Category: Injectibles

Kybella – Non-surgical Neck Thinning – a Treatment That Works

Non-surgical neck thinning.  Kybella – a treatment that works.

Liposuction has long been a choice for treating patients with an undesirable neck profile.  When done carefully by an experienced plastic surgeon, the results are generally quite good.  While it is a short procedure with a high safety profile and excellent patient satisfaction, it is nonetheless a surgical procedure that is best performed under a general anesthetic.  Submental liposuction, as it’s referred to, is the gold standard for treating this fat deposit in the neck/chin region.

A recent rival to liposuction of the neck is a product recently released that is designed to melt the fat using localized injections.  Kybella® is a minimally invasive procedure that has a very good track record, including a 97% “is it worth it” rating from  The FDA approved Kybella® for treatment in adults with moderate to severe fat below the chin in April of 2015.  My colleagues that testified before the FDA on the effectiveness and safety of the treatments have reported very encouraging results.  These clinical trials included 1,022 patients, some of whom received Kybella® and some who received a salt water only injection into the fat pad.  Those who received Kybella® showed more reduction in the appearance of the fullness than those who received the salt water injection.

One of the priorities in treatment of fat below the chin with Kybella® is to first determine the depth of the fat.  This is not always an easy assessment.  If the fat is not superficial and is instead deep to the neck muscle, patients would not be a candidate for treatment in this way.  Another concern with the injection is to avoid injury to a nerve that controls the corner of [...]

By: Brian Brzowski Categories:Face, Injectibles

Why the square face?

Have a square face? Not having a tapered or more oval shaped face can take away from one’s attractiveness. In years past, it often took major surgical procedures in order to improve this issue. Luckily, we now have many good non-surgical options that allow us to make very nice changes in the shape of a patient’s face.

As a surgeon and experienced injectables physician, I’m able to fully assess and consider the wide range of options for a patient to consider when deciding how to make an improvement in his or her appearance. The variety and number of products continues to grow, and the advances in this area of non-surgical treatment are rapidly changing how we approach problems in facial appearance.

If you are interested in seeing how we can help you address any issues that you may be experiencing with your appearance, facial or otherwise, please contact our office via email ( or phone us at 801-479-5722.

By: Brian Brzowski Categories:Botox, Face, Injectibles, Juvaderm, Voluma