
Thanks to genetics, submental fat, also known as a “double chin,” can be impossible to get rid of on your own—it’s not necessarily an indicator of poor health. At Pearlman Aesthetic Surgery, we offer surgical and non-surgical neck fat removal in NYC, but it’s important to understand the benefits and limitations of each approach before you schedule your treatment.
Kybella: An Injectable Treatment
As the first injectable of its kind, Kybella has surged in popularity. This formula uses targeted deoxycholic acid, a substance your body naturally produces, to break down or metabolize fat cells, allowing your body to flush them out.

However, most patients require multiple rounds of treatment to achieve the best results, each spaced 4 to 6 weeks apart. Post-injection swelling can last for up to a week, leaving you with a “bullfrog” appearance. While your provider can control where they inject Kybella, they cannot control where it disperses, making your final results less predictable than with liposuction—and requiring multiple treatments.
Liposuction: A Lasting Solution
While neck liposuction is minimally invasive, it’s also far more precise and time-effective than Kybella. Unlike Kybella, liposuction manually removes fat cells, so you don’t have to wait for your lymphatic system to flush them out.

As an industry-leading facial plastic surgeon, Dr. Pearlman has mastered the art of creating the smallest incisions possible—hiding them behind the ears or beneath the chin to offer more effective sculpting with nearly invisible scarring.
Discover Your Best Solution
Every patient’s starting point and end goal are unique, so at Pearlman Aesthetic Surgery, every patient’s treatment plan is unique. If you’re ready to determine your best options for neck fat removal in NYC, book your consultation with Dr. Pearlman.
During your consultation, Dr. Pearlman will determine the underlying cause of your submental concerns. Often, patients benefit from combining neck liposuction with a neck lift (platysmaplasty) in NYC, as this synergistic approach removes excess fat and skin.
→ Explore Your Options for a Surgical and Non-Surgical Neck Lift in NYC
Submental fat is often confused with buccal fat, but unlike submental fat, liposuction does not remove buccal fat. As the best buccal fat removal surgeon in NYC, Dr. Pearlman can determine which kind of fat you are dealing with, helping you invest in the most effective surgery.
→ What to Expect From Buccal Fat Removal: Before and After
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