Washington, D.C. (202) 785-4187


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One of the most innovative and game-changing treatments in the cosmetic enhancement industry is KYBELLA, also called the "double chin shot." Here in Washington, D.C. at West End Plastic Surgery, we were one of the first area practices to offer KYBELLA, the only injectable treatment approved by the FDA to reduce submental fat — the fat that accumulates on the upper neck and causes a double chin. This simple, quick treatment is an effective and impressive alternative to surgery.

If you want to learn more about KYBELLA, request a consultation online to meet with Dr. Ruff, or call our office at (202) 785-4187 and a member of our knowledgeable staff will schedule a consultation.

Before & After KYBELLA

Before photo
After photo
Before photo
After photo

Most patients see optimal results after 2 to 4 treatment sessions. This 39-year-old woman is shown before and after 3 treatments.
Photos courtesy of KYTHERA®


Fat below the chin is difficult to eliminate, even for women and men who watch what they eat and get plenty of exercise. A double chin is a common concern for many people, no matter how thin they are.

KYBELLA is the first safe and effective minimally invasive treatment that specifically targets the submental fat that causes the appearance of a double chin. It uses a chemical that occurs naturally in the body, deoxycholic acid, which helps break down and eliminate dietary fat. When it's injected, KYBELLA destroys fat cells in the treatment area. The damaged cells are then flushed away naturally by the body, resulting in a slimmer, smoother contour.

What Happens During KYBELLA treatments?

Dr. Ruff evaluates each patient to ensure KYBELLA is appropriate and to customize the treatment to your needs. At the outset of the treatment, we cleanse the area and use a numbing anesthetic before marking several injection sites. Each session includes multiple injections. The number varies depending on your needs, but 25 to 35 very quick injections are typical.

The total treatment time is less than 20 minutes.

You will need more than 1 treatment for KYBELLA to produce optimal results. Most patients undergo 2 to 4 treatments, although up to 6 treatments are possible. The treatment sessions are schedule about a month apart.

Paul G. Ruff IV
M.D., F.A.C.S.

Personalized, compassionate patient care is the foundation of West End Plastic Surgery's philosophy. Our board-certified surgeon, Dr. Paul G. Ruff IV embraces innovative techniques to ensure our patients get the best treatments available.

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Are There Alternatives?

KYBELLA represents a groundbreaking alternative to other surgical and non-surgical procedures that improve the appearance of the neck and jawline. It is the only injectable treatment specifically designed to eliminate fat under the chin. Other treatments include:

Dr. Ruff may recommend one of these other treatments if the skin on your neck has lost elasticity or the underlying tissue and muscle of your lower face and neck need lifting to get the aesthetic results desired.

What Are the Side Effects of KYBELLA Treatments?

KYBELLA treatments require little to no downtime, but there are some minor side effects that typically last a few days. The most common side effects are swelling and bruising. Icepacks and pain relief medication are typically enough to manage any discomfort associated with the treatment. Some patients notice redness or tenderness around the treatment area. These are temporary and resolve fairly quickly.

Are the Results Permanent?

Yes. Fat cells destroyed by KYBELLA injections are eliminated from your body, so the results are considered permanent. Even patients who gain a moderate amount of weight after getting KYBELLA treatments should not notice the re-emergence of a double chin. The aging process continues, which results is the loss of skin elasticity, and patients who gain significant weight likely will see the KYBELLA results compromised.

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West End Plastic Surgery 2440 M Street Northwest #200
Washington, District of Columbia 20037 (202) 785-4187 Monday–Friday: 8 a.m.–4:30 p.m. Get Directions