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.


What is KYBELLA?

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.

Most patients see optimal results after 2 to 4 treatment sessions.


We’re as thrilled with our patients’ results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons and nurses do.

What happens during KYBELLA treatments?

Dr. Ruff or one of our certified nurse injectors evaluate 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.

Double Chin Treatment: Kybella - Dr. Paul Ruff | West End Plastic Surgery

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.

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.

Kybella For Arm & Belly Fat

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:

Your provider 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.

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