Last updated: September 18, 2026
Kybella is on a lot of Utah med spa menus. It isn’t on mine.
Here’s the honest math, and what I’d look at instead.
What is Kybella?
Kybella is an injectable form of deoxycholic acid. Injected under the chin, it destroys fat cells so your body can clear them. The fat that goes is gone for good.
That part is true. The problem is what it takes to get there.
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Why don’t you offer it?
By the time you see the result, you’ve paid for liposuction.
Kybella takes five or six sessions to produce a result most people are happy with. Each one costs money. Each one comes with one to two weeks of real swelling under the chin.
Add it up and you’re at the price of submental liposuction — which would have done more, in one visit.
I’m not going to take you down a six-visit road to arrive somewhere a single better procedure would have gotten you.
So what actually helps a double chin?
Usually one of three things, and rarely the one people expect.
Filler in the midface and jawline. This is the one that surprises people. A well-supported midface and a defined jawline change the whole profile. Most of what reads as a “double chin” in photos is a soft jawline with nothing holding the structure above it. Good filler work does more here than removing fat ever would.
Botox in the masseters. Relaxing the masseter muscles slims the lower face and brings the proportions back into balance. $389 for large areas, which includes masseters.
Submental liposuction — if it really is a lot of fat. When the fullness under the chin is genuinely fatty tissue, liposuction is the gold standard. Not Kybella. It’s a single procedure, it can be done in a clinic setting, and it is often surprisingly cost-effective.
If you send me for liposuction, how do I not get upsold?
Say this, exactly: “I only want submental liposuction. Nothing else.”
Plastic surgery consultations have a way of expanding. A neck lift gets mentioned. Then a facelift. If all you need is the fat under your chin removed, say so plainly and hold the line. It’s a smaller, cheaper procedure than what you’ll likely be offered.
I’d rather you hear that from me before you walk in than wish you had afterward.
How do I know which one I need?
You don’t, from a mirror. Neither do I, from a photo.
Come in and let me look. Fat, skin laxity, and jawline structure look similar from the outside and need completely different answers. Picking wrong is how people spend a year and a lot of money on the wrong thing.
What does a consultation cost?
New patients receive a $400 treatment credit with their first consultation.