Even a little extra fat in the upper neck area can cause the appearance of a "double chin" that can be bothersome to many people. The excess pockets of fat under the chin (also known as the submental area) may be caused by genetics, aging, or weight fluctuations, and they can cause a weaker-looking chin and jawline. At Pacific Skin and Cosmetic Dermatology San Francisco & Marin, board-certified dermatologist Tracy Evans is proud to offer Kybella, a new, remarkable method for getting rid of this unwanted neck fat. Approved by the Food and Drug Administration (FDA), Kybella is the first nonsurgical treatment for submental fat. The active ingredient in Kybella is a synthetic version of deoxycholic acid that acts like the natural DA in the body to break down and absorb fat. After 2 – 6 sessions, most patients see a noticeable reduction in fat. When the fat is destroyed, the cells cannot return so you are able to enjoy your slimmer new profile and stronger jawline for years to come.
Kybella injection treatments are designed specifically to reduce small to medium pockets of fat under the chin. The best candidates for Kybella treatments are at a healthy, stable weight because gaining a lot of weight post-treatment can negatively affect your results. Kybella is not a weight-reduction procedure; it should be thought of as a nonsurgical spot reduction technique used only for the submental area. If you are frustrated by a double chin or unwanted submental fullness, Kybella could be a great solution. However, it is not recommended for patients with a large or significant amount of fat under the chin. Pacific Skin and Cosmetic Dermatology San Francisco & Marin provides Kybella treatments to help patients tweak submental areas that have resisted the effects of diet and exercise.
"Dr. Evans has performed Mohs surgery on my face twice and I could not be happier with the results. For the past couple decades, I have spent almost every Summer in the South of France because I have family and friends there. Of course it is a sunny place with lots of gorgeous beaches and other outdoor activities. I guess I got a little too much sun exposure on these trips, especially since I have fair skin and blue eyes. When I first found out I had a basal cell spot on my face I was very upset, but Dr Evans and her staff are absolutely amazing!!! I had never had any surgery on my face and I was worried about it, but I truly felt I had the kind of empathy and care that you would get from a family member or a great friend, from Dr. Evans and everyone else on her team. Dr. Evans did such a great job on both surgeries and they have healed so well, so much so that no one even notices that I have had two surgeries on my face. I have been going to her office for years now with regular skin checks and I have to say I am extremely impressed with the entire staff. In addition to the Mohs surgery, and after I had basal cell a second time, I decided to get Fraxel Laser done at Dr. Evans office. A lot of people do this for cosmetic reasons, but I did it because I found out that Fraxel can help reduce the chance of getting basal cell in the future. As a guy, I did not see myself spending thousands of $’s on laser for my face the first time, but after I got the 2nd basal cell on my face I decided it was worth the money if it reduced the chance of more basal cell in the future. I was very pleased with the Fraxel procedures and I have not had another basal cell issue since I had it, so I am very happy with the decision. The Fraxel laser procedure also evened out the toning on my face, so that was great as well. I highly recommend the Fraxel Laser to anyone who wants to potentially reduce the chance of basal cell, and I also have been taking Nicotinamide (a special form of vitamin B) which can also potentially reduce future basal cell issues, and I use a DNA enzyme repair cream at night which reduces the chance of basal cell. As I said before, I have not had basal cell since I had the Fraxel and I think taking Nicotinamide and using the DNA enzyme repair cream all have helped. After all this I realize how important skin care is and I am grateful that I got such great care. Most of my friends never go to a dermatologist and have an ignorance is bliss attitude, but with Dr. Evans and her amazing team, I am much more aware of how important it is to get regular checks and what can be done to maintain my skin going forward. My skin looks great and people think I look much younger than my actual age. One final point: I also have a couple friends that have HMO insurance that also have had basal cell. They have had surgeries at their HMO and I can tell you the care and the results they received are not even close to the care and outstanding results I have had with Dr. Evans. In some cases, the HMO made my friends wait a long time before they could even get the Mohs surgery and they also made mistakes, and their results in terms of scarring and healing were not the best. There is no way I would trust an HMO to do this surgery. At this point, I would only trust Dr. Evans with something this important. Thanks to Dr. Evans, Clarence, Shantelle, Kirstie, Danielle, Leslie, and the entire team! You all have helped me in a difficult situation more than once and I got through it as if nothing ever happened because of your amazing care and skills!"- E.R. / Yelp / Sep 25, 2021
"I want to write this review for Dr Evans’ staff and specifically for Krystal and Ava. I have been treated there 4 times this year. Each time I go I feel like my health and happiness is the most important thing in the world to both medical and administrative staff. I am not just the next person in their busy day that needs treatment and a means for the practice to make money. I am made to feel the same way as when I fly first class or stay in a world class hotel. The entire experience from the time I walk in the door until I walk out again is unlike anything I have experienced at any doctor or dentist or any medical facility. They are professional and compassionate with a great "bedside" manner. I am cared for as a patient and valued as a human each visit."- S.G. / Yelp / Sep 01, 2021
"Dear Tracy Evans M.D. Thank you_Thank you_Thank you. For your amazing expertise and talents. I could not be happier with my care. Everyone on your staff is so competent and awesome. So grateful, Deb Protheroe"- D.P. / Google / Jul 11, 2021
"Excellent, thorough medical care for the skin. I appreciate the fact that Dr Evans monitors my skin every 6 months for medical issues and catches anything amiss early. Knowledgeable staff to help with skin care products after medical needs met. Beautiful relaxing spa like waiting area."- B.F. / Google / Jun 11, 2021
"I was in desperate need of a quick remedy to extract my pores and hydrate my face. Mallory recommended the hydrafacial treatment for me. The whole treatment was quick, only taking about 30 minutes, and very affordable with NO down time! Mallory was an absolute gem! Prior to the treatment, she explained the process and made sure I was comfortable. I would highly recommend Dr. Evans team at Pacific Skin Dermatology. Can’t wait for my next treatment!"- K.K. / Yelp / May 30, 2021
Kybella treatments are performed in one of our comfortable outpatient treatment rooms. On the day of each session, Dr. Evans will usually apply a numbing ointment to the treatment area, if requested, after the skin has been cleansed. The procedure takes about 15 – 20 minutes, during which time Dr. Evans will administer several small injections to the submental area. Some patients may reach their cosmetic goals with one or two sessions while others may need multiple treatments. Your Kybella sessions a Pacific Skin and Cosmetic Dermatology San Francisco & Marin need to be scheduled 6 – 8 weeks apart, and you should not go over six sessions.
What to Expect
Kybella doesn't require anesthesia so you are able to leave the office to resume your normal activities as soon as you feel comfortable. You may have temporary swelling, bruising, or numbness under your chin, but this should not last longer than 2 – 3 days. Call Pacific Skin and Cosmetic Dermatology San Francisco & Marin immediately if you experience any unusual side effects, such as facial muscle weakness, difficulty swallowing, or if your smile is uneven. While the fat cells that are destroyed do not return, the remaining cells can become larger so it is important that you maintain a steady weight after your Kybella injections. Most patients who complete their series of treatments are very pleased with the new definition in their jawlines and profiles.
Frequently Asked Questions
How much does Kybella cost?
The price of your Kybella injection treatments will depend on how many treatments you need. During your consultation, a customized plan will be created to work with your goals and budget. A member of our team can also discuss payment options with you during your consultation.
How does Kybella work?
The active ingredient in Kybella, deoxycholic acid, works to break down and destroy fat cells in the submental area. After they are destroyed, these fat cells will not grow back. Therefore, additional Kybella treatments should not be necessary once you have reached your desired outcome.
Can Kybella be used to treat other areas of the body?
Currently, Kybella is only available for the treatment of the area below the chin. The Food and Drug Administration (FDA) has not approved Kybella for treatment anywhere else on the face or body.
Who is not eligible for Kybella injections?
There are a few factors that could make you ineligible to receive Kybella treatments. You must be over the age of 18, not pregnant or breastfeeding, and cannot have any infection at the treatment site. Prior to receiving treatment, you should share any health concerns and your medical history with Dr. Evans so that she can determine if you can safely receive the treatment.
How many sessions are in a treatment series?
During your consultation, Dr. Evans will tailor your treatment plan to meet your desired results. Most often, patients receive between 2 – 4 Kybella treatments before achieving their goals. Some patients do need up to six treatments, but patients should not undergo more than six. Kybella treatments should be spaced about one month apart.
Reduce Neck Fat Today
If your double chin bothers you — whether it is hereditary, age-related, or the result of weight fluctuations — you can do something about it. At Pacific Skin and Cosmetic Dermatology San Francisco & Marin, we are pleased to provide the revolutionary Kybella injection treatments as a nonsurgical option for refining your jaw and neckline. Schedule a consultation with board-certified dermatologist Tracy Evans to learn more about reducing your submental fat without liposuction or surgery.
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