Koch Facial Plastic Surgery & Spa
4855 Mills Civic Parkway #100
West Des Moines, IA 50265
Phone: (515) 277-5555
Fax: (515) 277-0060
Monday-Friday, 8 a.m.-5 p.m.

KYBELLA® vs. Chin Liposuction: Why the Treatments Are Neck and Neck

Writer Nora Ephron wasn’t the first person to feel bad about her neck, and she certainly won’t be the last. To meet the demands of people who want a neck treatment to address a double chin, we’ve adopted 2 distinct fat reduction options at our Des Moines cosmetic surgery clinic: injectable KYBELLA® and surgical facial liposuction.

The neck is often the first to show its age thanks to a combination of frequent sun exposure and thin, delicate skin. But perhaps more frustrating than aging of this area is the accumulation of fat in the form of a double chin. This pocket of fat can appear on anyone, regardless of their weight or level of physical fitness. It can also be incredibly difficult to get rid of, even with frequent trips to the gym. So, you may ask, what are differences between KYBELLA and liposuction and which might be best for you?


This completely nonsurgical treatment uses an injectable product to dissolve fat cells beneath the skin. The active ingredient in KYBELLA is called deoxycholic acid, and it occurs naturally in our bodies. Its primary purpose is to break down the fats in the food we eat, making them easily digestible. But when purified, isolated, and administered to fat beneath the skin, it can dissolve the fat that makes us feel self-conscious. Patients like FDA-approved KYBELLA because it’s relatively straightforward—a series of appointments can create permanent results. However, it’s important to know that KYBELLA results can take some time to develop. Additionally, undergoing several treatments doesn’t work for everybody.

Chin Liposuction

Liposuction of the neck and chin is actually a more common treatment than you might think. This approach uses a very small cannula (the hollow probe used to suction away fat) to remove fat cells through short incisions that typically heal to become small, discreet scars. Liposuction is a good option for many people because it allows us to take a bit of “artistic license” with the treatment area. Instead of merely removing fat, we can manipulate the remaining fat to create a natural-looking profile and attractive contours. You can see what’s possible in our gallery of before-and-after photos.

While liposuction on large areas of the body can require up to a week of at-home recuperation, liposuction on an area as small as the chin typically requires a much shorter recovery period than most patients anticipate. You may be able to return to work and other light daily activities as soon as a couple of days after your chin or neck liposuction. Like KYBELLA, the results of this approach have the potential to be permanent since fat cells do not usually grow back once they’ve been removed. However, maintaining a healthy lifestyle after your procedure can ensure that your body looks as good as your newly contoured neck.


We would be remiss if we didn’t offer a nod to CoolSculpting, of course. This exciting fat-freezing device has earned a reputation for creating beautiful results on the abdomen, arms, and legs, but recently it’s also been approved to improve the look of a double chin. Using a specially shaped applicator, the CoolSculpting device rests comfortably on the contour beneath your chin, freezing unwanted fat cells. Over the next few weeks after your completely non-invasive treatment, the fat cells die and are naturally filtered out of the body. CoolSculpting of the double chin is a good option for patients with a limited amount of fat beneath the chin. Typically, a single treatment is all that’s required, although some patients find optimal results after 2 treatments.

Regardless of the treatment you choose, it’s important to choose a board-certified facial plastic surgeon like myself or my business partner Dr. Cody Koch. We’ll listen to your goals and talk to you about the options available to you, helping you work toward the goal you want.

To find out which treatment is best for you, request a consultation online or call our office at (515) 277-5555.

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