We're not treating the skin issue directly. So, let's back up, if we look at different age groups, the best age group for this is in the 20s, 30s and as we start reaching into the 40s and 50s you become less and less of a candidate because of the strength of the skin. So, as you are younger, your skin stronger and it's like a rubber band and so if you take away some of the fullness that's pushing it out, then it contracts around the new lesser volume.

It's kind of like Botox, it is the same needle, so it's very tiny, it's a 32gauge needle which is super tiny so it's almost like you can hardly almost see it. So, if you've ever had Botox, it has a very similar sensation like that when it goes into the skin. The delivery of the medication can give a little bit more of a “pinchy” type feel because it is a different type of medication than Botox, it's causing a chemical reaction to melt the fat as opposed to Botox which is paralyzing the muscle and not causing a breakdown of things. So, it can have a little bit more of a “pinchy” type feel but very tolerable.

So, in the past, the only other option to remove the fat on your neck and chin area was “Liposuction” right? So, this is a totally new treatment.

This is an alternative treatment. And in a sense, you know, sometimes if we look at things like Cool Sculpting and stuff we're not necessarily replacing Liposuction, our kind of entry point to it, this can replace Liposuction because you're actually removing fat cells by breaking them down and the body actually takes them up.

It's is a very safe procedure, yes, but anything that you're injecting into the body, there's always a risk for something; there can be some numbness in the area and that may range for a time being of only a couple days to maybe a couple of weeks; usually not an issue, resolves with time. There are some swelling in the zone and some bruising, all these things are very subtle side effects that really go away. There are other nerves in the area that might get stunned a little bit with some numbness and some movement issues, again, all very low risk.

People that are interested in this treatment, need to kind of know that this isn't going to be something where they're going to be like “wow” and just like walk out of here and start showing their friends and everything, they have to be patient. You definitely have to be patient, it's not like a filler where you're putting in a product and it's instantly filling things up and you get an immediate change. This is a chemical reaction you're putting in a product that's causing the fat cells to break down which is not instantaneous, it's over days and then the body has to have a little inflammatory process where they scavenge up the debris and clear the area. So, that's why it takes some time.

We brought somebody, her name is Beth and she has a little double chin, is she going to feel anything? Take us through that process and what's going to happen.

So initially during the injection, she'll feel like little pinch as the needle goes in and delivering the medication. Usually after a few minutes, she might feel a little extra sensation, some tingling sensation, maybe a light burning stuff, very tolerable. When she goes home and throughout the rest of day she'll notice a little bit of swelling, a little bit of soreness, easily taken care of by like Ibuprofen or just a little over-the-counter pain medicine, she doesn't need any narcotics or Percocet or anything crazy like that. She'll feel some soreness, maybe a little bruising over the next couple of days and a little bit of swelling here, all very tolerable.

So, she's really not out of commission but from a working out standpoint, it's nice to be out from working out for at least a few days until things settle down and it kind of varies from individual to individual, some people will take a week off until they just feel nice and comfortable. I always recommend kind of start slow, don't go do a full blast workout like you normally do, just do something light, check yourself, use common sense, if you feel good, push it a little bit harder.

So now, we're going to do some drawing of the landmarks to establish where exactly we want to put it, we also want to mark our safe zones and where we want to stay out, so, what I’ll like to do is mark your jawline, “turn towards me some more”.

So, this marks that and we also kind of come down here and I'm marking the lower border of your draw a line, turn this way, this just kind of keeps us in a safe area here.

Like you won't inject in there.

Right. So, we don't want to inject in this line and we definitely don't want to inject above it and then we also like to kind of mark where our marionette region is and this kind of tells us another area to stay away from. The jaw region is an area where there are some nerves that go through there we don't want to disrupt and so we look at this submental region here, turn this way for me, okay. So, we're looking right here and this is the zone that we want to improve so we're doing a little drawing here just to establish the actual area of fat that we want to take out. Turn right this way, perfect. So, this is our zone that we want to take out here, which is going to give her a much better angle, we're going to take that.

Hmm. So, this is our grid, this is going to help dictate exactly where we want to put it, this is like a temporary tattoo, perfect. So, this is showing exactly where we want to put the Kybella. So, now we're going to start our injections here, we have 20 dots in here so we're going to do 20 injections so you're going to feel any kind of pinch here a little bit, we're going to go right next to the dot we don't have to go right in the dots itself…

But you said earlier that you've had Botox and there was nothing else.

Well, we know you're going to come back in for at least another treatment so, we're going to follow along and then we'll have the final results.

It still feels like there's a little bit of healing to go, it has a little firmness to it, which indicates that there might be a little bit of swelling there and some scar tissue that's still remodeling and it's only going to get tighter. Alright, so here we're going over your before and after, so you can see your before is to the left and your after is to the right and things that we're looking at is the under-part of your chin, things are tighter up in here, you have a better angle between your chin and your neck and some of your quarter shots here, you can see the angle of your jaw on the shadow the transition between your cheek into your neck is distinctive and it looks really nice.

I really enjoyed it. Everyone said it used to be really painful and I thought it wasn't painful at all, it was more just discomfort than pain. It's just a lot tighter underneath my chin compared to what it was before and you can really see a difference from the side.

I don't think she needed anything to be done and she wanted to test this out. She did get some tightening and I think that's all that matters, and you know what, some of the best work in Hollywood, let's be real,

It's the subtle work like, we don't really see it happening, it's like the little tweaks that they're doing here and there that kind of keep people looking young and looking fresh.

Yeah, she is looking really good. This is an alternative to somebody who goes under the knife to actually get Liposuction. Liposuction, I think just in general, you're going to get way more of a drastic result but, you know, she didn't, you know, she didn't want to do that, she doesn't need to do that and so we wanted to showcase this treatment. We hope you enjoyed seeing the whole process. As always, you can leave comments of anything that you're interested in and we will always try and do our best to either do it ourselves or find somebody who can do it. Give this video a thumbs up and we'll see you next time.