Kybella is an FDA-approved injectable treatment that reduces fat under the chin and improves the contour of the jawline and neck.

How does Kybella work?

Kybella contains deoxycholic acid, a naturally occurring molecule that breaks down fat cells. Once destroyed, the fat cells are permanently eliminated from the treated area.

Who is a good candidate for Kybella?

Ideal candidates are adults with moderate to severe submental fat (double chin) who are at or near their ideal body weight and have good skin elasticity.

How long does a Kybella treatment take?

Each session usually takes 15–30 minutes, depending on the area being treated.

How many Kybella treatments will I need?

Most patients require 2–4 treatments spaced about 4–6 weeks apart, though the number may vary based on the amount of fat and desired results.

Treatment involves multiple small injections. Most patients feel mild discomfort, which can be managed with ice or a topical numbing agent.

When will I see results?

Results appear gradually as the body metabolizes the destroyed fat cells. Many patients notice improvement after 4–6 weeks, with full results after all treatments are completed.

Are the results permanent?

Yes. Once fat cells are destroyed, they do not return. Maintaining a stable weight helps preserve results.

Kybella Injectable Neck Contouring in Bedford, NH

Permanent Submental Fat Reduction Without Surgery

Kybella, an injectable treatment using deoxycholic acid, targets and reduces submental fullness (double chin) that diet and exercise can't address. With a series of treatments, Kybella helps contour and refine your neckline, giving you a more youthful and sculpted appearance.

Injectable Neck Contouring Pricing

Kybella (Deoxycholic Acid)
$600/vial Non-Member Pricing
$390/vial Member Pricing

(Deoxycholic acid) Deoxycholic acid is a naturally occurring substance in the body that helps break down fat in digestion. A double chin or submental fullness is an inherited trait that can be difficult to address with diet and exercise. Kybella is an injectable medication that can reduce excess fat. A series of a few treatments can help you have a more youthful, refined neckline.

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What Is Kybella?
The Science Behind Permanent Fat Destruction

Kybella is the only FDA-approved injectable treatment for permanent reduction of submental fat, the "double chin" that resists diet, exercise, and wishful thinking.

The active ingredient is deoxycholic acid, a bile acid your body naturally produces to metabolize dietary fat in the digestive system. When injected into submental adipose tissue, deoxycholic acid causes adipocyte lysis, it physically ruptures the cell membranes of fat cells, permanently destroying them.

This is not fat "shrinkage." This is fat cell death. Destroyed adipocytes cannot regenerate. Once treated fat cells are eliminated through your lymphatic system, they're gone permanently, provided you maintain stable body weight.

Why Kybella Is Superior to CoolSculpting for the Submental Area

We've treated submental fat with multiple modalities over the years: cryolipolysis (CoolSculpting), laser lipolysis, radiofrequency, ultrasound. For the chin specifically, Kybella produces the most consistent, dramatic, and permanent results. Here's why.

The Anatomical Reality:
The submental area is a small, three-dimensional treatment zone with irregular borders, platysmal bands, and proximity to critical structures (marginal mandibular nerve, lymph nodes, salivary glands). CoolSculpting applicators are designed for flat, broad areas, abdomen, flanks, thighs, not the curved, compact geometry of the jawline.

CoolSculpting limitations for submental treatment:

Applicator size creates imprecise treatment boundaries
Cannot target specific fat pockets with precision
Risk of paradoxical adipose hyperplasia (rare but documented)
Results take 8-12 weeks to manifest with modest reduction
May require multiple treatment cycles with diminishing returns
Does not address platysmal bands or skin laxity

Kybella advantages:

Precise injection technique allows targeted adipocyte destruction
Can sculpt specific areas within the submental region
Permanent fat cell elimination, not temporary fat cell shrinkage
Results visible within 4-6 weeks, peak at 12 weeks
Can be combined with Ultherapy or TriLift for skin tightening
Addresses structural fat that creates the bulge, not just surface appearance

We've compared both modalities extensively. For permanent structural jawline contouring, Kybella is the evidence-based choice.

Our Treatment Protocol:
Why We Start with 3 Vials

Most practices inject 1-2 vials of Kybella in the first session to "ease patients in" and minimize downtime. This is customer service thinking, not medical optimization.

We typically administer 3 vials in the first session. Here's the clinical rationale:

The Math on Fat Reduction:
Published clinical data shows approximately 10% submental fat reduction per vial of Kybella. If a patient requires 30-40% total fat reduction to achieve their aesthetic goal (typical for moderate to significant submental fullness), conservative 1-vial treatments create unnecessarily prolonged treatment timelines.

1-vial approach: 4-5 sessions spaced monthly = 4-5 months to completion
3-vial approach: 2-3 sessions spaced monthly = 2-3 months to completion

Patients prefer faster results. The downtime from 3 vials is more intense, but it's frontloaded, you're not extending recovery over five separate months.

Total Treatment Requirements:

Women: Typically 4-5 total vials across 2-3 sessions
Men: Typically 7-8 total vials across 2-3 sessions (greater submental fat volume and density)

Sessions are spaced one month apart to allow for adipocyte destruction, lymphatic clearance, and inflammatory resolution before subsequent treatment.

Our philosophy: One month of significant swelling is preferable to five months of moderate swelling. Get uncomfortable once, get the results you came for, and move on with your life.

Realistic Expectations:
The Swelling Will Be Severe

Let's be direct about what 3 vials of Kybella looks like during recovery. This is not a lunchtime treatment.

What to Expect After 3-Vial Treatment:

Days 1-3: Acute Inflammatory Response

Significant submental and neck swelling, you will look worse before you look better
Firmness, tightness, and tenderness in the treatment area
Possible bruising (common but not universal)
Some people experience difficulty with neck rotation or looking down due to swelling
You will not want to be photographed. Plan social events accordingly.

Days 4-7: Peak Swelling

Swelling typically reaches maximum around days 3-5
Visible fullness may extend to the upper neck and lower face
Numbness in the treatment area (temporary, resolves over weeks)
Discomfort when touching or manipulating the area

Days 8-14: Gradual Resolution

Swelling begins to subside but remains somewhat noticeable
Hardness or lumpiness under the skin as fat cells are being cleared
Numbness persisting (normal, will resolve)
You'll start seeing hints of improved contour

Weeks 3-4: Continued Improvement

Most visible swelling resolved
Skin may feel tight or slightly numb
Jawline definition beginning to emerge

Weeks 6-12: Final Results

Full fat reduction visible as lymphatic clearance completes
Skin contraction and redraping over reduced fat volume
Permanent structural change to jawline contour

Critical Planning Note: Schedule your first Kybella treatment when you can afford 7-10 days of visible facial swelling. This is not optional. If you have professional events, family photos, or public engagements in the two weeks following treatment, reschedule your Kybella appointment.

We do not minimize this to make sales. You deserve to know what you're signing up for.

Why Membership Makes Financial Sense

At $600/vial non-member pricing, a typical treatment course becomes cost-prohibitive fast:

Non-Member Costs:

Women (5 vials total): $3,000
Men (8 vials total): $4,800

*Essentials Plus Member Pricing ($450/vial):*

Women (5 vials total): $2,250
Men (8 vials total): $3,600

If you're committed to completing a Kybella series, membership enrollment pays for itself immediately while providing access to preferential pricing on neurotoxin, fillers, and facials across the same treatment timeline.

Consider: Most patients benefit from combining Kybella with Ultherapy (skin tightening) or TriLift (muscle stimulation + RF) for comprehensive jawline rejuvenation. Membership pricing applies to all services.

* Essentials Plus is the most popular membership as of January 2026.

Post-Treatment Protocol:
Optimize Your Recovery

We strongly recommend pharmaceutical-grade post-care to support healing, reduce inflammation, and optimize skin quality during the recovery period.

PRE-TREATMENT INSTRUCTIONS

Remove all jewelry from the treatment area
Arrive with clean skin; remove makeup if possible
Avoid excessive sun exposure or tanning beds for 1 week prior
Avoid NSAIDs (ibuprofen, Advil, aspirin, Aleve) for 3-5 days before treatment unless medically necessary (to reduce bruising risk)
Hydrate well in the 48 hours before treatment

POST-TREATMENT INSTRUCTIONS

Immediate (First 24 Hours):

Expect significant redness, swelling, bruising, tenderness, and firmness
Apply cold compresses for 10-15 minutes every few hours to reduce swelling (do NOT apply to numb areas)
Sleep with head elevated on 2-3 pillows for first 3 nights
Avoid touching, massaging, or manipulating the treatment area

First Week:

Take acetaminophen (Tylenol) or ibuprofen (Motrin/Advil) every 4-6 hours as needed for discomfort
Makeup may be applied after 4-6 hours if no open wounds or active bleeding
Gentle cleansing with mild soap is permitted
Avoid strenuous exercise, heavy lifting, or activities that increase facial blood flow
Avoid alcohol consumption (increases swelling and bruising)

Weeks 2-4:

Continue gentle skincare routine
Gradually resume normal activity as swelling permits
Apply recommended post-care serums (Alastin INhance or Neocutis Bio-Serum)
Wear SPF 30+ daily to protect healing skin

When to Call Us: If swelling, redness, or tenderness persists beyond 7-10 days, or if you develop signs of infection (increasing warmth, pus, fever, expanding redness), contact us immediately at (603) 341-7100.

Before & After: The PM Aesthetics Difference

Before and after results of injectable neck contouring

Who Is NOT a Candidate for Kybella

We will refuse treatment if:

You have an active infection in the treatment area
You are pregnant or breastfeeding
You have difficulty swallowing (dysphagia)
You have bleeding disorders or take anticoagulants we cannot safely pause
You have unrealistic expectations about downtime or results
You have an important event within 2 weeks of proposed treatment
You are seeking "instant results" without commitment to the recovery process

This is medicine, not customer service. If Kybella is not the right treatment for your anatomy, timeline, or expectations, we will tell you.

Why We Only Use Allergan Products

PM Aesthetics exclusively uses Allergan's Kybella (deoxycholic acid), the original, FDA-approved formulation with the most extensive safety and efficacy data.

We do not use:

Compounded deoxycholic acid formulations
Off-brand or international "equivalent" products
Gray-market or discount suppliers

You have a right to know what's being injected into your body. Every vial is pharmaceutical-grade, lot-traceable, and documented in your medical record.

The Bottom Line: Is Kybella Right for You?

Kybella works. It's permanent. It's uncomfortable. It requires commitment to recovery.

If you want to eliminate submental fat without surgery, can tolerate 7-10 days of significant facial swelling, and are willing to complete the full treatment series, Kybella is the most effective non-surgical option available.

If you're looking for a "quick fix" with no downtime, Kybella is not for you. We won't sell you something that doesn't match your lifestyle or expectations.

This is structural fat reduction. It's medicine, not magic.

FREQUENTLY ASKED QUESTIONS

Kybella is an FDA-approved injectable treatment that reduces fat under the chin and improves the contour of the jawline and neck.
Kybella contains deoxycholic acid, a naturally occurring molecule that breaks down fat cells. Once destroyed, the fat cells are permanently eliminated from the treated area.
Ideal candidates are adults with moderate to severe submental fat (double chin) who are at or near their ideal body weight and have good skin elasticity.
Each session usually takes 15–30 minutes, depending on the area being treated.
Most patients require 2–4 treatments spaced about 4–6 weeks apart, though the number may vary based on the amount of fat and desired results.
Treatment involves multiple small injections. Most patients feel mild discomfort, which can be managed with ice or a topical numbing agent.
Results appear gradually as the body metabolizes the destroyed fat cells. Many patients notice improvement after 4–6 weeks, with full results after all treatments are completed.
Yes. Once fat cells are destroyed, they do not return. Maintaining a stable weight helps preserve results.

Join Us on Your Aesthetic Journey

Every PM Aesthetics consultation begins with lifestyle assessment, not treatment sales. We evaluate sun protection, nutrition, sleep, stress, exercise, and other factors that determine 70-80% of aging outcomes. If your lifestyle foundation needs attention, we'll tell you, even if it means less treatment revenue for us. Medicine first, always.

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