Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Toronto, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

Double Chin Beware: BELKYRA™ (aka KYBELLA®) Comes to Canada

Toronto Belkyra, Toronto Kybella, chin fat, double chin, neck fat

This past week alone, I’ve already had 5 people asking me to write a blog post about the latest trend in cosmetic enhancement: BELKYRA double chin injections.

We are one of the first clinics in Toronto to offer this innovative treatment. I have heard a lot of questions so far, so here are some answers.

What is BELKYRA?

After 9 years of double-blind and placebo-controlled studies, Canadian BELKYRA (known as KYBELLA in the U.S.) is now entering our Toronto market, and I must confess that everyone at Visage Clinic is very excited about adding this new tool to our rejuvenation and beauty options for our patients.

Allergan, the maker of BOTOX COSMETIC® and JUVÉDERM®, is also behind BELKYRA, a fat reducing injectable solution. BELKYRA is deoxycholic acid, a naturally occurring acid found in liver bile and in the gastrointestinal tract that our bodies use to dissolve ingested fat.

BELKYRA was approved for dissolving or melting away “submental fat,” better known as a double chin, with a series of small injections.

How does it work?

Excess fat in the sub-chin compartment can be genetic, age-related, weight-related, or a combination of those. BELKYRA works best for moderate to severe under-chin superficial fat.  BELKYRA breaks down the fat cell lining, releasing the fat, which is subsequently absorbed and eliminated. Those fat cells are destroyed forever and cannot come back.

The goal with BELKYRA is to restore the 90° to 110° neck angle that we used to enjoy in our younger days. It is a series of in-office small injections, 1 centimeter apart, under the chin, in a very precise grid pattern. Most patients require 3 to 4 treatments, each one month apart. Occasionally up to 6 treatments are required.

Who is a good candidate?

BELKYRA has been tested and demonstrated effective on both men and women, of whom the majority responded favourably to the treatment.

BELKYRA is indicated for the superficial subcutaneous fat. It is not indicated for the deeper fat that some people may have and which would be removable only with surgery, as I do regularly with my neck lift and facelift procedures. BELKYRA is also not recommended if the main issues are loose and hanging neck muscle bands or excess skin.

For loose skin and hanging platysmal muscle bands, I prefer a comprehensive neck liposuction, muscle repair, muscle and skin redraping, with or without a small or moderate chin implant. For those who won’t respond significantly to BELKYRA, liposuction to neck might be another option.

Are there any side effects?

Complications with BELKYRA are rare and are usually related to the injection site, such as tenderness, bruising, and swelling. Rarely, nerve, muscle, and salivary glands can be injured and could result with an asymmetrical smile or difficulty with swallowing. It is therefore imperative that your injector knows the neck anatomy thoroughly, and a plastic surgeon is likely your best bet when choosing your treatment provider. Moreover, your plastic surgeon has all the other tools in hand to get you the perfect neck.

How much does BELKYRA cost?

Cost will vary depending on the amount of injection sites required (therefore the amount of medication required) and the amount of sessions you will need.

As it will take 3 to 6 treatments a month apart, now is a great time to consider this treatment to be ready for the summer! Contact us to learn whether you are a good candidate.


15 Responses to Double Chin Beware: BELKYRA™ (aka KYBELLA®) Comes to Canada

  • Ronit eitani says:

    Interested in corrcting my neck..i have a small layer of fat. Im coming in summer to toronto so im not sure how to do this treatment..will be.max. for a month.
    How can we proceed?

    • Dr. Marc DuPéré says:

      Good morning Ronit,
      If it is a small amount, you might do well with 2 treatments only, and we should do it right away when you arrive and one 4 weeks later just before your leave. If a 3rd one is ever required, it could be done anytime in the future after.
      Other option might be a simple neck liposuction or direct excision of the extra fat; that would be a one time small surgical procedure.
      I will email you directly and perhaps you can send me a few pictures.
      Best regards,
      Dr. DuPere, Toronto Aesthetic Plastic surgeon

  • Johanne Dallaire says:

    Hi Dr. I am from Quebec, Canada. Do you know some good doctor that is possible to contact here? I have 58 years old and I will know if the surgery is difficult and have good results. Thank you.

    • Dr. Marc DuPéré says:

      Allo Johanne, Belkyra is still new in Canada and I don’t know who does it in Québec. But visit the Canadian Website for Belkyra – Allergan – and you might find a listing of MDs.
      Best regards,
      Dr. Marc

    • Dr. Marc DuPéré says:

      Hi Angel, I had not replied here but we have been trying to get in touch with you to schedule an appointment for a consultation. We look forward to meeting you Kind regards, Dr. DuPéré

    • Dr. Marc DuPéré says:

      Good day Manuel,
      Thank you for your email and for your interest in our services at VISAGE Clinic, Dr. Marc DuPéré, Board-Certified Plastic Surgeon for more than 15 years.
      Very good question, thank you!
      Residual fullness post neck liposuction could indicate various things such as:
      1. residual fat superficial to neck muscles
      2. residual fat deep to neck muscles
      3. enlarged submandibular glands
      4. enlarged lymph nodes
      5. separated and hanging neck muscles
      6. seroma (fluid)
      Once I assess you, I will know better. If this is residual fat, and if this residual fat is superficial to the neck muscles, then Belkyra could help definitively. Otherwise, other options would need to be contemplated: Deep fat, handing muscles and submandibular glands can be addressed surgically. Large submandibular gland sometimes be addressed with Botox, etc.
      Keep looking at my blogs in the next few days – I am finalizing my latest blog and it is about neck.
      I will be happy to go over your options once we meet.
      Our office:
      – Downtown Flagship clinic: 133 Hazelton Ave. Suite 101, Yorkville, downtown Toronto
      Please read about us and follow us at:
      LinkedIn Bus:
      Instagram: drdupere
      Danielle, Angelica, Kailyn, Raman or Willians, my assistants, will be happy to find a time and day convenient for your visit. They can be reached at 416.929.9800.
      We look forward to meeting you!
      Best regards,
      Dr. DuPere, Toronto Aesthetic Plastic surgeon

    • Dr. Marc DuPéré says:

      Hi Manual, it is possible yes, that Belkyra could enhance your neck liposuction results, as long as the residual fat is in a safe zone for injection. Give us a call and I will be happy to recommend of plan of action! 416-929-9800 Kind regards, Dr. D.

    • Dr. Marc DuPéré says:

      Hi Gaila, Belkyra is a fat-dissolving agent s unlikely to help with your issues. On the other hand, Botox is often used to balance the face after Bell’s palsy. I’d be happy to see you for a consultation. Call us at 416-929-9800. Kind regards, Dr. DuPéré

  • summer says:

    hi i am interested in getting this procedure done. im looking to use it to define my chin more, to get that sculpted look and to get rid of extra fat in that area. im wondering pricing and if consultations are free? mine i feel would be a moderate case

    • Dr. Marc DuPéré says:

      Good afternoon, I will email you more details today. We look forward to meeting you! Dr. D.

  • L.D. says:

    Thank you for such an informative post! My friend got this treatment right before her wedding and her experience with kybella belkyra treatment turned out to be awesome!

    • Dr. Marc DuPéré says:

      Thank you for your good words! We are fortunate to be a plastic surgery centre in Toronto as we offer ALL available options for stubborn fat: Kybella (Belkyra), TruSculpt iD non-surgical radio frequency fat reduction and Suction and Power-assisted liposuction, hi-def etching, etc. Have a good day! Dr. D.

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