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A “double chin” is a common cosmetic concern among men and women. Excess fat under the chin can be very stubborn and may not respond to traditional fat reduction approaches, such as dieting and exercise programs. To resolve this issue, Dr. Jason Emer, a cosmetic dermatologist and expert in facial sculpting, often performs a minimally invasive treatment called Kybella in Beverly Hills.
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Kybella is an FDA-approved, non-surgical solution for permanently eliminating fat under the chin. Dr. Emer has helped many men and women address unwanted fullness in the upper neck for more aesthetic jawline contours using this injectable treatment. Kybella is also used off-label to target small, persistent fat deposits throughout the body. It can provide significant improvements in problem areas like the upper arms and above the knees. Fat removal with Kybella generally requires more than one injection session for optimal results. The number of injections and the number of sessions needed varies based on the patient’s unique anatomy and fat reduction goals.



Ideal candidates for Kybella are physically healthy and understand the potential benefits and limitations of the treatment. Patients must understand that they will likely need two or more Kybella treatments to accomplish visible improvements.
Weight gain after treatment can compromise Kybella outcomes. Candidates should be at or near their optimal body weight and committed to regular exercise and eating a balanced, nutritious diet.
Patients with skin laxity concerns, such as older patients, may be better candidates for alternative fat reduction methods. Kybella cannot resolve excess or loose skin, such as a “turkey neck” under the chin. Additionally, Kybella candidates must have robust skin elasticity to ensure the skin can retract to fit their slimmer neck contours.



Kybella contains a substance called deoxycholic acid. Deoxycholic acid causes irreparable damage to fat cells, prompting the body’s natural processes for excreting the dead cells. Once the targeted fat cells have been eliminated from the body, patients will notice reduced volume in the treated area.

The first step is to meet with Dr. Emer for a consultation. Dr. Emer offers several non-surgical fat reduction options, along with neck liposuction, so he must physically examine your face and neck to identify the best treatment approach for your needs. The consultation is also a time to review your relevant medical information, so Dr. Emer can provide treatment options that align with your health and safety needs.
If you are a good candidate for Kybella, Dr. Emer’s staff will help you schedule an injection session. You’ll also be briefed on how to prepare for your appointment.

Your Kybella injections will be performed in-office since the procedure is minimally invasive and does not require anesthesia. A Kybella injection session typically takes about 15 minutes. However, if you opt for use of a topical numbing cream, plan for an additional 45-60 minutes to allow it to take effect.
Dr. Emer will select and mark the injection sites. Then, the treatment site will be sterilized. Next, he will perform the injections. The number of injections varies based on the size of the treatment area and how much fat is being targeted.

Many patients experience a short-lived stinging sensation after Kybella injections. Numbing cream helps to mitigate this discomfort, and ice packs can also be applied to soothe the area.

You will be given Kybella aftercare instructions to guide you through the short recovery associated with this procedure. Following Dr. Emer’s post-treatment directions is essential for encouraging an expedient recovery. Kybella aftercare protocols typically involve:

  • Wearing a compression garment
  • Applying ice packs
  • Abstaining from vigorous activity for four to five days
  • Avoiding excessive heat, including saunas and hot tubs

Bruising and swelling are common after a Kybella session. While many patients experience mild swelling and are back at work within a day of their injections, swelling can be more severe and longer lasting for others. Bruising can be concealed with makeup and usually dissipates within 7-14 days.

Tenderness and/or discomfort can occur. Dr. Emer can recommend an over-the-counter pain medication if necessary.



You’ll need some patience to see results with Kybella due to the role your body plays in removing the treated fat cells. One contributing factor is that the body needs several weeks to process and expel the damaged fat cells. Additionally, to avoid overwhelming the body’s systems, all of the unwanted fat in the treatment area cannot be targeted in one injection session. Instead, Kybella treatments typically involve multiple treatment sessions spaced four to six weeks apart. Noticeable improvements can be expected after two to four Kybella injection sessions.



Kybella is a permanent fat reduction method. Once the body has expelled the dead fat cells, they are gone for good. However, if you gain weight after Kybella, the fat cells that remain in the area can increase in size and compromise your results. An active lifestyle and healthy diet are key to maintaining your improved contours.


Dr. Emer can create a targeted treatment plan for you when you meet with him for your consultation. He considers many factors when determining the best way to create a patient’s desired neck and jawline contours. 

First, he will identify what is responsible for the extra volume beneath your skin. The size and shape of the chin, skin elasticity, and fatty tissue can all play a role in creating the appearance of a double chin.

Kybella is intended to improve the appearance of a double chin caused by excess fat. There are several reasons a person may have unwanted submental fat, including:

  • Aging – As we age, fat often accumulates in this area.
  • Genetics – Some people are genetically predisposed to storing fat under the chin. No matter how fit and healthy they are, fat deposits in this area will persist unless treated.
  • Weight gain – The body may store excess fat under the chin in response to weight gain.

Kybella can be an excellent treatment option when the amount of excess fat is mild to moderate. If you have a large amount of fatty tissue under the chin, neck liposuction may be necessary to accomplish an optimal final result.

Loose skin in the lower face and neck can also contribute to the appearance of a double chin. In these cases, Kybella may not be an ideal treatment option unless it is performed in conjunction with a skin tightening procedure.

Some patients lack jawline definition due to an underprojected chin. Chin augmentation can help to resolve the appearance of under-chin fullness in many cases. Kybella can be used to put the final touches on a new jawline shape after a chin implant procedure, allowing the patient to avoid liposuction.


Dr. Emer has built his esteemed reputation as a facial and body sculpting expert by developing combination treatments based on a holistic perspective. When it comes to addressing submental fullness with Kybella, he looks beyond the jawline to factor in the midface, upper face, and neck as well. Additional facial sculpting treatments are often recommended to create optimal proportions and ensure a balanced, natural-looking result.

Dr. Emer also combines Kybella with complementary, non-surgical jawline contouring treatments for maximum improvements. He often pairs Kybella with non-invasive skin tightening procedures, such as radiofrequency-based Thermage. To further define the jawline and rejuvenate the neck, he may recommend:

Dermal fillers

Dermal fillers can be used to improve the projection of the chin and establish a more balanced facial appearance and more aesthetic jawline.

Thread lifting

Dr. Emer can perform a threading procedure to subtly lift tissue in the lower face.

Neuromodulator injections

Botox, Dysport, Jeuveau, and Xeomin are injectable neurotoxin treatments that can help to reshape and define the jawline and restore a more youthful-looking neck. Dr. Emer often employs neuromodulators to shrink enlarged jaw muscles (masseter muscles) in female patients who desire his trademark “heart-shaped” facial appearance. Neuromodulators can also reduce the appearance of neck bands.


Loose skin in the neck area is a common complaint among men and women, especially as the aging process progresses. Rather than undergoing a surgical procedure, patients with moderate skin laxity can often resolve their concerns with a less invasive FaceTite procedure. FaceTite delivers radiofrequency energy under the skin, causing it to contract for a tightening effect that can last a year or more.


The number of vials used and the number of treatment sessions will impact the price of your Kybella fat reduction treatment. The expected cost of your Kybella treatment will be reviewed with you before scheduling your injections.


Permanent, non-surgical fat reduction is possible with Dr. Emer’s customized treatments with Kybella in Beverly Hills. Contact our office today to schedule a consultation, so you can learn your options for getting rid of your double chin for good!