Facial Sculpting

As we age, we lose fat from our face, especially under the eyes, in the cheeks, and in the pre-jowl regions. As these areas deflate, it makes the face look hollowed, creating shadows where there were none in youth. In addition to the shadows, the volume loss can cause wrinkles to form, especially in the area where dimples usually occur. Facial Sculpting aims to restore volume, smooth wrinkles, remove unwanted fat from certain areas, and give an overall more youthful appearance to the face and neck. Facial Sculpting involves the use of several different techniques including Injectable Fillers, Botox, Fat Transfer, and Facial Liposuction.

Injectable Fillers can temporarily add volume to the skin for a soother, more lifted appearance. Injectable Fillers includes hyaluronic acid fillers, such as Juvéderm® and Restylane® products, and calcium-based (calcium hydroxylapatite) fillers, such as Radiesse®. These fillers are often used in combination with neurotoxins, like Botox®, Dysport®, Xeomin®, or Juveau®, which relax expression lines and smooth wrinkles.

Patients that have volume loss combined with a loss of skin elasticity and excess stretched out skin, sagging facial features, and neck issues (extra fat under the chin, neck wrinkles, and vertical bands of the neck), may require additional procedures to achieve a more comprehensive rejuvenated appearance. For example, a Liquid Facelift may be combined with a traditional Facelift and Neck Lift or Facial Liposuction. It can also be combined with Eyelid Surgery (Blepharoplasty) to rejuvenate the eyes, thereby complimenting the improvements made in the rest of the face. The results of a Liquid Facelift can be further enhanced by incorporating the use of other non-surgical techniques such as good skin care, as with topical skin products (Retin-A, Vitamin C, Vitamin E), microdermabrasion, and facial peels.

Facial Liposuction can be used in combination with a Liquid Facelift or as a stand-alone-procedure. It’s not uncommon for excess fat to accumulate in the chin and jowl area. The additional heaviness in the lower face can counteract a youthful appearance, which unfortunately is not always easily improved with healthy eating and exercise. Facial Liposuction is performed on the delicate area with incisions placed in the mouth or under the chin. A very small cannula is used to suction out the unwanted fat and sculpt the face. When performed alone, facial liposuction can be completed with local anesthesia and intravenous sedation. After 1 to 2 weeks, swelling and bruising will subside and patients are left with a firmer lower face and neck.


As we age, many men and women will see unwanted fatty tissue begin to develop underneath the chin. This area of submental fat, more commonly referred to as a double chin, can add years to the appearance, and draw attention away from more attractive features. Sometimes a double chin is the result of weight fluctuations and a decrease in skin laxity, but more often it is related to genetic disposition. Submental fat is stubborn tissue that is difficult to address through exercise, diet, or weight loss.

Although the double chin is a common complaint, it remains one of the most undertreated areas of the face. This is because, up until now, the only successful treatment for submental fat was liposuction. Not everyone is ready to commit to this semi-invasive procedure and its involved recovery. However, the Nose and Sinus Institute of Boca Raton now offers a cutting-edge, non-surgical treatment for the double chin: Kybella®.

What is Kybella®?

Kybella® is the first and only injectable approved by the Food and Drug Administration (FDA) to permanently eliminate submental fatty tissue. The injectable is made from deoxycholic acid, a naturally occurring chemical that is used by the body to absorb unwanted fat cells.

Injected directly into the target tissue underneath the chin, Kybella® destroys the outer membranes of the fat cells. As the cells are dissolved, they are safely absorbed and eliminated by the body, leaving a sculpted, contoured chin. Kybella® does not affect the surrounding, healthy cells. Best of all, since eliminated fat cells do not re-form, the dramatic results from Kybella® are long lasting.

Each Kybella® procedure is carefully tailored to the individual patient’s aesthetic needs, depending on the severity of submental fat. Dr. Hancock and Dr. Nachlas may also recommend additional procedures to further rejuvenate the face, neck, and jawline, such as dermal fillers to replace lost volume, or Botox to ease fine lines and wrinkles.

Who is a candidate for a Kybella® treatment?

Almost anyone who is frustrated with the appearance of stubborn submental fatty tissue can benefit from Kybella®. The treatment is not for everyone, however. A good candidate for Kybella® can be a man or woman of any skin type or ethnicity.

The ideal patient will also be:

  • Over 18 years old
  • Unhappy with moderate to severe submental fatty tissue
  • In overall good health
  • Understanding of how the Kybella® procedure works
  • Holding reasonable expectations for their results

Those patients who are pregnant, have an active infection or bleeding disorder, or show submental fullness from something other than fatty tissue may be asked to postpone their Kybella® procedure. In these cases, Dr. Hancock and Dr. Nachlas may recommend an alternative treatment for the double chin.

Who is a candidate for a Kybella® treatment?

During the Kybella® consultation, the severity of submental fat and the target area determined. Dr. Hancock and Dr. Nachlas will then apply a series of up to 50 small injections below the chin. Each Kybella® session takes approximately 30 minutes. While Kybella® is not considered a painful procedure, Dr. Hancock and Dr. Nachlas may add a topical or local anesthetic for added comfort.

Successful Kybella® results will require a series of 2-6 individual sessions. These treatments will be spaced 4 weeks apart. The exact number of Kybella® procedures will depend on the amount of submental fat present, and the desired results. During the Kybella® consultation, Dr. Hancock and Dr. Nachlas will create a unique treatment plan around your unique aesthetic needs.


Facebook icon          Instagram icon