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Bothered by a double chin? Meet Kybella.

Kybella is the first FDA-approved injectable that helps reduce a fatty double chin – without surgery. Kybella is a prescription cosmetic injection treatment that destroys targeted fat cells. The active ingredient (synthetic deoxycholic acid) occurs naturally in the body, helping it absorb dietary fat.

When the synthetic version is injected into the fatty areas beneath your chin, the fat cells are destroyed and then swept away by the body, leaving you with a more youthful, sculpted neck profile.


Bothered by a double chin? Meet Kybella.

Many men and women are bothered by excess fat accumulating beneath the chin. Submental fullness or a “double chin” can come about due to a genetic predisposition, from weight gain or as a natural result of the aging process. Regardless of the cause, a double chin will make you appear older or heavier than you actually are. Fortunately, there are now several different options, both surgical and non-surgical, for improving your profile, including Kybella.

Non-surgical treatment for a double chin

At the Center for Aesthetics and Plastic Surgery, we offer FDA approved Kybella® injections, as well as CoolSculpting Cool-Mini, for reducing submental fullness by destroying fat cells under the chin. Liposuction is the surgical option to extract larger quantities of excess fat from beneath the chin. In addition, at the Center for Aesthetics and Plastic Surgery we also offer Ultherapy and Exilis Ultra for non-surgically tightening and lifting the skin.

Who is a good candidate for Kybella?

Good candidates for Kybella injections include men and women of all ages who are bothered by extra fullness beneath the chin or who are embarrassed by their profile – they can get relief with Kybella. These injections are appropriate for:

  • People who feel the excess chin fat makes them look heavier and older.
  • Those who want to reduce the appearance of a double chin without surgery.
  • Patients with excess neck fat beneath the chin.
  • People who retain a good level of skin elasticity.
  • People who do not have any current skin infection, swelling, or inflammation or other medical problem.
  • Those who have realistic expectations about what Kybella can and cannot accomplish.
Kybella Michigan
  • How does Kybella work?

    The active ingredient in KYBELLA® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that functions that helps the body break down and absorb dietary fat. When injected into the fat beneath the chin, KYBELLA® destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, those cells can no longer store or accumulate fat, so further treatment is not necessary, once you reach your desired aesthetic goal.

  • Expert RN injectors for Kybella

    Dr. Ringler and our expert RN injectors and certified physician assistants are very familiar with administering Kybella and will discuss your treatment protocol based on your unique physical characteristics and goals. It is extremely important that your Kybella injections are performed correctly and the product injected in the right areas, in the correct quantity. Our registered nurses and PAs are certified to inject Kybella, having undergone training specifically for this product.

  • What is the treatment like?

    A Kybella treatment is not difficult to experience and takes little time. You will have about 30 injections of the product, with a typical quantity of about three vials. Some patients will require several treatments, from between two to six, to achieve the look envisioned – every Kybella treatment is customized to match the current condition of the person.

    A Kybella treatment involves the following steps:

    • A numbing cream is applied.
    • A temporary grid tattoo with dots for injection sites is applied.
    • The injections are performed.
  • How long will it take for Kybella to work?

    You will need some patience to see the results of Kybella. The reduction of the fat beneath your chin will require many weeks or months. While you will be anxiously watching to see the fat disappear, when it does it is exceptionally rewarding.

    The fat cells that have been shed by your body’s natural processes are never coming back. The treatment does not affect all fat cells, however, and if you gain a large amount of weight, the remaining fat cells can swell. Statistically, between 75 and 90 percent of patients continue to have a slimmer facial profile after five years.

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Steven L. Ringler, MD, FACS

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How many Kybella treatments are necessary to realize results?

The number of Kybella treatments required are dependent on the amount of submental fat and goals of the patient. The number of treatments required for you will be discussed during your personalized consultation. Most patients require 2-4 treatment sessions.

What else should I know about Kybella?

Kybella results are not the same as undergoing a surgical neck lift. During your consultation, Dr. Ringler will examine your face and discuss your goals with you to determine the best treatment plan to help you achieve your goals. If you do opt to have Kybella treatments, each treatment session is about 15 to 30 minutes long. Most patients require between two to four treatment sessions spaced one month apart, but for some patients, more sessions will be required. Results will become evident within about four weeks following the first session.

Is there any downtime after Kybella treatments?

Typically, there is no downtime with Kybella, and patients resume their normal activities within a day. Some may experience light bruising or swelling.

For more information about Kybella, please call 616.328.8800 or contact the office of Grand Rapids plastic surgeon Dr. Steven L. Ringler at the Center for Aesthetics and Plastic Surgery.

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Steven L. Ringler, MD, FACS

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Practice Policy Update Regarding COVID-19 View Update

Practice Policy Update Regarding COVID-19

Dear Valued Patients,

We look forward to seeing you and are open as of Friday, May 29th as approved by the governor. There are some temporary changes at the office due to COVID-19 pandemic.

Current requirements for guests for treatment at CAPS include the following:

  • You will be asked some basic screening questions when you make your appointment:
    • Do you have a fever, cough or headache today or within the past two weeks?
    • To the best of your knowledge, have you or anyone in your family been exposed to COVID-19 within the past 2 weeks?
    • Have you traveled outside of the country in the past month?
  • Your temperature (touchless) will be taken upon arrival. A temperature above 100 degrees will necessitate rescheduling your appointment until a later date.
  • All of our guests will be required to wear a mask to enter the office.
  • No children in the reception area.
  • Extra visitors are limited to 1.

What we are doing to keep you and our team safe at CAPS:

  • Hand sanitizer will be provided outside of the main entrance and throughout the office.
  • We will require social distancing in the office and our large reception area will be limited to 2-3 guests at a time.
  • All hard surfaces in the office will be cleaned and sanitized throughout the day including: door handles, front desk, tables, desks, equipment and restrooms.
  • All team members will be wearing masks and will be screened every morning before work including temperature.
  • All treatment providers will be wearing masks and gloves.
  • As always, treatment providers will wash hands before and after each patient visit and change gloves between each patient.
  • All equipment in treatment rooms will be thoroughly sanitized between each patient visit.
  • We are installing an I-Wave ionization system to our HVAC system which continuously purifies the air killing bacteria and viruses as it circulates the air throughout the office.
  • Virtual consultations with Dr. Ringler and our treatment providers will remain available as well as in-person consultations.
  • Magazines and brochures will not be available in the office for the time being but are available virtually online.
  • Only bottled water is available for our guests at this time.

Thank you for your understanding. Our patient and team safety and well -being is our top concern.

Dr. Steven Ringler & the Center for Aesthetics and Plastic Surgery Team

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