Knoxville, TN (865) 450-9253

New Neck Treatments

Two Nonsurgical Treatments: CoolMini and Kybella

The neck is an area that everyone seems to be focusing on these days. It’s really not that surprising given the modern day compulsion of looking down at handheld devices several times a day.

Video conferencing also has a big impact. Both men and women are telling us that they are much more aware of their appearance because of using programs like Skype. (And really, does anyone look their best using facetime on their iPads? Not that we know of.) There is even a new industry term for the increase in neck wrinkles and double chins as a result of spending so much time gazing down at our cell phones. It’s called “tech-neck”. Even teenagers are getting wrinkles prematurely as a result.
Get Rid of Double Chin
Since chin- and neck-fat dissatisfaction afflicts 68% of the population, we know there are many folks out there eager to learn more about the two new non-surgical options available to treat submental fat and fullness. (Submental is “medicalese” for under the chin.) Both have just been approved by the FDA, but the way they each work is very different. Because Kybella and the CoolMini are so new we haven’t had time to have take before and after photos of our patients so the photos below are the ones taken for the clinical trials.

One important consideration is how both new procedures compare to liposuction in terms of results, ease of treatments, side effects, and cost.

CoolMini: Freeze Away Your Double Chin

CoolSculpting is a noninvasive method for eliminating fat cells by chilling them until they crystalize. The procedure has been approved since 2010. We brought CoolSculpting to Knoxville in 2012 and have seen great results with our patients. This add-on approval by the FDA allows us to treat smaller pockets of fat—like the area under the chin—with a new miniature applicator, the CoolMini.

During a session, the neck fat is placed into the curved applicator of the CoolMini. The arctic-level cold quickly numbs the area, so it’s pretty comfortable during a 60-minute treatment. FDA clearance of the CoolMini was based on a trial with patients having two treatments. No significant adverse events were observed and patients experienced little or no discomfort or downtime. Patients in the clinical study saw results at three weeks but the best results were observed after one to three months.

Here are some photos from the clinical trials.

CoolMini Neck


  • No surgery or needles.
  • Minimal, if any, social downtime.
  • Works on large, full necks as well as small pockets of fat.


  • Requires two 60-minute treatments for most people.
  • Doesn’t remove excess skin or fix loose neck bands (platysma) that cause a “turkey-waddle” look.
CoolMini Neck Pricing
$1,475 for two treatments

Kybella: Inject Away Your Double Chin

kybella logo

Kybella is a non-surgical injectable for reducing small, well-defined areas of fat under your chin. It is very well-studied and ten years in the making.

The injection contains a naturally occurring molecule called deoxycholic acid. Its job in the body is to aid in digestion by breaking down fat. When injected into the fat beneath your chin, Kybella causes the destruction of fat cells. Like with the CoolMini and liposuction, once destroyed, those cells are gone for good and don’t come back.

A Kybella treatment consists of a bunch of small injections at one time. Most patients experience visible improvement in their chin contour with two to four treatment sessions spaced at least one month apart. The most common side effect is swelling which can be significant.

Here are some photos from the clinical trials.
Kybella Neck


  • No surgery.
  • Removes small, well-defined areas of fat under the chin.


  • Most patients experience swelling during the normal inflammatory response to Kybella injections. This can mean social downtime from three days to a week after each treatment.
  • Each treatment consists of up to 50 small injections.
  • Requires two to four treatments for most people.
  • Doesn’t remove excess skin or fix loose neck bands.
Kybella Neck
$2,400 for two treatments

Liposuction Away Your Double Chin

Yes it is surgery, but liposuction of the neck is quite well-tolerated with a recovery time that’s shorter and less painful than you might think. Dr. Reath has been performing neck liposuction for years. Good candidates for liposuction of the neck are relatively young and have hereditary deposits of fat in their neck and under their jaw that make them appear heavier than they really are. If you have good skin elasticity then it’s likely you would have good skin retraction and an excellent result from liposuction of the neck.

Here are two of Dr. Reath’s neck liposuction patients.
neck liposuction before and after


  • Highly effective.
  • One and done.


  • Not everyone is a candidate for elective cosmetic surgery.
  • There is about a week’s recovery time.
  • Doesn’t remove excess skin or fix loose neck bands.
Liposuction of the Neck Pricing
$2,698 for two treatments
Includes surgical suite, anesthesia, recovery kit and all follow-up visits.

Important Note:

If you do have significant excess skin with loose platysmal neck bands, you may have noticed that none of these three procedures will address these concerns. In fact, removing fat from the area would make it look like you have even more excess skin.

You are most likely a candidate for a necklift, which includes removing excess skin and fat of the neck and recontouring the neck muscles. If you’re concerned about your jawline, a facelift also addresses the sagging jowls which drop down into the neck area.

New Neck Fat Treatments: Pros, Cons and Prices

The neck is the subject of a lot of interest lately – both concerns about the appearance of the neck and the widely-publicized debut of two new non-surgical treatments to remove neck fat. With the convergence of both of these, our office is getting calls and emails from people eager to learn more. How much of a concern is … Read more »

Helpful CoolSculpting Resources:

Introducing Natasha Self, Certified CoolSculpting Technician

CoolSculpting Technician Natasha Self Knoxville
We are so lucky to have found Natasha. She has been working in our office for three years, but every day we wonder how we ever managed without her. Quietly effective and totally charming, Natasha takes care of all of our CoolSculpting patients and is completely in charge of managing Dr. Reath’s busy surgical calendar. Her expertise has been honed by over 13 years in the healthcare industry, so she doesn’t scare easily.

Experience and training matter in this arena. Even though it is a non-surgical procedure, CoolSculpting is very technique-driven. There is a real learning curve before a provider really understands how to get the best results when treating patients. Not only has Natasha performed the most CoolSculpting treatments in Knoxville, but Dr. Reath also flew Natasha to Dallas to train for days with the top CoolSculpting practice in the country. Natasha is the only CoolSculpting provider in Knoxville to attend the advanced CoolSculpting University in San Francisco. You will benefit from her added experience and all the best practices she learned from the experts.

“I’ve always been such a people person, and helping both patients and Dr. Reath has been very fulfilling. Our patients’ excitement after they see the amazing results from their CoolSculpting treatments makes me excited too. It’s definitely one of the best parts of my job!”

The Latest CoolSculpting Posts from Dr. Reath's Blog

  • CoolSculpting vs Liposuction vs Tummy Tuck [Infographic]

    From the Blog

    When you’re wanting to make a change, it can be confusing to figure out which body contouring procedure is right for you. CoolSculpting is a non-surgical way of reducing fat that is very effective, but as this infographic illustrates, it is not for everyone. Beware of clinics with only one procedure to offer. If there is only … Read more »
  • Top Plastic Surgery Trends: 2017 and Beyond

    From the Blog

    I hope 2016 has been a good year for you, because it’s been a great year for our practice in so many ways. At this time of the year I like to reflect back over the past year with an eye to the future to take stock of where we are, where we’ve been and … Read more »
  • You’ve Had Plastic Surgery. Now What?

    From the Blog

    It happens. People have great results from their surgery (or CoolSculpting), and think they are done. So, they slip back into their old bad habits and start gaining weight again.We don’t want to see this happen to you! We asked Gracie Rash, PA-C, our resident expert on fitness and nutrition to weigh in.   Congratulations … Read more »

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