How To Get Rid Your Double Chin: Kybella vs. Liposuction vs.Neck Lift

Written by Chuma Chike-Obi, MD, Board Certified Plastic Surgeon on September 28, 2015 11 Comments

kybella for double chin

Submental fullness, also known as a double chin, is an issue that affects nearly 68% of all Americans according to the American Society for Dermatologic Surgery. A double chin is usually caused by a thick layer of subcutaneous fat that rests behind the chin, combined with a variable amount of lax skin (from minimal to dramatic). Together, these factors can create a fold that gives the appearance that the person has a second chin.

Double chins can develop due to weight gain, but even individuals near their ideal weight can have submental fullness. Double chins can be resistant to weight loss, meaning exercising and dieting may not resolve them.

Fortunately there are three great procedures for addressing the neck and chin area: liposuction, Kybella, and neck lift surgery.


Neck liposuction is an ideal option for immediately improving a double chin that stems primarily from an isolated pocket of fat with mild to minimal skin excess. During a liposuction procedure, a plastic surgeon or dermatologist removes fat using a small tube (called a cannula) and a suction device. The provider typically has the ability to permanently remove fat cells which allows the neck to be sculpted to achieve an attractive contour. The procedure takes about an hour and most patients are able to return to normal activities within a few days of the procedure.


Kybella (deoxycholic acid) is a new, less invasive alternative to liposuction for addressing neck fullness that is due to fat. Approved by the FDA in 2015, Kybella is the first and only non-surgical treatment for contouring and improving submental fullness.

Kybella injections effectively remove excess fat under the chin, leaving a clean submental area while minimizing the down time needed for procedures such as liposuction or neck lift surgery. When injected into targeted fat areas behind the chin, Kybella causes the rapid destruction and absorption of fat cells while also preventing future fat accumulation.  After treatment, the fat is cleared from the area by the body’s natural metabolic process. When injected properly Kybella targets only fat cells; all other cells and tissue remain unaffected. Treatment requires up to six different sessions, spaced about a month apart.

Neck Lift

Sometimes dissatisfaction with the appearance of the neck/chin area can be more related to loose skin and lax neck muscles than to excess fat. During a neck lift procedure, incisions are strategically placed behind the ears and/or behind the chin. The neck muscles (platysma) are separated from the skin, and are tightened with sutures. Next, the skin is redraped and any excess is trimmed away. Typical recovery time is 10 to 14 days, though return to strenuous activity is typically 4 to 6 weeks after the procedure.

Chuma Chike-Obi, MD

Chuma Chike-Obi, MD completed a 6 year residency with the Division of Plastic Surgery at Baylor College of Medicine and Affiliate hospitals in Houston, Texas. Dr. Chike-Obi specializes in cosmetic surgery, including facelift, blepharoplasty, breast augmentation, liposuction, rhinoplasty, and reconstructive breast surgery.

11 Responses to “How To Get Rid Your Double Chin: Kybella vs. Liposuction vs.Neck Lift”

  1. Avatar Gloria says:

    Recovering from neck lift surgery and already loving the result. I’m older and had a lot of extra skin though. Not a double chin issue.

  2. Avatar Kelsey says:

    So it seems like liposuction provides more of a sure result whereas with Kybella there is a bit more uncertainty. Would you say that is true?

    • WD Staff WD Staff says:

      Hi Kelsey, thanks for reading our post and submitting your question. I wouldn’t say that there is a lack of certainty with Kybella. However with a surgical procedure like neck lift of liposuction its highly possible to achieve a patients desired end result in a single treatment. With Kybella, a series of treatments and adjustments may be needed before the final result is obtained.

      Please let us know if you have any other questions. If you are in the Austin area you could come in for a free consultation!

      WD Staff

      • Avatar Ricardo says:

        My wife has coolscolpting on her chin. I didn’t fine much information for this area with this treatment. The lady swear it works. Please provide information before I we come back to have other areas treated.

  3. Avatar Robyn says:

    I am looking into one of these treatments. What is the variation in cost and which one has the longest lasting results

    • WD Staff WD Staff says:

      Hi Robyn, great question! We recently put together a great blog post that compares average costs of all three treatments in different U.S. metro areas. You can view that information here: However, cost is always individual-specific. Kybella will have the lowest cost per session, but depending on your unique needs you may require multiple treatments (putting the total cost above lipo or neck lift).

      In terms of results permanence, all treatments can be effective if the individual maintains a healthy weight post-procedure. However, surgical procedures like lipo and neck left can provide a more immediate result.

      We would encourage you to seek an in-person consultation with a skilled surgeon. They will be able to give you specifics on the best treatment for the money given your individual characteristics and needs. Many offer free consultations (including us if you are in the Austin area). Please feel free to contact us at 512.328.3376 to set one up!

      WD Staff

  4. Avatar Ryan says:

    Hi Dr.

    How useful is Kybella of I’ve already had submental lipo? I don’t really have a double chin but my chin still slopes upward from Adams apple area to chin. I’m pretty lean in the area now after lipo but still desire a tightness to create better angularity. I’m 29 he old male by the way. Thank you!

    • WD Staff WD Staff says:

      Hi Ryan, Thanks for reading our post and submitting your comment! How long ago was your liposuction procedure? Without accessing you in person it can be very difficult to give you an accurate answer. Kybella may further help define the area but we would have to have you come in for an in-person consultation to give you a definitive answer. Please call us to schedule an appointment!

  5. Avatar Tisha says:

    Just got my first Kybella treatmetent a few weeks ago and already seeing great results 🙂

  6. Avatar Trev says:

    I had a mini face lift , mainly to remove sagging chin, one side of my lip has dropped , will this return to normal and how long does it take , it has been 3 months now , and is there anything u can do to improve, Cheers Trev

    • WD Staff WD Staff says:

      Hi Trev,

      Thanks for sharing your experience with our community, we are sorry to hear about this issue. It’s very difficult to provide an answer without assessing you in person. So the best advice we can offer is to go back and see your surgeon, especially if you are 3-months post procedure. You should setup a meeting and explain your concerns and have your surgeon take a look.

      We hope that helps!

      WD Staff

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