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Submental Fat Reduction (Kybella™) city, state

Kybella Injection Logo San Francisco facial plastic surgeon Dr. Evan Ransom is excited to offer Kybella™ — the latest non-surgical, minimally-invasive treatment for submental (chin and upper neck) fat reduction. Kybella™ (from Kythera® biopharmaceuticals) is an injectable medication that helps the body dissolve superficial fatty deposits. It has recently been FDA approved for use in the difficult to treat double chin and neck areas. The procedure is performed in the office with minimal discomfort and no downtime.

Kybella™ is a solution of deoxycholic acid, a medicine that promotes the absorption of fat cells and reduction of soft tissue volume when it is injected into the submental fat. During the treatment, patients will receive a number of carefully planned injections of the medication directly into the fatty tissue. The number of injections depends on the size and volume of the area in each patient. For some people, this will be 10 to 15 spots, while others may need up to 30 or 40. Then, over a period of a few weeks, a gradual reduction in the volume of the treated area will be seen. Some patients will have adequate reduction after one treatment, while most will need three or four sessions to achieve the desired aesthetic result. In studies, patients with the largest area to be treated required up to six treatments.

Who is a candidate?

Anyone with submental (under the chin and upper neck) fat deposits (“double chin”) may be a candidate for Kybella™ treatment. The ideal patient has well-defined fullness with good skin elasticity. Patients with significant excess skin may be better served with different techniques (e.g., liposuction, ThermiRF, face or neck lift). Dr. Ransom can help you decide if Kybella™ is right for you during your consultation.

Frequently Asked Questions

Question: How long does the treatment take?
Answer: Each treatment session takes about 20 minutes. This involves preparing the skin surface, outlining the injection sites, and placing the Kybella™ injections.
Question: How many treatments are there?
Answer: The total number of injection sites and treatment sessions are dependent on the size and thickness of the area to be treated. Patients with a larger neck or more fatty tissues will need more injections per treatment and more treatment sessions. According to the studies performed by Kythera®, patients with the most severe cases may need up to six Kybella™ treatment sessions.
Question: Does it hurt?
Answer: Kybella™ is injected with a tiny (31 gauge) needle with minimal discomfort. In addition, patients may choose to have a topical numbing cream prior to the treatment to further reduce the sensation in the treated area.
Question: What is the downtime? Can I go back to work afterward?
Answer: There is minimal downtime from Kybella™ treatments. The injected area may be slightly swollen or irritated. This resolves in most patients within 24 to 48 hours. No specific post-treatment measures or restrictions are required. Many patients will go back to work after their treatment session; other patients will return the next day. This is largely personal preference.

Before & After Photos

male patient neck front - before and after Kybella fat reduction photo

male patient neck side - before and after Kybella fat reduction photo

female patient neck front - before and after Kybella fat reduction photo

female patient neck side - before and after Kybella fat reduction photo

female patient neck front - before and after Kybella fat reduction photo

female patient neck side - before and after Kybella fat reduction photo

female patient neck side - before and after Kybella fat reduction photo

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.