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New York facial cosmetic surgeon Amiya Prasad, MD reviews the effectiveness of non-surgical procedures such as Kybella to treat double chins as opposed to surgical procedures like liposculpture, the different anatomic issues that can be described as a double chin, and their different treatment options:
0:20 - What Kybella® is
0:53 - Kybella® as an option for double chin treatment
1:08 - Dr. Prasad’s credentials and experience with double chin using different methods including liposculpture, and non-surgical procedures
2:32 - What deoxycholic acid is
2:57 - How patients respond to non-surgical treatment for a double chin
3:08 - The number of treatment sessions required for Kybella
3:22 - Possible side effects of Kybella® injections
3:31 - The challenges of using Kybella®
3:55 - Dr. Prasad’s objective when recommending procedures
4:07 - How people respond to surgery in general, and how non-surgeons and non-physicians unethically take advantage of this fear
4:20 - Dr. Prasad’s basic principles help patients who are apprehensive about surgery
4:27 - How entering the skin with a needle is an invasive procedure
4:37 - How a surgical procedure performed under general anesthesia can be safer than non-surgical procedures
4:52 - Dr. Prasad’s experience with surgery using local anesthesia LITE IV sedation
5:02 - The benefits of surgical procedures for a double chin
5:32 - Misconceptions of Kybella®’s effectiveness due to aggressive marketing of the company and practitioners
5:50 - The limits of facial liposculpture and Kybella®
6:17 - What face and neck liposculpture is
6:28 - How to address loose neck skin
6:39 - What a facelift is
6:48 - What procedures are best for loose neck skin due to aging
6:55 - Why suture suspension neck lift can help people with moderate skin laxity
7:05 - Why non-surgical laser jowl lift is the recommended treatment for a small amount of fat
7:25 - What platysmal bands are
7:39 - How platysmal bands can be addressed with neurotoxins such as Botox®, Dysport®, and Xeomin®
7:50 - How significant skin laxity can also be treated with a neck lift
7:56 - What a low hyoid bone is, and how it can appear as a double chin
8:16 - How a deficiency in bone volume can cause loose skin under the chin
8:28 - Dr. Prasad explains how he performs Structural Volumizing using hyaluronic acid fillers, such as Juvederm Ultra Plus XC and Juvederm Voluma XC
8:57 - Dr. Prasad shows how to recognize different anatomic issues that can be described as a double chin
9:15 - Why a proper examination by a doctor without bias is important to understand what treatment strategy is best
9:40 - Why facial liposculpture should be considered when pondering Kybella® treatment
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