Kybella with Dr. Vivian Bucay

Double Chin Reduction Treatment in San Antonio and South Texas

Dr. Vivian Bucay has been chosen by Kythera (the company that makes Kybella) to be a Faculty Regional Trainer. This means that Dr. Bucay will be responsible for training other dermatologists, doctors and injectors on the safety and appropriate use of Kybella to optimize patient outcomes.

Why Choose Dr. Bucay

Kybella Product

Dr. Bucay is recognized as an expert injector for Kybella, and is the first physician in the San Antonio and South Texas area to offer the double chin reduction treatment.

What is Kybella?

Kybella is an injectable made from deoxycholic acid, which is naturally produced by the liver to break down soluble fats in the intestines. After years of research and study, it was found that injecting the acid into the submental area also worked to permanently break down the fat. Since this study has been approved, Kybella has been a prescription medicine for adults to improve the appearance and profile of the chin.  It is for moderate to severe fat below the chin (submental fat), or a “double chin.”

Who Is a Good Candidate for Kybella Double Chin Treatment?

Screen Shot 2018 11 08 at 10.45.29 AM 276x300 1 Patients with consolidated fat deposits and fullness underneath the chin (“double chin”) are great candidates for having Kybella. However, patients who have a lot of loose and hanging skin (“turkey neck”) are not good candidates for this procedure. Unfortunately, this procedure does not work to remove skin. Additionally, if you suffer from bleeding problems or have difficulty swallowing, you may not be a good candidate. 

If you are not a candidate, you may be a good candidate for neck liposuction with or without a neck lift. Dr. Bucay takes her time with every patient from the beginning to end. She will thoroughly review your medical history to see if this procedure is right for you.

Is Kybella a Surgical Procedure?

Absolutely NOT. One of the beautiful things pertaining to Kybella is that it is not a surgical procedure. Rather, it is an injectable similar to Botox injections or dermal fillers

Is Kybella Safe?

Two large studies prove the safety and effectiveness of Kybella. The studies enrolled over 1,000 adult participants with moderate or severe submental fat. The participants who received injections (for up to six treatments) instead of a placebo (non-Kybella) more frequently saw reductions in fat and improved jawline/neckline contour.

Kybella Double Chin Removal Before And After Pictures

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CN4 new 1

How Many Injections Are Needed?

The amount of Kybella injections for double chin reduction differs from patient to patient. Most patients end up receiving multiple injections (like Botox or fillers) in a single treatment. This generally requires 3-4 treatment sessions about one month apart to see optimal results.

Double Chin Treatment Results

Your results will depend on the amount of excess fat you have under your chin. Most patients begin seeing results 3-4 weeks post-injection. Results are completely different than those of Botox and Fillers. It’s a permanent fat dissolving solution to a heavy neck/jawline. Unlike botox or dermal fillers, Kybella is permanent.

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Is Kybella Only For Double Chins?

Yes. The United States FDA gave its full approval for Kybella several weeks prior to its anticipated announcement date. The approved studies have been performed only for the sub-mental region, better known as double chin.

Kybella Recovery Process

Kybella non-surgical double chin reduction requires little-to-no downtime or recovery. Some individuals experience slight discomfort for a brief period of time after the injection. This is similar to other injections and resolves relatively quickly.

Are There Any Side Effects?

Kybella can cause serious side effects, including nerve injury in the jaw. This can cause an uneven smile or facial muscle weakness, and trouble swallowing. The most common side effects include swelling, bruising, pain, numbness, redness and areas of hardness in the treatment area. These side effects are also the most seen with Botox injections or dermal fillers.

How Much Does Kybella Cost?

Pricing for Kybella depends on your anatomic concerns and how many injections you may need. Dr. Bucay will gladly go over pricing options available during your consultation and will come up with a price that makes sense to you.

Kybella Double Chin Reduction Research

Kythera Biopharmaceuticals. In recent news, pharmaceutical giant Allergan (makers of Botox and Juvederm) submitted a bid to purchase Kythera (the maker of Kybella).

Read the content below, courtesy of Kythera

kybella hero image

KYBELLA™ has been the focus of a global clinical development program involving over 20 clinical studies with more than 2,600 patients worldwide, of which over 1,600 have been treated with KYBELLA™.

In the pivotal Phase III clinical trials:

  • 68.2% of patients responded to KYBELLA™, compared to 20.5% of patients who responded to placebo, based on validated physician and patient measurements
  • 79% of patients treated with KYBELLA™ reported satisfaction with the appearance of their face and chin
  • After treatment, patients reported improvement in self-perception, including feeling happier and younger based on their chin profile, as well as feeling less embarrassed, less self-conscious, less overweight and less bothered by submental fullness
  • KYBELLA™ can cause serious side effects, including trouble swallowing or nerve injury in the jaw that can cause an uneven smile or facial muscle weakness. The most common side effects include: swelling, bruising, pain, numbness, redness and areas of hardness in the treatment area

Schedule A Consultation

To learn more about Kybella, and to see if you are a good candidate, contact Dr. Bucay’s office. Call our La Casita location at  210.692.3000 or our Sonterra location at  210.370.9995 Bucay Center for Dermatology and Aesthetics serves San Antonio and surrounding areas in Texas.

Schedule A Consultation



01. Get to know Dr. Bucay, Dr. Bhandari and Dr. Noorily.

02. Help her understand you and your goals.

03. Learn about our services and specialties.

“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

–Jorie K.


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Talia Noorily MD

A Message from Dr. Bucay: Champions for Change Gala

This year I am honored to join the committee for the Champions for Change Gala, taking place on May 10, 2023 at Ziegfield Ballroom in NYC.

Champions for Change Gala
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