Double Chin treatment expert NYC

Kybella® Treatment expert NYC

What is Kybella®?

Kybella is the first and only FDA approved non-surgical treatment for reduction of stubborn fat under the chin area. It is indicated for people suffering from moderate to severe neck fullness or double chin appearance who do not wish to undergo invasive surgery like liposuction, but wish to still achieve reduction of fat and better chin profile

How does Kybella® work?*

Kybella is made from Deoxycholic acid, which is a naturally occurring substance in our bodies and it is responsible for breakdown of fat cells (lipids). It is a cytolytic drug which disrupts fat cell membranes by a mechanism called lysis, aka cell burst.

*To learn more how Kybella works, please visit:


Who can get Kybella® Treatment?

According to 2015 survey completed by the American Society for Dermatologic Surgery , nearly 67% of adult consumers said they were bothered by submental fullness. In general, adults over the age of 18 who are bothered by their neck profile and feel like they have excess under chin fat are eligible. To determine if you are a candidate, a detailed physical examination must first be performed by Dr. Avaliani during your consultation visit.

Is Kybella® a single treatment or multiple?

Kybella is usually performed as a series of treatments, usually between 2-4 but up to 6, which are scheduled at least 4 weeks in between. One must understand that each individual varies in anatomy and the amount of submental fat, therefore, the treatment plan varies from person to person. Some people can achieve desired result after just one treatment, while for some it will generally take anywhere between 2-4 treatments.

Can fat cells return after Kybella® treatment?*

Kybella works by causing disruption of vital cell membranes resulting in lypolysis. Once the cell is destroyed it cannot store or accumulate fat again.*  Further treatments might not be necessary once the desired outcome or profile has been achieved. 

* To learn more how Kybella works, please visit:

Will I have loose skin after Kybella® Treatment?

Younger patient usually do not have any residual skin laxity since their skin already has good tone. For Older patient whose skin is a little loose , after Kybella treatment, their skin usually gets tighter, but in case there will be small residual area of loose skin under chin, Dr. Avaliani can offer a treatment combination with Ultherapy, the one and only non invasive FDA approved skin tightening device.


How do I prepare before my treatment?

One should not consume any alcoholic beverages at least 48 hours before the treatment. If you are taking Aspirin for medical concerns, please consult with your medical provider first, if it would be okay to stop it one week before your treatment.

How is the procedure performed?

Dr. Avaliani will mark the treatment area first. She will then thoroughly clean and disinfect the skin and apply a stencil treatment guide to the area to be injected. The amount of injection sites will depend largely on individual’s anatomy and the size of the area to be treated.

How long does the procedure take?

It usually takes 15-20 min. The procedure is performed under sterile conditions and Dr. Avaliani is one of very few physicians in New York to offer direct vessel visualization using a special light (AccuVein) to help avoid injecting into a small vessel or a vein, therefore reducing any chance of potential bleeding or bruising.

*To learn more how Kybella works, please visit:

How much does it cost?

The cost of the procedure will be determined at the time of your evaluation. Dr. Avaliani will apply a treatment grid and explain to you the amount of product that will need to be used in the treatment area. The cost of the treatment directly correlates with the amount of product to be used.
Dr. Avaliani completely understands that this treatment is highly desirable amongst many young professionals who might not be able to afford it and she gladly offers CareCredit option to who who qualify for this non invasive and life changing treatment.

How long is the downtime after the treatment?

There is virtually no downtime after this procedure and patients may return right back to their regular duties. Most often, patients choose to have this procedure performed at the end of the workday or before the weekend and Dr. Avaliani has office hours to accommodate those time slots.


What are contraindications to Kybella® treatment?

Presence of an active skin infection at the site of potential injection site is an absolute contraindication to receiving your treatment.

What are the most common adverse effects after the treatment with Kybella?

The most common side effects reported were swelling, pain, bruising, bleeding, numbness, redness and tenderness to touch. The most significant and discomforting side effect was swelling , which can become significant, but the swelling is a sign of the product working and actively reducing those fat cells. There is no reliable way to predict the individual change of developing swelling, but generally younger individuals with firmer skin tone develop less swelling compared to older individuals, who have less skin elasticity and can afford to accommodate more swelling. The amount of swelling is usually the greatest after your first treatment, and usually minimal to none occurs at the second or even third treatment visit.

What is Kybella satisfaction rate?

An outstanding 79% of patients treated with Kybella reported satisfaction with their appearance in face and neck contour and also reported looking younger *

*Results and duration of effect may vary, no guaranty of specific results can be given. Degree of side effects may vary, for full disclosure please read consent for the procedure before your treatment.


Written by: Anna Avaliani, MD

Keep your Chin UP with Khloe Kardashian and Kybella
Tired of Double Chin and want to get rid of it? There is finally a solution with just a few injections!
No Surgery
No Scars
No Downtime

What is Kybella and Why is it so HOT?
Kybella (deoxycholic acid) is an FDA approved injection for elimination of stubborn fat under the chin area. The fat is destroyed giving you an instant slimmer and younger look 🙂
Khloe Kardashian gained a new boost of self confidence after using Kybella. Her under chin was just not going away no matter how well she was eating or how much she was exercising. It simply was not enough and surgery was out of the question. That’s when Kybella came to the rescue. Now, Khloe looks simply stunning, she looks her self but much improved and that’s why she is sharing her story.

Why is Kybella so Hot?
The under chin area has been historically very difficult to treat and required invasive surgery like liposuction. While liposuction gave great results, it did require anesthesia, downtime with time off from work/school and left a small scar under the chin. What makes Kybella so hot is that it’s a quick in office procedure of about 15min long, fairly pain free and requires no anesthesia and leaves no scars!
It is also great for people with a very small amount of under chin fat that thy have been trying to unsuccessfully eliminate. Liposuction might be too much for that one small area, but Kybella is just perfect.

Kybella vs Liposuction?
The decision to have Kybella or Liposuction depends on a few factors:
Age, the amount of under chin fat, can one take time off from work, can one have anesthesia and finally the price. Sometimes the price of Kybella treatment will be the same as that of Liposuction, but what’s important is that the patient should choose what option will work the best for them. Surgery is not for everyone and many people would rather have a few injections than go under the knife.

How much does Kybella treatment cost?
Kybella treatment is priced per vial. The number of vials needed for the treatment is determined by Dr.Avaliani at the time of your consultation. On Average 1-3 Vials can be injected into the treatment area. The amount of treatments really depend on the amount of under chin fat. Some people might have phenomenal results after just 1 single vial treatment and these people usually have a small amount of under chin fat. Others might need 2-3 vials in a single treatment session and may need as many as 6 treatment sessions to achieve optimal results

How do I know if Kybella is right for me?
Dr.Avaliani will gladly discuss and evaluate you to determine which treatment is best for you.