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Woman Smiling showing off her neck and chin

Kybella® Treatment: A Non-Surgical Way to Reduce a Double Chin

Written by: Olivia Quido

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Published on

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Time to read 5 min

Are you frustrated by extra fullness you’ve started noticing under your chin? Maybe it’s something that has always bothered you? Socially we might call a double chin, but medically this is referred to as Submental Fullness. It can be caused by genetics, weight gain, or simply aging and sometimes no matter how much you exercise or diet, it’s an area that you just can’t affect.


Kybella® treatment was designed to treat exactly this concern. Here is how it works, what the research shows, and what we offer at O Skin Med Spa.

What Is Kybella®?


Kybella® is an FDA-approved prescription injectable used in adults to improve the appearance of moderate to severe fullness under the chin. Clinically, that area is called submental fat, the layer of fat that sits just beneath the skin below your jawline.


The active ingredient is deoxycholic acid. Kybella® is approved for one area only: under the chin. That focus is part of what makes it such a precise tool for refining your profile.

Woman Before and After Kybella Treatments

How Kybella® Works on Submental Fat

Deoxycholic acid is what's known as a cytolytic agent. When it is injected into the fat layer under the chin, it physically breaks down the membranes of fat cells. Those treated fat cells are destroyed rather than simply shrunk.


Rather than tightening skin or adding volume, Kybella® works directly on the fat itself. Results come in gradually over a series of treatments, so the change looks natural, not sudden (Kybella®, 2026).

Kybella® Results: What the Research Shows

Kybella® was studied in two large clinical trials with more than 1,000 adults. Twelve weeks after their final treatment, 70.0% and 66.5% of Kybella® patients saw at least a one-grade improvement in chin fullness, compared to 18.6% and 22.2% on placebo. MRI scans confirmed the change: 43% of Kybella® patients had at least a 10% reduction in fat under the chin, versus 5% on placebo (Kybella®, 2026).


The results also hold. A follow-up of patients from those trials tracked them for three years after their last session (Humphrey et al., 2021).

Three years after their final treatment, 82.4% of Kybella® patients still showed at least a one-grade improvement in chin fullness, and 74% of those satisfied at 12 weeks remained satisfied. (Aesthet Surg J, 2021)

Woman Before and After Kybella Treatments

Your Kybella® Treatment at O Skin Med Spa: What to Expect

YOUR CONSULTATION

Every Kybella® plan starts with a consultation. Our medical staff will assess whether the fullness under your chin is fat, loose skin, or both, and screen for other causes of fullness in the area before treatment. This is also when your treatment plan and number of sessions are set.


The Treatment Session

Our medical staff will help map out a small grid under your chin, then places a series of tiny injections about one centimeter apart within the treatment area. Sessions are spaced at least one month apart. Most O Skin clients need between 2 and 6 sessions, depending on the amount of fat and the profile you want to achieve (O Skin Med Spa).


Recovery and Side Effects

There is no surgery and no surgical recovery. Expect temporary swelling, bruising, tenderness, numbness, redness, or firmness under the chin after each session, which are the most common side effects. Swelling is the most common of these, so plan sessions around important events.

Less commonly, Kybella® can cause temporary nerve irritation that affects the smile or brief difficulty swallowing. In clinical trials, these resolved on their own. Our medical staff will walk you through the full safety profile at your consultation.

Who Is Kybella® For?


  • Moderate to severe fullness under the chin. Ideal for adults whose double chin is driven by fat, not just loose skin.
  • A preference for non-surgical options. No incisions, no general anesthesia, and no surgical downtime.
  • Stubborn fullness that skincare can't reach. Best for anyone whose skin looks great but whose profile still doesn't match.
  • Patience for gradual results. Change builds session by session for a natural-looking refinement.

If you have significant skin laxity or prominent neck bands, your provider may recommend a different approach or a combination plan.

Man Before Kybella Treatment

Pairing Kybella® with Skin Tightening

Kybella® addresses fat. It does not tighten skin. When firmness is also part of the picture, XERF Structural Skin Tightening is the natural partner. It uses radiofrequency energy to reach the shallow, middle, and deep layers of the skin for visibly tighter results, with no needles and no downtime. Together, the two treatments refine both the contour and the skin that frames it. Our trained medical staff will recommend the right sequence for you.

Caring for Your Neck at Home

A defined jawline deserves skin to match. The neck is one of the most overlooked areas in any routine, and it shows sun damage and aging just as clearly as the face. Extend every step of your routine past your jawline, and once any post-treatment tenderness has settled, follow your provider's guidance on when to resume your regular products.


Ready to see what Kybella® can do for your profile? Call O Skin Med Spa at (562) 897-1445 to schedule your consultation.

Summary

Kybella® is an FDA-approved injectable that reduces moderate to severe fat under the chin.

Its active ingredient, deoxycholic acid, destroys treated fat cells.

In clinical trials, about two-thirds of patients saw a visible improvement in chin fullness.

Results held for most patients three years after treatment.

Most O Skin clients need 2 to 6 sessions, spaced at least one month apart.

Temporary swelling, bruising, and tenderness are common; there is no surgical downtime.

XERF Structural Skin Tightening pairs well when loose skin is also a concern.

Protect your results with daily SPF on your neck, not just your face.

Olivia Quido

Olivia Quido

Olivia Quido is a licensed esthetician and skincare expert known for her results-driven approach to treating acne and dark spots, and is the founder of Olivia Quido Skincare and owner of O Skin Med Spa.