Posts for tag: Kybella
One of the most important aspects of facial rejuvenation is providing a harmonious balance to the shape and structure of the face. Injectable treatments such as Botox and fillers (including Voluma, Vollure, Volbella, and Juvederm) focus on improvement of the upper face and the mid-face. However, many people are also concerned about the appearance of the lower face. Now with Kybella, we have a treatment for jawline rejuvenation.
What happens to the jawline over time?
As we mature there are a number of changes that occur in the face. The structure and shape of bones change and move around. Fat is gained or lost and can be deposited in certain areas. And the amount of collagen in the skin decreases over time, leading to sagging and wrinkles. Together this leads to a blunting of the jawline. We lose the sharp and defined jawline that is associated with youth and beauty. The causes of these changes include age, sun damage, weight gain, and genetics. While we can control our weight and our sun exposure, unfortunately we cannot control the other two factors. Now with Kybella, we have a treatment that can rejuvenate the jawline to provide a more beautiful appearance.
What is Kybella?
Kybella is the first and thus far only FDA-approved, non-surgical, injectable treatment for what is called submental fullness, or more commonly referred to as the double chin. The active ingredient in Kybella (deoxycholic acid) is a naturally occurring salt produced in the body that is used to digest the dietary fat. When injected into the skin, Kybella will dissolve the fat and it is naturally eliminated over time. What patients love most about Kybella is that the results are permanent. Unlike Botox and fillers such as Voluma, Vollure, Volbella, and Juvederm where periodic maintenance treatments are required, with Kybella once the series of treatments is complete, your body is no longer able to store nor accumulate fat in the area. Therefore, maintenance treatments are not required with Kybella.
What happens during a Kybella treatment?
The Kybella treatment is very easy. We start by taking baseline photographs in multiple positions to monitor our patients’ progress. Then we apply numbing cream on the area and let it sit for about 15 minutes, after which point it is cleaned off the skin. Markings are made on the skin with a pencil and a special grid to indicate where the product is to be placed. Depending on the person and how much Kybella is used, anywhere from 20 to 60 pinches are performed. The Kybella treatment itself only takes a couple of minutes and we use a painless technique using cold air and a vibrating distractor called the beauty bar to maximize our patients’ comfort. A demonstration of the Kybella treatment is shown in the video below. Immediately after the Kybella treatment a burning sensation can be felt for about 15 minutes and we provide ice packs to control this sensation. Swelling is seen for one to two weeks after the Kybella treatment; this means that the treatment is working. This swelling from Kybella may make swallowing difficult during this time and those with difficulty swallowing at baseline area cautioned before undergoing a Kybella treatment. Sometimes lumps and bumps are formed, which resolve slowly over time. Kybella should not be used in an area of infection. Kybella has not been tested on women who are pregnant, trying to become pregnant, or breast feeding; therefore Kybella treatment is delayed until breast feeding is discontinued in these women. A series of two to six Kybella treatments is recommended and treatments are performed every three months for ideal results.
What is new with Kybella?
When the pivotal studies were performed using Kybella to get clearance from the FDA, with each treatment two vials were used in a small area and treatments were performed every four weeks for up to six treatments. This type of consistency is required to get any drug approved by the FDA. However, now that doctors are using Kybella more frequently we are incorporating some changes. For example, for those with a higher level of submental fullness three or even four vials of Kybella are being used in each session. We have found techniques to reduce the swelling after a Kybella treatment. This includes avoiding salty foods, strenuous exercise, and alcohol consumption for the first few days after a Kybella treatment. We also apply slings to wrap around the neck and top of the head in which ice packs can be placed. When laser skin tightening treatments are performed before or after the treatment, the overlying skin becomes tight and reduces the swelling after a Kybella treatment. We have also found that lumps and bumps may last more than four weeks. When the lumps and bumps are still there during a second or third Kybella treatment, the product is not able to spread to the entire area and the treatment is less effective. Increasing the interval between the Kybella treatments allows for these lumps and bumps to resolve more completely providing for a better treatment. Finally, the Kybella treatment area was initially limited to a small square under the chin in the central portion of the neck. But now we are expanding the area and placing Kybella further down and on the sides of the neck, which provides better results.
We are also using Kybella on other areas. One of the most common areas Kybella is now being used is called the bra fat. This is the area just under the underarms on the upper outer portion of the breast. Women commonly have excess fat in this area which can stick out of a bra and produce an undesired appearance. This can also occur on the back under the underarms. Kybella can also be used in the belly for excess fat in the area as well as for fat above the knees. It is important to understand that in larger areas more product will be required.
While the face is the most common area of concern for cosmetic treatments, treatments for other areas on the body are becoming more and more popular. Here we discuss a number of options for treatments from the neck down.
Treatments for the neck
Common concerns in the neck area include loose skin, fullness or a double chin, and loss of jawline definition. Over time and with sun exposure, collagen in the skin on the neck and on other areas is degraded. This leads to the appearance of loose skin and wrinkles. One of the most popular treatments is laser skin tightening. This is a no down time treatment that takes about 15 minutes. A series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. The double chin, also known as submental fullness, is very common and caused by age, weight gain, and genetics. We are now able to treat the double chin with Kybella, the first and thus-far only FDA-approved, non-surgical, injectable treatment for submental fullness. The active ingredient in Kybella is a salt used to digest the dietary fat. When injected into this area, Kybella will dissolve the fat and it is naturally eliminated by the body slowly over time. A series of two to six Kybella treatments is recommended and treatments are performed every three months. Unlike other treatments, maintenance treatments are not required with Kybella. Both laser skin tightening and Kybella will also help to define the jawline. To further enhance the jawline, Botox can be used just under the jawline to relax the muscle that pulls this area down in a treatment called the Nefertiti neck lift. This leads to an elevation of the lower face, improves the appearance of jowls, and provides improved definition of the jawline.
Treatments for the Chest
The most common concerns on the chest are wrinkles and uneven color, whether it is dark spots or redness. The Forever Young BBL IPL photofacial can be performed on any area on the skin including the chest. The Forever Young BBL IPL photofacial will even out the color on the skin, providing improvements in dark spots and redness. A series off six Forever Young BBL IPL photofacial treatments performed every six weeks is recommended followed by one maintenance treatment every three months thereafter. The fractional CO2 laser resurfacing treatment can be performed on the chest, which will significantly tighten the skin and reduce wrinkles in a single treatment. For this treatment, be prepared for up to four weeks of recovery which includes redness and swelling.
Treatments for the Hands
Over time changes on the skin of the backs of the hands are seen. Sun exposure leads to age spots and loose skin. At the same time volume is lost and veins and tendons in the area become more and more apparent. The hand rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with Voluma. The Forever Young BBL IPL photofacial treatment will address age spots while Voluma will restore lost volume to the area. The fractional CO2 laser resurfacing treatment can also be performed on the area to further improve uneven color as well as tighten loose skin on the area.
Treatments for the Belly
One of the most common concerns in the belly is the appearance of loose skin. This frequently occurs with weight gain and loss and is common in women who have had babies. Laser skin tightening works by heating the skin on the area. This tightens the skin by stimulating it to form its own natural, new, fresh, and healthy collagen. An initial series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. Laser skin tightening treatments take 15 to 20 minutes, are pain-free, and have no down time.
Treatments for the Legs
The appearance of veins on the legs can be a major nuisance to women who enjoy wearing shorts, skirts, and dresses. Fortunately, they can usually be treated non-surgically with laser leg vein treatments. Anywhere from one to three laser leg vein treatments is required and treatments are spaced out every two to three months. While the laser leg vein treatment completely treats the vein, often times new veins appear in nearby areas. This is because those people who tend to form veins in the legs frequently form new ones slowly over time. New veins can be treated as well as they appear.
Treatments for the Toes
Toenail fungus is very common and can be very disfiguring. Lasers can be used to kill the fungus and significantly improve the appearance of the toes. This works best in mild cases. In moderate and particularly severe cases, sometimes the appearance may not go completely back to baseline. However, significant improvement can be seen. A series of three monthly laser toenail fungus treatments is performed and the results are seen very slowly over time. It can take one to two years to see full results.
One of the most common concerns people have is a loss of their jawline definition. Instead of being sharp and defined, over time the jawline can become softer or even invisible. We now have a number of treatment options to help improve jawline definition.
What causes loss of jawline definition?
The jawline is seen be the protrusion of the jaw bone, or mandible. Over time there are many changes that affect the appearance of the jawline. These occur from both above and below the jawline.
Above the jawline, the fat pads in the mid-face get smaller. At the same time the bony structure of the face changes; the cheekbones move downward and inward. These fat pads and bony structures normally hold up the face and, as a result, the face moves downward. Over time we also naturally lose collagen, the protein in the skin that keeps it firm, tight, and youthful in appearance. As collagen is lost the skin becomes loose and saggy and with gravity the skin of the mid-face and lower face goes down. All of these changes make the jawline less defined.
Below the jawline other changes occur. One is the increase of submental fat. This is the fat under the chin commonly called the double chin. A double chin can be due to age, weight gain, or genetics and is very common. When this gets larger the protrusion of the jaw bone is not as evident and we lose the definition of the jawline. Simultaneously the muscle in the neck just under the skin called the platysma becomes stronger with more use over time. This muscle pulls down on the lower face and when contracted it can also distort the jawline.
How can jawline definition be treated?
To improve your jawline definition all of these factors can be addressed. First it is important to apply sunscreen daily to minimize the effects of sun damage. The sun destroys the collagen in the skin, causing looseness and sagging of the skin.
Voluma is a filler used in the mid-face to restore lost volume. By placing fillers such as Voluma high on the cheek bone, the entire lower face becomes lifted, improving the visibility of the jawline. It also restores the youthful apple of the cheek that is naturally lost over time. By pulling up on the face Voluma also addresses other concerns such as laugh lines (nasolabial folds) and marionette lines.
Fractional CO2 laser resurfacing stimulates your body to naturally produce new, fresh, and healthy collagen. Doing this will tighten the skin, providing a youthful appearance while pulling up on the jawline. Fractional CO2 laser resurfacing has other benefits including treating fine lines, wrinkles, discolorations, and acne scars. Fractional CO2 laser resurfacing can also be used to treat surgical scars and stretch marks. Results are seen slowly with this treatment so patience is important.
Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. The active ingredient in Kybella is a naturally occurring substance produced in the body. When injected into the double chin Kybella will dissolve the fat and it is eliminated naturally by your body over time. A series of Kybella treatments is required over several months. Unlike other treatments such as Botox and fillers, with Kybella maintenance treatments are not required. When the fat in the double chin is removed, the jawline appears more visible and defined.
Botox is a purified protein used to address muscles associated with facial expression. In the neck, Botox can be placed in the platysma muscle, a thin muscle just beneath the skin that pulls the lower face downward. When it becomes very strong sometimes vertical neck can be seen. Botox can be placed in this area to relax the muscle, softening the bands and preventing the muscle from pulling down on the lower face. When this happens the lower face and mid-face are lifted thus improving the jawline definition.
Liquid Facelift Demonstration
The liquid facelift is a treatment using a variety of products that rejuvenates your face without surgery. Now available at A E Skin, the treatment is customized for each person based on their condition and concerns.
What happens to the face as we age?
There are multiple changes we see in the face as we age. The bones that support the facial structure change in size and position. We lose the fat pads in various portions of the skin that provide us with a youthful look, leading to an older and tired look. We also stop producing as much collagen in the skin. Collagen is the protein that keeps the skin nice, tight, firm, and youthful in appearance. At the same time collagen is broken down by sun exposure, pollutants in the air, and oxidants that get into our body such as from the diet or from smoking. In a youthful face, the volume is in the upper face while the lower face is more thin, giving an inverted pyramid appearance. We also use our facial muscles to produce expressions; over time this can lead to wrinkles formation primarily in the upper face. With age the volume goes down, the face gets deflated and the skin sags. We see volume loss in the apples of the cheeks and under the eyes. Wrinkles appear in the lower face. The jawline definition disappears and jowls form.
What does a liquid facelift do?
A liquid facelift addresses these concerns to restore lost volume, decrease or eliminate the appearance of wrinkles, and provide an overall more youthful and rested appearance. A number of products can be used in this treatment and the specific treatment is tailored to each individual based on their concerns.
Botox is used primarily in the upper face to address wrinkles associated with facial expression. Common areas of treatment with Botox include the horizontal lines seen on the upper forehead when we raise the brows, the vertical lines (frown lines) seen between the brows when we frown, and the crow’s feet seen around the eyes when we smile or squint. Botox will relax the muscles and smoothen out the wrinkles. Botox can also be used in the lower face for a variety of purposes. Botox can be placed around the lips to provide a subtle pout, it can elevate the corners of the mouth, it can improve a bumpy appearance on the chin, it can help with jawline definition (Nefertiti lift), it can reduce the appearance of neck bands, and it can contour the lower face.
Voluma is a dermal filler designed to restore volume to the upper cheeks. With a Voluma treatment you will get back the youthful apple of the cheek. Voluma also pulls the lower face upward, addressing wrinkles in the lower face and loss of jawline definition.
Juvederm is also a dermal filler which works best in the lower face. It can be used to treat what we call the naso-labial folds. These are the wrinkles that go from the sides of the nose to the corners of the mouth. In some people this wrinkle continues all the way down to the jawline, forming what is called marionette lines, which can also be treated with Juvederm. Juvederm can also be used to provide volume and fullness to the lips, another common concern.
Volbella is a new filler in the Juvederm family designed for subtle enhancement of the lips. Volbella can fill in fine lines on or around the lips and help define the lip borders. Volbella can be combined with Juvederm in the lips for further enhancement.
Kybella is the first and thus-far only FDA-approved non-surgical treatment for the double chin. Kybella dissolves the fat in this area and improves the appearance of the double chin and at the same time improves the definition of the jawline.
The liquid facelift can also be combined with other treatments for even more enhancement. For example, a fractional CO2 laser resurfacing treatment will address the color and texture of the skin. A good skin care regimen such as products from the A E Skin line will enhance the results of all of these treatments.
With the new year here, we look forward to making our patients look and feel their best. In 2016 we began offering a variety of new products and services. We plan to continue these and expand their use, while adding even more products and services.
Kybella is the first and thus-far only FDA-approved, non-surgical, injectable treatment for the double chin. What people love is that Kybella is permanent and maintenance treatments are not required as they are with most other treatments such as Botox, Juvederm, Restylane, and Voluma. The launch of Kybella was in 2016. This year we are planning to expand the use of Kybella to other areas such as the bra fat.
Volbella is a new filler in the Juvederm family released in October 2016. Volbella is designed for subtle enhancement of the lips. Specifically, it works well for vertical lines on or around the lips. Volbella is also used to shape and enhance the borders of the lips. This year we will expand the use of Volbella in the lips by combining it with Juvederm. Juvederm is used to volumize the lips and Volbella is used to perfect the finishing touches. What people love about Volbella is that, like Voluma, it uses Vy-Cross technology which allows patients to enjoy their results for a full year.
Voluma is a dermal filler used to restore lost volume in the mid-face. Patients enjoy the results of their Voluma treatment for up to two years with optimal correction. Voluma is designed to be placed in the upper cheek, giving the face a lift without surgery. We are also using Voluma to restore volume in the temples, which occurs in many people over time. Voluma can be combined with other treatments such as Botox, Juvederm, and Fractional CO2 Laser Resurfacing (see below) for even more rejuvenation of the skin.
While the face is the most common area for rejuvenation, other areas are being treated as well. The hands have become an increasingly popular area for rejuvenation. The Hand Rejuvenation treatment is a combination treatment designed to address multiple aspects of aging in the hands in a single treatment. The Forever Young BBL IPL photofacial is used to address sun spots that commonly appear on the backs of the hands. Then a filler such as Voluma is used to restore lost volume, which occurs over time and leads to the appearance of veins and tendons.
Fractional CO2 Laser Resurfacing is a new treatment we launched toward the end of 2016 and it will surely be a popular treatment in 2017. Fractional CO2 Laser Resurfacing uses a laser to create thousands of microscopic holes in the skin while generating heat. This stimulates the body to produce its own natural collagen tightening the skin, leading to a dramatic improvement in wrinkles and sagging skin. Although recovery time can be one to two weeks, the results of a Fractional CO2 Laser Resurfacing treatment are so impressive that it’s worth it.
Find out how this noninvasive cosmetic procedure could finally get rid of your double chin.
Are you dealing with a double chin that makes you feel downright embarrassed? Many people come to their Encino, CA dermatologist, Dr. Alex Eshaghian, complaining of fat under their chin and wondering about treatments that might get rid of it. Of course, not everyone is keen on the idea of surgical cosmetic procedures, but we are happy to offer a non-surgical option for treating excess chin fat.
What is Kybella?
Instead of stressing over needing surgery, patients can now elect to have a non-surgical injection that uses deoxycholic acid to destroy the fat cells within submental fat. Once the cells are killed they are no longer able to store fat. One of the great things about Kybella is that it uses a naturally occurring chemical in your body that aids in fat absorption to help kill fat cells in the chin.
Will I need multiple treatment sessions or just one?
Most patients who get Kybella will need more than one treatment. Sometimes up to six treatments will be necessary. Factors such as how much chin fat is being treated and how the patient responds to treatment will determine how many sessions you will actually need to achieve the results that you want. It’s important that before we even start treatment that you talk to us honestly about your treatment goals so we can determine if Kybella is right for you or if another treatment would fit your goals better.
When will I notice results?
This will depend on how many treatment sessions our Encino skin doctor recommends. If you are getting multiple treatment sessions they are usually spaced a few weeks apart (anywhere from 6-8 weeks).
Who is right for Kybella?
There are many people who could be great candidates for this non-surgical cosmetic treatment, but it won’t be right for everyone. Patients should be dealing with excess chin fat rather than just loose or sagging skin.
If you want to find out more about Kybella and whether it could meet your cosmetic goals then it’s time you call A E Skin Professional Medical Spa in Encino, CA to schedule your consultation.
Kybella is the first and only FDA-approved non-surgical injectable treatment for the double chin. We launched it a few months ago and our patients are just starting to see the results. The photograph here is before and after a single treatment with Kybella. Further improvement is expected with more treatments. Most people require a series of two to four Kybella treatments, but some require up to six Kybella treatments.
How does Kybella work?
The active ingredient in Kybella is deoxycholic acid. This is an acid produced in the liver and excreted in the bile. It is used to digest the fat from the foods we eat. When injected into the skin Kybella dissolves the fat and it is naturally eliminated by the body over time.
What happens after a Kybella treatment?
As the fat is eliminated by the body the double chin disappears. Patients also enjoy better jawline definition. We lose this definition for a number of reasons: health, weight, age, or genetics. Now with Kybella you don't have to look old or overweight and you won't be as self-conscious.
How long do the results of a Kybella treatment last?
The best thing about Kybella is that no additional treatments are necessary after your initial series of treatments. Unlike Botox or fillers such as Juvederm, Restylane, Voluma, or Radiesse, maintenance treatments are not needed with Kybella.
Now you can live chin up like the new spokesperson Khloe Kardashian.
This week Allergan (makers of Botox, Voluma, Juvederm, and Latisse) launched the Chin Up campaign with their spokesperson Khloe Kardashian for Kybella, a treatment for the double chin now available at A E Skin in Encino, CA.
Kybella - Treatment for the Double Chin
Are you tired of that double chin? Does it make you look overweight, old, or self-conscious? If you've tried diet and exercise and nothing seems to work, then Kybella may be right for you. Kybella is the first and thus far only FDA-approved non-surgical injectable treatment for submental fullness, or the double chin. The active ingredient in Kybella is deoxycholic acid, a natural substance found in the body that is used to digest the dietary fay. When injected into the skin, Kybella will dissolve the fat and your body eliminates it naturally over time.
The Kybella Treatment
The Kybella treatment is fast, easy, and comfortable. At A E Skin we numb the skin and use Dr. Alex's painless technique to maximize your comfort. During each treatment a series of Kybella injections are done in the area; the specific number of injections depends on the person. Most people require a series of two to four Kybella treatments every six to eight weeks, but some people require up to six Kybella treatments.
Safety of Kybella
After a Kybella Treatment
After your Kybella treatment the area will be swollen for a few days. Side effects include swelling, bruising, pain, redness, numbness, and areas of hardening in the area. Other side effects include hair loss at the injection site, difficulty swallowing, and a temporary assymmetric smile.
Who Should Not Get a Kybella Treatment?
You should not get a Kybella treatment if you have an infection in the area. Kybella has not been studied in women who are pregnant, trying to become pregnant, or breast-feeding. You should not receive Kybella if you have difficulty swallowing, a medical condition in the neck area such as a thyroid abnormality or enlarged lymph nodes, a bleeding disorder, or previous or planned surgery in the area.
Schedule a free consultation with Dr. Alex:
Are you frustrated with that double chin? Does it affect your self-confidence? Does your double chin make you feel less attractive or overweight? Have you tried diet and exercise? Have you tried other treatments that were ineffective? If so, Kybella may be right for you. Kybella is a new treatment for the double chin (also known as submental fullness) which removes the fat so that it doesn't come back.
What is submental fullness?
Submental fullness, or a double chin, is a common condition in adults where excess fat is stored in the neck below the chin and jawline. This decreases the youthful jawline definition and leads to an imbalanced, older, and overweight appearance. According to a 2015 study by the American Society for Dermatologic Surgery 67 % of people are bothered by the appearance of a double chin. There are many factors that contribute to having a double chin including age, genetics, and weight. Often times, diet and exercise alone are not enough to address a double chin.
What is Kybella?
Kybella is deoxycholic acid, a prescription-strength injection used to treat the double chin (submental fat) in adults. Deoxycholic acid is a molecule that is found naturally in the body that breaks down fat from the diet. Kybella is the first and only FDA approved injectable treatment for the double chin.
How does Kybella work?
Kybella actually destroys the fat cells that accumulate in the neck. The body then naturally eliminates the fat slowly over a few weeks. Once these cells are destroyed, they can no longer store or accumulate fat.
How many Kybella treatments are required?
Kybella is provided in 2 mL vials. Normally two 2 mL vials are used for each treatment, but this amount varies from person to person depending on the size of the area to be treated. In the Kybella studies up to six treatments were performed on patients, but now with more data we find that most people require two to four treatments. At A E Skin photographs are taken every six weeks to monitor your progress. Upon review of these pictures you can decide if your desired results have been achieved or if you would like to proceed with more Kybella treatments.
How often are Kybella treatments done?
Dr. Alex recommends repeating the Kybella treatment every six weeks.
Who should not receive a Kybella treatment?
Kybella treatments should not be performed on anyone who has an infection in the area. Kybella has not been studied on women who are pregnant, trying to become pregnant, or breast feeding. Dr. Alex does not recommend Kybella treatments for such individuals. Tell Dr. Alex if you have medical conditions in the neck area such as difficulty swallowing. Also tell Dr. Alex if you have had or are planning to have cosmetic surgical treatments in the neck or face area such as a facelift or neck lift or if you have a bleeding disorder.
When do you see results after a Kybella treatment?
The results of a single Kybella treatment are usually seen approximately four to six weeks after the treatment. At that time the area is reassessed to determine if further Kybella treatments are indicated. Most patients have two to four Kybella treatments every six weeks.
How long do results with Kybella last?
The great thing about Kybella is that it permanently dissolves the fat in the neck and it is not expected to come back.
Is Kybella safe?
Kybella has been approved by the FDA and tested on over 1,600 people worldwide in over 20 clinical studies. These Kybella studies were conducted on people 18 years of age or older. Kybella has not been studied in children under 18 years of age or in women who are pregnant or breast feeding. The studies demonstrated that over two thirds of people treated with Kybella responded with at least a one grade improvement and 79 % of patients treated with Kybella were satisfied with their results.
Does Kybella work in other areas?
What are the side effects with Kybella?
Kybella is an injection. As with any injection there are risks for pain, bleeding, bruising, and infection. The most common side effects of Kybella are swelling, bruising, pain, numbness, redness, and areas of hardness in the treatment area. Other side effects include, but are not limited to, difficulty swallowing and nerve injury leading to temporary muscle weakness in the face which can cause an uneven smile.