Shaving, waxing, plucking, trimming, gelling, concealing, bronzing,
highlighting; needless to say, humans, in general, are pretty obsessed
with their appearance. Some will even go as far as subjecting themselves
to bacterial toxins (botox) to get rid of wrinkles, or a surgeon’s
scalpel to shrink or enhance bits they desire. Now, should you wish to
rid yourself of those troublesome extra chins, you can subject yourself
to a series of neck injections with the FDA’s newly approved double chin treatment.
Named Kybella, the treatment is composed of a synthetic form of a naturally occurring molecule called deoxycholic acid, which
the body produces to aid the absorption of dietary fats. The chemical
is cytolytic, meaning that it breaks up the cell membrane, causing the
contents to leak out. When precisely injected into fat below the chin,
called submental fat, it causes the destruction of fat cells in the
area. However, the drug is not selective; if administered off-target, it
will happily destroy skin cells, too.

If you’re not good with needles, then perhaps this is not the
treatment for you, albeit the surgical alternative to rid yourself of a
wobbly neck is not really much better. According to the FDA,
slim chin seekers may receive as many as 50 jabs in one go, with up to
six treatments administered, spaced at least a month apart.
Dermatologist Susan Weinkle told ABC News that each session should only take about five minutes, followed by two or three days of bandage-free healing.
The drug has been put through its paces in several clinical
trials, involving thousands of patients, which revealed that
significantly more patients positively responded to the therapy compared
with placebo treatments. However, it is not a miracle treatment for
everyone. As plastic surgeon Edwin Williams explains to Yahoo News,
the drug is ideally suited to younger individuals with a less severe
double chin and more skin elasticity than older individuals.
Kybella is also not without risks; alongside the expected side effects
of swelling, pain, redness and bruising around the treatment area, the
rather worrying list includes nerve damage in the jaw that can cause a
wonky smile, and difficulties swallowing.
Although the treatment may set you back a hefty couple of thousand
dollars a pop, it is likely to be a popular one. As highlighted by the Washington Post,
a recent survey by the American Survey for Dermatologic Surgery found
that 68% of respondents listed “excess fat under the chin/neck” as a
cosmetic condition that troubled them. And given the considerable amount
that some are willing to shell out for cosmetic procedures, a few
thousand dollars may seem like a drop in the ocean.
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