“A nonsurgical treatment for the double chin.”

Common name – Kybella.

Technical name/also known as – Injections that dissolve fat, deoxycholic acid.

Benefits of Injectables

For people with submental fullness, or a double chin, there is an injectable treatment for remove fat. Our bodies naturally produce deoxycholic acid which breaks down fat in the digestive system. Synthetic deoxycholic acid—Kybella—can be injected into the fat under the chin. The fat cells are then dissolved permanently.

Who is this for?

This procedure is for women who desire improvement of their double chin but do not wish to have surgery.

How it is done:

The treatment area is marked and a temporary grid tattoo is placed on the skin. A series of small injections are performed.


For people who do not want to have surgery, Kybella is a good option for improving the double chin.


Multiple treatments spaced about one month apart will be needed to reduce the submental fat. Studies showed almost 60% of patients required 6 treatment sessions. Following the treatment, swelling is noted which can be significant and last a day to a few days. If there is also submental laxity (loose skin) along with the fat, the loose skin may look worse after Kybella.


For a few days, your double chin may look larger. Bruising and swelling can occur. Numbness may be present. The area treated will feel firm at first, and may stay that way for several weeks. You may return to your normal activities when you feel ready. Exercise should be avoided while the swelling is present.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

​30 minutes.

Anesthesia used

​Topical anesthesia, and ice.

In or out patient

​This is an office based procedure.

Time until final appearance

2 to 6 months, depending on how many treatments are required.

Side effects

Temporary swelling, bruising, and some pain commonly occur. Swelling can be significant.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.


“This subtle difference in fullness can lead to big changes in how you feel about yourself.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    If healing proceeds as expected:

    You may return to normal activities the next day, but avoid exercise until the swelling goes down.

    Returning to Work

    You may return to nonstrenuous work the next day.  Avoid strenuous work until the swelling goes down.

    Time until final appearance

    2 to 6 months, depending on how swelling resolves

    Length of results

    Fat removal is permanent, but the skin and nearby structures will continue to age.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    The immediate swelling after treatment can be impressive. You may feel like you have a turkey neck for the first three days. Plan on wearing scarves or layered high neck shirts for camouflage. For most, at least two if not more treatments are needed to get the desired result.

    If you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number