December 5, 2016

KYBELLA®: Permanent Treatment for Double Chin (Submental Fullness)



Achieve your best profile with KYBELLA, the only FDA-approved injectable treatment for adults, which permanently destroys excess fat cells under your chin.


A sleek and chiseled jawline conveys strength, confidence and youthfulness for both men and women. A double chin can make you look older and heavier than you actually are. According to a 2015 survey conducted by the American Society for Dermatologic Surgery, nearly as many aesthetically oriented consumers are bothered by submental fullness, or a double chin (67%), as they are by lines and wrinkles around their eyes (69%).

Serenity MedSpa now offers breakthrough KYBELLA injections that permanently destroy the fat cells beneath your chin so they can no longer store or accumulate fat. KYBELLA provides a simple and effective way to treat one of the most stubborn problem areas without surgery.*









What causes a double chin?

There are three main causes: weight gain, genetics and aging. You definitely don’t have to be overweight to have fullness under your chin. Unfortunately, sometimes, no matter how much you exercise or diet, your double chin may not go away, causing you to look heavier and older than you actually are.



What is KYBELLA and how does it destroy the submental fat?


KYBELLA is an FDA-approved prescription medicine used in adults to improve the appearance and profile of moderate to severe under-chin fat. Now, you can get rid of your double chin noninvasively without surgical liposuction.

The active ingredient in KYBELLA is synthetic deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When KYBELLA is injected into the submental fat, it permanently destroys the fat cells, which are then removed through the body’s lymphatic system. Once destroyed, those cells can no longer store or accumulate fat.

Who is a good candidate for KYBELLA?

Both men and women over the age of 18 with a double chin are candidates for KYBELLA.

Kybella may be right for you if:

  • You’re bothered by fat excess fat under your chin.
  • You don’t want surgery.
  • You feel the condition makes you look older or heavier than you actually are.
  • You eat well and exercise, but it doesn’t affect your double chin.

Who should not receive KYBELLA?

You should not receive KYBELLA if you have an infection in the treatment area, or if you are pregnant or breastfeeding.

How is KYBELLA performed?

KYBELLA is a quick in-office treatment. After we apply topical anesthetic to the treatment area for about 20 minutes, we precisely mark the area based on the amount of submental fat. Then, we inject the KYBELLA solution. To make the treatment more comfortable, we use the Zimmer Cooling machine during the injections and apply ice packs and complimentary arnica ointment right after the treatment to minimize swelling and bruising.

How many KYBELLA treatments will I need?

During your consultation, we’ll discuss your expectations and determine how many treatments are appropriate for you. In general, most clients need about 2-4 treatments.

You can schedule your second KYBELLA treatment one month from the initial treatment. However, we recommend waiting two months between additional KYBELLA treatments to see the full results. The gradual tightening effect takes place over a period of at least six weeks.

What is the downtime after a KYBELLA treatment?

You’ll be able to resume your normal daily activities immediately, but will have some swelling for 3-5 days afterwards depending on how many vials are injected into the treatment area. Most clients need 2 vials during the initial visit. Applying ice packs to the area for couple days after the KYBELLA injections will help minimize swelling, as will frequently applying the complimentary arnica ointment we send home with you.

Is KYBELLA safe?

KYBELLA is FDA approved for the treatment of submental fat and is very safe when injected properly in the right candidate. At Serenity MedSpa, only highly skilled and trained providers will perform your treatment to ensure you receive the best care and results possible.

What are the possible side effects of KYBELLA?

The most common side effects of KYBELLA include swelling, bruising and discomfort after the treatment. Very rarely, temporary numbness and hardness may occur.

When will I see results from KYBELLA?

Your results will become visible over the first 2 to 3 months. After a full series of treatments, most people notice a more sculpted under-chin area. The results may continue to improve over the next six months following the treatment series. In clinical trials, KYBELLA has shown to have skin-tightening effects as well. On RealSelf, 95% of Kybella clients say the were happy with their results.

Do I need a follow a strict diet and exercise program after KYBELLA injections?

Although a healthy diet and regular exercise are always recommended, the results from the KYBELLA treatment are permanent and are not effected by diet and exericse.

What happens if I gain weight at some point after the KYBELLA treatment?

Even if you do gain weight, it may not affect your under-chin area. You can always get a touchup treatment if necessary.

What Does KYBELLA treatment cost?

The cost of the treatment is based on how many KYBELLA vials are required to achieve your desired results—although any amount of treatment will make a positive, long-lasting improvement. We’ll discuss in detail your expectations and costs during your initial consultation.

What are the advantages of the KYBELLA treatment over other double-chin procedures?

  • Results are permanent and the fat cells will not return
  • Minimally invasive
  • Minimal discomfort
  • Little to no downtime
  • Short, painless recovery
  • No incisions or bandages
  • Only topical anesthesia is needed
  • Slimmer and more defined jawline and neck area
  • More youthful facial appearance
  • Short treatment sessions


What is the Coolsculpting mini?

CoolSculpting® uses Cryolipolysis®, the method of freezing fat cells without damaging the skin or other tissues. Over time, your body naturally purges the dead fat cells through the lymphatic system. Using the same technology as the full-sized applicator, CoolSculpting Mini is a new FDA-approved attachment that suctions skin and targeted fat into the applicator, while the cooling plates chill the fat to the point of freezing, permanently killing the fat cells and leaving the skin unaffected. Fat cells freeze at a higher temperature than skin or muscle cells, so there’s no risk of any serious side effects. Many clients report results after one 45-minute treatment, although some may need a series of 2-4 for the best results.

Some clients find the cold temperature slightly uncomfortable for the first few minutes until they acclimate. Most clients relax, read or watch movies on their mobile devices during the treatment. Afterwards, a trained clinician will massage the area—in this case, the skin under the chin—to maximize the effects.

CoolSculpting clients rarely experience side effects and can immediately return to work and their other daily activities. On occasion, temporary redness or numbness can occur in the treatment area.

Clients normally need more than one session to achieve optimal results, but just one treatment will leave you with a more noticeably defined jaw. The full results are seen after about 2-3 months.

A single CoolSculpting Mini session can reduce neck fat by 20-25 percent, making it one of the most effective, long-lasting body sculpting techniques available. Clients enjoy a more-defined jawline that makes them look younger and feel more confident for years.

What are the differences between the KYBELLA and COOLSCULPTING MINI?

Both KYBELLA and CoolScuplting Mini are designed to sculpt and contour small areas of stubborn fat. Coolsculpting Mini is ideal for people who don’t like needles. It’s best for women with looser, more mature skin (younger clients’ skin may be too taut to suction into the applicator). The one major drawback is since there is only one applicator size, it can be difficult to customize the procedure for everyone. KYBELLA is highly customizable and is typically a better option for people with very small pockets of fat under their chin.

Whichever option you pick, you’ll have some swelling and soreness in the treatment area for 3-5 days—potentially less with Coolsculpting Mini. There’s also a small chance you’ll experience some numbness and redness up to a month following the treatment. (This also tends to be less with Coolsculpting Mini). You’ll most likely need a series of either treatment to achieve your desired result.

The best candidates should be relatively fit and near their ideal weight with good skin tone and isolated pockets of under-chin fat. The procedures are not meant for people who are significantly overweight. The results for KYBELLA and CoolSculpting Mini take 4-8 weeks to appear. Both treatments have received high levels of patient satisfaction.


KBELLA is a 100% noninvasive treatment that uses injections to permanently kill fat cells in the under-chin area, while liposuction is a surgery that requires anesthesia. KYBELLA requires no downtime, while liposuction may require a week or more of recovery time. In most cases, KYBELLA is by far the superior option for the majority of people with double chins. But for clients with a large amount of fat in the under-chin area, liposuction may be necessary.

How do I choose the right treatment for my double chin?

When deciding which treatment is best for you, consider these factors:

  • Amount of fat and loose skin on your neck
  • Number of recommended treatments
  • Expected results
  • Cost
  • Downtime
  • Side effects

Dr. David Kang, who performs all three treatments for the double chin at Serenity MedSpa, will meet with you to assess your needs and help you choose the most appropriate treatment.

To schedule your consultation, call Serenity MedSpa at 415-781-9200 or email

*Results May Vary
126 Post St, 2nd Floor, San Francisco, CA 94108