Quit Seeing Double on Your Chin

Some people really have double chins — Chris Christie, Jobba the Hut, and Orson Welles, to name a few. But truth be told, the vast majority of us will have some sort of junk going on under our chin as we age.

The clinical term is submental fullness. If you don’t want to say “double chin” say submental fullness. Considering pretty much everyone has some degree of a double chin at some point, it’s odd that more attention hasn’t been given the problem by the aesthetic industry.

Now that has changed with Kybella®, a prescription medicine available at Ponte Vedra Plastic Surgery. Kybella® is the brand name for a prescription injection formulated with deoxycholic acid to improve the appearance and profile of moderate to severe fat below the chin, commonly known as a double chin.

Lots of double chins

Do you have a double chin? You’re not alone, not in the least. In 2015, the American Society for Dermatologic Surgery conducted a survey and found that 67% of people said they’re bothered by a double chin. That’s two thirds of the U.S.! The survey also found that those people ranked their irritation with their double chin just as highly as their wrinkles or other signs of aging.

As we age, our skin sags; it’s just a fact of life. A variety of factors play a part: the influence of gravity, simple intrinsic aging (where decreasing production of collagen means the skin has less underlying support), genetics (some people simply have looser skin below the jawline), and weight gain. All of these factors cause our skin to droop. And because the skin under the chin has no underlying bone or muscle beneath it, it’s even more obvious when it becomes lax and hangs downward.

Kybella® to the rescue!!

Until now, a facelift or neck lift was really the only way to deal with a double chin. Then Kybella® was developed and approved by the FDA. It is now the only injectable treatment to improve the appearance and profile of a double chin.

The basis of Kybella® is deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, Kybella® (and its deoxycholic acid) destroys the fat cells. Once those cells are gone, there is no storage mechanism to store and accumulate fat in the area.

Multiple treatments yield the best results

At Ponte Vedra Plastic Surgery, we customize your Kybella® treatment. Most patients are happy with their new chin after two to four treatments, others require six. The number of treatments will depend on the amount of fat stored under your chin, along with your desired final profile. Treatments are spaced four weeks apart.

Plus, Kybella® has no side effects and requires no recovery time. There can be some temporary swelling at the injection sites, but that passes quickly.

Because Kybella® destroys the fat cells, results are permanent. However, if you gain weight, submental fat can return.

Interested in doubling down on that double chin?

Call us at 904-273-6200 and let’s talk about Kybella.


Taking Care Of The Skin Near Your Eyes

Taking good care of the skin near your eyes can keep you from looking tired and stressed. It can also help you avoid wrinkles and noticeable signs of aging. The following tips can help you look young and refreshed.

Makeup Tips

The following makeup tips can help you keep the thinner, fragile skin near your eyes healthier:

  • Be very gentle when applying makeup near your eyes: Avoid pushing to hard or pulling on the skin. In most cases, it is best to use a brush to apply the makeup, but if you do use your hands, use your ring finger, since you’re likely to apply less pressure with that finger than your index or middle finger.
  • Always remove your makeup at night: Leaving your makeup on while you sleep can lead to skin irritation, breakouts, and infection. Once again it is important to be gentle. When you’re washing makeup off near your eyes, use a soft cloth, cleanser, or petroleum jelly.
  • Replace your eye makeup every 3 months: Germs that build up in your makeup can harm your eyes and the nearby skin. In most cases you should replace mascara, concealer, eye liner, and eye shadow approximately 3 months after you open them.

Lifestyle Tips

  • Limit alcohol and caffeine consumption, since they can dry out your skin. Instead, drink plenty of water throughout the day to keep your skin hydrated.
  • Make sleep a priority. Without enough sleep, you’re likely to have bloodshot itchy eyes. You’re also more likely to wake up with dark circles and puffiness around your eyes. This can make you look tired, stressed, and old.

Cosmetic Treatments

Cosmetic treatments can also help you protect the skin near your eyes. The simplest option is eye cream with the nutrients needed to protect the thin, fragile skin around your eyes. In most cases you should invest in special eye cream in addition to your regular face moisturizer.

Botox is another cosmetic treatment that can help improve the skin around your eyes. It can be used to reduce the appearance of wrinkles and crow’s feet that make you look older.

As you age, the skin around your eyes is more likely to droop and sag. Sagging skin on your eyelids could interfere with vision, and bagginess under the eyes can make you look old and tired even when you’re well rested. Blepharoplasty is an option for removing the excess skin and giving you younger looking, more open eyes. Schedule a consultation at Ponte Vedra Plastic Surgery to learn more.

Collagen and Your Skin

You may have heard that collagen is an important part of your skin, but what exactly is collagen and what does it do?

Collagen is a protein that is found throughout the entire body. It is important part of connective tissue. Connective tissue is one type of tissue in your body. It supports, connects, and separates things in your body.

Collagen is the most abundant protein in your body and it can be found in tendons, ligaments, bones, blood vessels, muscles, cartilage, hair, skin, and many other places in your body.

Because it is so abundant, it plays an important role throughout the body. One of collagen’s jobs is to support your skin. Collagen helps your skin stay firm and maintain elasticity. It also plays a role in tissue development.

When people age, collagen production is reduced. This is one reason that wrinkles become more prominent when you get older. Less collagen means that your skin is thinner and more fragile. Wrinkles will be more noticeable and your skin may be more susceptible to other damage.

While you can’t completely avoid loss of collagen when you get older, you can protect your skin for as long as possible by avoiding UV radiation and toxins. Don’t smoke or use tobacco products, stay inside on bad air days, wear sunscreen whenever you go outside, don’t use tanning beds, and choose clothing that covers your skin. UV radiation and toxins speed up the aging process and result in less collagen production, so avoiding UV rays and harmful chemicals will help you stay looking younger for longer.

There are also cosmetic treatments that can partly counteract the effects of reduced collagen production. Some treatments like Botox injections eliminate the appearance of wrinkles. Other treatments like Juvederm restore lost volume and fill in creases. Some dermal fillers like Radiesse and Scluptra Aesthetic actually stimulate the body’s production of collagen. This can result in gradual improvement in the skin that brings long lasting results.

If you’d like to learn more about protecting your skin and stimulating collagen production, schedule a consultation at Ponte Vedra Plastic Surgery.

What can I do to improve the appearance of my double chin?

by: Dr. Erez Sternberg

Double chin, or submental fullness in medical jargon, is a condition that impacts both men and women. This is more common and bothersome in middle aged adults who are otherwise happy with their profile but cannot stand that soft, flabby area under the chin. If this describes you, then there is finally something non-surgical that you can do about it.

Kybella™ is an FDA-approved nonsurgical treatment that destroys fat cells. The active ingredient in Kybella™ is deoxycholic acid, which is a naturally occurring molecule in your body that helps to breakdown and absorb dietary fat. This same natural process of fat destruction is activated when Kybella™ is injected into the area under the chin. The fat is safely digested and absorbed by your body. These fat molecules are then excreted in stool and urine. The ultimate result is a decrease in the stubborn fat under the chin.

Kybella™ is an in-office, 30 minute treatment with multiple tiny needle sticks under the chin. To determine if Kybella™ may be right for you, call our office to set up a consultation with one of our board certified surgeons or nurse practitioners. Common side effects include swelling, bruising, pain, numbness, and redness. These symptoms are usually present less than three days, but can persist up to two weeks. You will notice an improvement in this area by 4 weeks and the treatment can be repeated within 60-90 days for additional improvement. And, no, Kybella™ has not been tested in areas outside the chin area yet, but we will be the first to let you know when it does!

Thinking Your Hands Look too Old?

A common complaint we hear from women is that they notice their hands aging and looking older. Many of these ladies have just completed a blepharoplasty (eyelid lift) or neck lift and now feel that the back of their hands look older than their face. This was a problem without a quick and easy solution.

   However, now Merz Pharma Group, the maker of the long term filler Radiesse, said this week it has received regulatory approval to sell the nation’s first injectable “filler” to improve the appearance of bony, aging hands.

   Merz North America plans to market the product, Radiesse, to the one million-plus Americans who receive face lifts, injections and other facial treatments and want youthful-looking hands to match their rejuvenated faces.

   We are already using Radiesse at Ponte Vedra Plastic Surgery to enhance the chin, lift the cheeks, and fix nasal deformities, but now we can also use it for improving the appearance of the hands. This will appeal to many women, even soon to be brides who want beautiful hands to show off their wedding rings. The process, known as volumizing, fills out the hand and reduces the prominence of tendons and veins.

    Radiesse injection can cause nodules, bumps or lumps in the back of the hand and can last up to a one year; the most common side effects are temporary bruising, redness, swelling, pain, itching.

    Q: Am I a good candidate for this procedure?

    A: See image below. If you feels your hands look bony, thin, or old, you may be a candidate for injection of Radiesse. The procedure takes only half an hour and will usually utilize two syringes of Radiesse. The typical cost is $1400 and will usually last 9-12 months.

Actual Patient:

First photos shows both hands before injection of Radiesse


Second photo shows both hands. The patient’s right hand has been injected with filler, but the left hand has not. This was accomplished using one syringe of Radiesse.