body weight. It’s unfortunate that a lot of people try to think of liposculpture or something for undesirable fat as a quick fix when the global issue is managing diet and exercise. That doesn’t mean that there are many people who have this genetic tendency to collect fat under the chin, it can be a common trait within families. If she is within 10 pounds of her body weight and she still have this, then she is an ideal candidate for liposuction procedure or to consider this drug that requires multiple injections in different time frames in order to dissolve fat.