Even a little extra fat in the upper neck area can cause the appearance of a "double chin" that can be bothersome to both men and women. The excess pockets of fat under the chin (also known as the submental area) may be caused by genetics, weight fluctuations, or aging that lead to a weaker chin and jawbone for an undefined profile. Board-certified plastic surgeon Dr. James Fernau is proud to offer a new way to get rid of neck fat at his practice in Pittsburgh, PA. Approved by the Food and Drug Administration (FDA), Kybella is the first nonsurgical treatment for submental fat. The active ingredient in Kybella is a synthetic version of deoxycholic acid (DA) that acts like the natural DA in the body to break down and absorb fat. Once it is injected under the chin, you may see a noticeable reduction in fat. When the fat is destroyed, the cells cannot return, so you are able to enjoy your new, slim profile and strong jawline for years to come.
"If you want to be treated like family and get world class treatment at a very very reasonable cost this is the place to be. Thanks a lot doctor, and you wonderful staff. The best experience I have had at any doctor's office."- P.G. / Facebook / Sep 02, 2015
"I saw Dr. Fernau about having a microneedling procedure to correct scarring. He was professional, friendly, and clearly explained the treatment details. Many thanks to Cindy (Aesthetician) who was great! She was conscientious and made me feel comfortable during all the treatments. Dr. Fernau and his entire staff were so friendly and made me feel welcome in the office. I would highly recommend Dr. Fernau and his team to anyone interested in having plastic surgery."- C.B. / Google / Mar 13, 2020
"Skin Care at Dr. James Fernau's office with Esthetician Cindy.I have been a client of Cindy for many years. She is amazingly knowledgeable of skincare and various skin treatments. She will no steer you wrong. She is honest and has the clients' best interest at heart. She puts you at ease and there is absolutely no intimidation with her. She produces results! I highly recommend Cindy!"- B.B. / Google / Mar 06, 2020
"Had a severely deviated septum from past injuries. Dr. Fernau fixed me up and my breathing is now great. His staff is fantastic, from Sheila to Josh - I felt valued and informed throughout the process, pre through post op."- D.W. / Google / Feb 27, 2020
"Thank you fellow reviewers!!! You are so right!!!! Based on your reviews, I chose Dr. Fernau for my injectable adventure. I was terrified because years ago I had a bad experience but from the initial contact with Josh I knew this was the right choice. Have you ever had fun making an appointment? Well Josh is super! His easy going manner, super personality and patience answering questions was beyond what would normally be expected. Upon arrival at the office, he made you feel welcomed like a friend, rather than one of many consumers. And that feeling continued as Amber, Dr. Fernau's Medical Assistant ushered me back to the office where she too exhibited patience and caring with all my questions and concerns. She also is a joy! When I met Dr. Fernau, he was thorough, patient, confident, caring and made my fears disappear. He answered all my questions without fatigue and I felt instantly comfortable. I can't explain the confidence I had in him after I met with him, and as it turned out, that confidence was well deserved. What I love about Dr. Fernau is that my injection outcome seemed as important to him as a major plastic surgery event. I am very pleased with the results and appreciate the time Dr.Fernau gave me over a few weeks to make sure everything turned out perfect! During the course of those visits I met with Sheila, who also is proficient in injectables. She is so pleasant and was also very concerned with a good outcome. I also met Cindy the Aesthetician, who was so gracious, speaking with me regarding other possible procedures down the line. Really, I couldn't be happier!!! Thank you Dr. Fernau for your excellence and your total office experience. I will be back. See you soon!"- C.M. / Google / Feb 25, 2020
After cleaning the area, we apply numbing cream and ice for patient comfort, Dr. Fernau will then inject Kybella into multiple sites under the patient’s chin. Most patients will begin to see visible results in 2 – 4 treatment sessions. Patients can have up to six treatment sessions with less than a month in between each session. After the treatment, patients may have temporary swelling, bruising, pain, numbness, or redness.
Before/After The Procedure
Injections of Kybella don't need general anesthesia, so you are allowed to leave our office when you are ready to return to your daily routine. You may notice short-term bruising, swelling, or numbness below your chin, although this shouldn't last more than a couple of days. Contact our office right away if you are noticing any unusual symptoms, including difficulty swallowing, facial muscle weakness, or if your facial expressions are uneven. While the fat that is eliminated does not regenerate, the cells left over can grow larger, so you need to keep a stable weight after your Kybella treatments to keep new pockets of fat from developing. Ideal results after this procedure leave your neck appearing tighter and sleeker and your neckline will be better defined.
Surgical Neck Liposuction
Kybella is an alternative to surgical neck liposuction for patients who only need fat removed from the area under their chin. If the patient wants fat removed from the rest of the neck, surgical neck liposuction is the best option. Dr. Fernau will help every patient determine their best treatment plan after listening to their concerns and goals in the initial consultation.
Plan Your Procedure
- Average Cost
- From $1,300
While it is being researched, Kybella is not currently approved to eliminate fat in any other areas of the body and Dr. Fernau can only inject Kybella into the area below the patient’s chin. The uses of Kybella will hopefully be expanded, but for now, patients can enjoy getting rid of their double chin with Kybella.
Before receiving Kybella injections, Dr. Fernau will ask about the patient’s current medications and medical conditions during their initial consultation. Patients who are pregnant or breastfeeding may not get Kybella injections. Kybella is also not available for anyone under the age of 18.
How does It Work?
The body naturally makes deoxycholic acid (DA) to break down and destroy fat. The active ingredient in Kybella is a synthetic version of DA, which destroys fat in the submental area. Once destroyed, these fat cells cannot return. However, the remaining fat cells can get larger if the patient gains weight.