Kybella is designed to permanently reduce excess fat beneath the chin, improving jawline definition and restoring facial balance. Even patients near their ideal body weight may struggle with localized submental fat resistant to diet and exercise.



Kybella is designed to permanently reduce excess fat beneath the chin, improving jawline definition and restoring facial balance. Even patients near their ideal body weight may struggle with localized submental fat resistant to diet and exercise.
This non-surgical double chin treatment requires no incisions, anesthesia, or liposuction and is performed comfortably in-office on the Upper East Side.
At Marie Hayag, MD, Kybella injections are administered by a board-certified dermatologist with expertise in facial anatomy. Precision is critical in the submental region to avoid underlying structures, including the marginal mandibular nerve.
Unlike many medspa settings, treatment here includes:
Although Kybella is non-surgical, it is still a medical procedure requiring expert oversight to reduce risks and achieve balanced, natural-looking results.
Kybella is an FDA-approved injectable (approved in 2015 for submental fullness) containing synthetic deoxycholic acid, a naturally occurring molecule that breaks down fat. Injected into submental fat, it permanently destroys fat cells, which the body then gradually metabolizes. The treated area becomes more contoured over time.
When injected into submental fat:
Kybella is most commonly used for:
In select cases, small localized fat pockets elsewhere may be treated following physician evaluation.
A board-certified dermatologist assesses facial anatomy, fat distribution, skin elasticity, and overall contour goals.
A physician-guided injection grid ensures even fat reduction while avoiding nerves.
Deoxycholic acid breaks down and destroys targeted fat cells.
Over several weeks, the body clears the treated fat cells. Results improve progressively with each session.
Kybella may treat:
A consultation determines whether Kybella is appropriate or whether surgical liposuction or other treatments may be more suitable.
Each session typically lasts 15-30 minutes. During treatment, small injections are strategically placed under the chin. A mild burning or stinging sensation may occur temporarily, and ice or topical numbing can be used for comfort.
Because Kybella is non-surgical:
Swelling is expected, commonly lasting 3-7 days. Most patients require 2-4 sessions spaced several weeks apart, depending on submental fat volume and response.
Yes. Destroyed fat cells are permanently eliminated and cannot regenerate. Clinical studies show significant improvement after a treatment series. Maintaining a stable weight helps prevent new fat accumulation in untreated areas.
Many patients weighing their options want to understand which approach is right for their anatomy and lifestyle. Both Kybella and liposuction can effectively reduce submental fat, but they differ significantly in process, recovery, and ideal candidacy.
| Kybella | Liposuction |
|---|---|
| Non-surgical injectable | Surgical |
| None | Local or general anesthesia |
| Minimal downtime | 1 to 2 weeks |
| 2 to 4 treatments | Single procedure |
| Gradual results over weeks | More immediate results |
| Mild to moderate fat, non-surgical preference | Larger fat deposits, faster results |
| None (no scarring) | Minimal incision marks |
| Permanent | Permanent |
Excellent rating
Based on 110 reviewsTrustindex verifies that the original source of the review is Google. Dr. Hayag has been my excellent dermatologist for more than 20 years! I won’t reveal my secrets but I will recommend her highly! Phyllis LeeTrustindex verifies that the original source of the review is Google. I had an amazing experience with Dr. Hayag! I went in for a preventative skin check and botox. She is incredibly thorough, knowledgeable, and precise. I can't wait for my next visit! Rachel AncelTrustindex verifies that the original source of the review is Google. Dr. Hayag has been my dermatologist since I was young, and I truly cannot recommend her highly enough. She treated my acne when I was younger, and I have continued to see her over the years for any skin concerns that come up. She is always incredibly thorough, knowledgeable, and caring, and I completely trust her. On top of that, her entire staff is so warm, kind, and lovely, which makes every visit such a positive experience. I’m so grateful to have had her as my dermatologist for so many years. KatieTrustindex verifies that the original source of the review is Google. Landy AguiarTrustindex verifies that the original source of the review is Google. My entire family has been seeing Dr Hayag for over a decade for general dermatology. She’s extremely knowledgeable and provides the best level of care and advice. She’s been equally good for my kids as teens and young adults, focusing on prevention and healthy skin habits. The entire staff is kind and friendly, keeps appointments on time and has great communication. I’m a patient for life - a wonderful doctor and practice. Patricia FalconiTrustindex verifies that the original source of the review is Google. Dr. Hayag is an amazing doctor. Very caring and gentle with her patients. I have been with her for years and will continue to be with her. I highly recommend her. Ann NellissenTrustindex verifies that the original source of the review is Google. Everyone in the office is so kind and sweet to me I appreciate how they take their time to address my concerns mimi chungTrustindex verifies that the original source of the review is Google. My visit to Dr. Hayag’s Office was superb. No waiting, lovely professional help and Dr. Hayag with an easy confident manner, artistic eye and quick hands managed to make my experience the best ever. I’m so grateful to be in her care. mary ConleyTrustindex verifies that the original source of the review is Google. ⭐️⭐️⭐️⭐️⭐️ Dr. Hayag is an extraordinary dermatologist whose expertise, compassion, and commitment to excellence are unmatched. I have been under her care for over 15 years, and she remains the only dermatologist I trust implicitly. I travel from out of state, over two hours each way for my appointments, which speaks volumes about the caliber of her care. Dr. Hayag’s mastery of dermatology is second to none. She stays at the forefront of innovation, continually advancing her practice by attending leading dermatology conferences and incorporating the most cutting-edge techniques and treatments. Yet what truly distinguishes her is not just her knowledge, but her humanity. She takes the time to listen, to educate, and to ensure her patients feel understood and empowered in every decision. Her genuine care and personal attention are evident in every interaction. She is meticulous, insightful, and wholly dedicated to achieving the best outcomes for her patients. Her office reflects her professionalism and taste, immaculate, serene, and inviting. Her staff embodies the same warmth and excellence she brings to her work, creating an environment that feels both luxurious and deeply personal. Dr. Hayag represents the gold standard in dermatology: exceptional skill, unwavering integrity, and a sincere devotion to her patients’ well-being. I highly and wholeheartedly recommend her to anyone seeking the very best in dermatologic care. Mary Ann MTrustindex verifies that the original source of the review is Google. My favorite mult-generational doctor! A long-time patient, I trust her judgment and skills so much that I've sent my daughters to Dr. Hayag too! Bee-Ann Benson
At Marie Hayag, MD, Kybella treatments are delivered through a physician-led, detail-oriented approach focused on safety, precision, and refined facial contouring. Each treatment plan is customized to your anatomy and aesthetic goals.
If you are seeking non-surgical double chin treatment and prefer board-certified expertise over medspa injectables, our Upper East Side practice welcomes you.
Call 212.722.2055 or Book Online to schedule your consultation.
Kybella is not a weight-loss treatment. It is a targeted fat reduction solution designed for contour refinement.
You may be a candidate if you:
You may not be an ideal candidate if:
A comprehensive evaluation ensures proper candidacy.
Common side effects: swelling, bruising, tenderness, redness, numbness, and firmness.
Rare but important: temporary marginal mandibular nerve injury (may cause uneven smile or weakness).
Board-certified physician oversight ensures safety through precise injection placement.
Most patients require 2-4 sessions. Treatment plans are customized based on fat volume and aesthetic goals.
Patients typically feel temporary burning or stinging during injection, which is brief and manageable.
Swelling is the most common side effect and typically peaks within the first 24–48 hours. Most patients experience noticeable swelling for 3–7 days, though mild puffiness can persist for 2–4 weeks. Wearing loose-fitting clothing around the neck and avoiding strenuous activity in the first few days can help manage it.
Kybella primarily reduces fat. Mild skin tightening may occur secondary to fat reduction but is not a skin tightening procedure.
Kybella dissolves fat via injection, while CoolSculpting uses cryolipolysis. Proper physician evaluation determines the most suitable option.
With physician-guided injections, results are gradual, balanced, and enhance natural facial proportions.
Schedule a personalized consultation with Marie Hayag, MD and her experienced team to receive physician-guided Kybella treatment designed to refine facial contours and permanently reduce unwanted fat.

212.722.2055