Experience the MPSG difference

Kybella Injections

Kybella® is an FDA-approved injectable treatment designed to address submental fullness, which occurs when excess fat accumulates beneath the chin and can be challenging to get rid of with diet and exercise alone.

Kybella injections have become a popular treatment option for individuals who want a non-invasive approach to double chin reduction and don’t want to deal with the downtime typically associated with surgical procedures.

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Personalized Breast Implant Surgery with Dr. John Aker and Dr. Di Beckman—Breast Implants Designed Around Your Shape, Proportions, and Goals

Whether you want to restore fullness or enhance your proportions, breast augmentation can be tailored to your desired outcome and unique anatomy. At My Plastic Surgery Group, Dr. John Aker and Dr. Di Beckman provide personalized breast augmentation for patients in Carmel, Indianapolis, and throughout Central Indiana.

From implant selection to surgical technique, your procedure is carefully planned around you. Options include our Hidden Scar Breast Augmentation technique, which avoids an incision on the breast, as well as the inframammary fold approach.

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that uses implants to increase breast volume. It can enhance small breasts, replace volume lost after pregnancy or weight changes, improve breast proportions, and improve symmetry.

Because every patient is different, your surgeon will consider your breast and chest measurements, existing tissue, skin, lifestyle, and cosmetic goals when developing your treatment plan.

Who Is a Candidate for Breast Augmentation?

Breast augmentation candidates must be in good general health, have fully developed breasts, and have realistic expectations for the procedure’s outcome. Since pregnancy and breastfeeding can affect breast size and shape, patients often choose to wait until their family is complete to undergo this surgery to avoid compromising their results and a potential need for a revision procedure.

If breast sagging is a concern, implants alone may not provide the result you are looking for. In those cases, your surgeon may recommend a breast lift or discuss combining a lift with augmentation.

A consultation with one of our surgeons is the best way to find out if you are a candidate. In addition to learning about what you want to achieve, answering any questions you may have, and performing an examination, your surgeon will review your health history and medications to determine if breast augmentation is the right option for you.

Unique Approach

Why Choose MPSG for Kybella

Choose a qualified medical professional certified and well-trained to perform injectables such as Kybella when seeking a provider. Opt for accredited practices that adhere to industry standards and read patient testimonials to gauge the provider’s reputation and ability to deliver consistent ideal outcomes.

Finding the right Kybella provider is essential for a safe and successful aesthetic journey, and these considerations help ensure confidence in your choice.

Combination Procedures

Kybella Before and After Results

We invite and encourage you to view some before and after Kybella photos on our website.

Patient A

Actual Patient | Carmel, IN | Before & After Kybella

Patient B

Before & After Kybella

Patient C

Actual Patient | Carmel, IN | Before & After Kybella

Questions & Answers with Dr. Aker

How much downtime can I expect after Kybella Treatment?

Downtime is generally minimal. Most patients can resume their usual routine on the same day as the treatment, with some limitations in strenuous activities. Swelling, bruising, and redness are common but temporary side effects that may affect social plans for a few days.

Will I experience pain or discomfort during the Kybella procedure?

Discomfort during Kybella treatment is typically mild and temporary. We may use topical anesthetics or recommend other pain management techniques to enhance your comfort during the procedure.

Can Kybella be combined with other facial procedures, and is there a recommended timeline between treatments?

Kybella can be effectively combined with other procedures for enhanced results, but discussing your goals first is essential. We can advise you on the compatibility of Kybella with other treatments and recommend the best timeline for achieving optimal outcomes.

How long do the results of Kybella treatment last, and will I need additional sessions for maintenance?

Results vary among individuals, and while some may achieve significant improvement after one session, others may need multiple sessions for optimal results. Lifestyle factors can affect how long the results last, so patients may require maintenance sessions to keep them up.

Does Kybella impact facial expressions?

Kybella is designed to target submental fat specifically. When performed by a skilled professional, the treatment should not affect the natural movement of facial muscles.

Can I develop further submental fat after Kybella Treatments?

Kybella treatments permanently reduce existing submental fat but don’t prevent potential weight gain or the development of new fat cells in various body areas, including the submental region. Ensuring a healthy lifestyle through a balanced diet and regular exercise maintains results.

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The Specifics

Kybella Details

How does Kybella work?

When injected into the fat beneath your chin, Kybella destroys fat cells. Once destroyed, those cells cannot store or accumulate fat.

The active ingredient in Kybella is deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat.

Fat cleared from the treatment area is processed through your body’s natural metabolism.

Before receiving Kybella, tell your healthcare provider about all of your medical conditions, including if you: Have had or plan to have surgery on your face, neck, or chin; have had cosmetic treatments.

Consultation Process and Assessment

The consultation is an opportunity to openly discuss patient goals, express reservations, and build confidence in the provider’s expertise. Here is what happens during a Kybella consultation at John Aker Aesthetics:

Assessment of Submental Fat: We will assess the amount and distribution of submental fat to determine the appropriate treatment plan.
Overall Health Evaluation: A comprehensive evaluation of the candidate’s general health will be conducted to ensure suitability for Kybella treatment.
Discussion of Goals and Expectations: Discussions include a dialogue about the candidate’s aesthetic goals and expectations, ensuring alignment with achievable outcomes.
Personalized Treatment Plan: Based on the assessment, we will create a customized treatment plan laying out the number of Kybella sessions needed for optimal results.

Is Kybella right for you?

Here are characteristics that typically define ideal candidates for Kybella treatment:

Presence of Double Chin: Ideal candidates have noticeable submental fullness that they wish to reduce.
Overall Health: Good general health is essential to ensure a successful treatment. Significant medical conditions can complicate the process or increase the risk of complications.
Understanding of Results: Ideal candidates understand the expected outcomes of Kybella treatment and have realistic expectations regarding the degree of improvement.
Avoidance of Surgery: If you’re looking for a non-surgical and minimally invasive alternative to surgical procedures for submental fat reduction, Kybella could be the right choice.
Skin Elasticity: Individuals with relatively good skin elasticity are often ideal candidates, as the skin is more likely to adapt to the changes in the submental area after fat reduction.
Skin Health: To ensure proper healing, it’s important to be free from skin infections or conditions in the treatment area.

Treatment Procedure

Kybella is administered through precisely targeted injections directly into the submental fat. The injection sites are strategically chosen to address specific areas of submental fullness, allowing for a customized approach tailored to individual facial anatomy and desired outcomes.

A treatment session typically lasts about 15 to 20 minutes. Patients with little excess chin fat will need around 20 to 25 injections in a single Kybella session, while others with more submental fullness may need closer to 50 injections to achieve significant results.

While one session can yield noticeable results for some individuals, we may recommend a series of treatment sessions for optimal outcomes, usually spaced at least one month apart. The total number of sessions depends on factors such as the amount of submental fat and individual response to the treatment.

Recovery and Results

Kybella Treatment is performed on an outpatient basis. Since it is non-surgical, patients can typically return home on the same day as the treatment.

Anticipate temporary side effects, including swelling, bruising, and redness at the injection sites. These effects typically subside on their own within a few days.
Avoid strenuous physical activity to reduce the risk of increased swelling and bruising, and handle the treated area with care. Use mild skin care products and refrain from aggressive rubbing or massaging.
Attend follow-up appointments to monitor your progress and be able to make adjustments to the treatment plan if necessary.
Most importantly, maintain your results by practicing a holistic, healthy lifestyle, incorporating a balanced diet, regular exercise, proper sleep, and other healthy habits.

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Explore Your Kybella Options

Ready to take the next step? Schedule a consultation to discuss your goals, explore your options, and receive a personalized treatment plan designed around your unique needs.

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Breast Augmentation FAQs

How much does breast augmentation cost in Indianapolis?

The price of breast enhancement in the Indianapolis area varies based on the specifics of the procedure. When determining total breast augmentation cost, we factor in the cost of the implants, the specific techniques utilized, the total time required to complete the procedure, and many other aspects of the surgery. A detailed cost estimate will be provided during your consultation once your surgical plan has been created.

Financing is available through Cherry, CareCredit, and PatientFi for qualified patients.

What is “rippling”?

It is common to feel a slight “crinkly” sensation along the breast fold where the implant comes closest to the surface. In very slender women, there may be visible wrinkling on the skin surface. It is more commonly observed with saline than with silicone gel implants and can occur in different areas of the breast.

Is over-the-muscle or under-the-muscle breast implant placement better?

The breast implant pocket can be either directly behind the breast tissue or behind the pectoral muscle which is behind the breast tissue. Dr. Aker prefers to place the implant behind the pectoral muscle to give the upper breast a more natural slope and graceful appearance.

Will breast augmentation improve sagging breasts?

While limited breast sagging is frequently corrected by breast augmentation, a breast lift may be required for greater degrees of drooping.

What are the most common complications after breast augmentation?

A common short-term issue is temporary changes in nipple sensation. A temporary tight sensation in the armpit may also occur when the endoscopic technique is performed.

Breast implants are not considered lifetime devices and may need to be replaced after 10 to 15 years. Regular follow-up with your surgeon can help monitor your implants and address any issues if they occur.

How do I choose the right breast implant size?

Choosing the right implant size depends on your body proportions and desired outcome. We guide you through the process to ensure a natural, balanced result.

What is the difference between silicone and saline implants?

Silicone implants are filled with a cohesive silicone gel, while saline implants are filled with sterile salt water. We help you select the option that best fits your goals and anatomy during your consultation.

Is it possible to combine breast augmentation with other procedures?

Absolutely. Breast augmentation surgery is frequently combined with tummy tuck surgery or breast lift surgery for a “mommy makeover” to address pregnancy-related changes in breast and body contours.

Do saline implants last longer than gel implants?

The failure rate over time is about the same.

Could I lose nipple sensation after my breast augmentation?

It is very unlikely to permanently lose sensation. It is common to have temporary increased or decreased sensation.

If I gain weight, will my implants look different?

This varies from woman to woman. Some women experience significant changes in breast size with weight fluctuations, while others notice very little change.

I’ve heard my implants might “settle”. What does that mean?

Shortly after surgery, the implants tend to “ride high” due to spasm of the muscle. Over the weeks following surgery, the muscle and breast tissue relax, allowing the implant to descend into a more natural position. This process is called “settling”.

How soon will I be able to return to work?

For less physical job requirements, patients can usually return to work after 3–5 days, while those with more physically demanding jobs may need 5–7 days.

Will my breast implants interfere with a mammogram?

Women with breast implants can continue to have routine mammograms. Because implants can make some breast tissue more difficult to see, additional views or special imaging techniques may be used to obtain a thorough examination. Be sure to let the mammography facility know that you have breast implants when scheduling your appointment so they can plan accordingly.

Will my scars be noticeable after my surgery?

If the endoscopic technique is used, there will be no scar on the breast at all. With the inframammary approach, there will be visible scars in the crease under the breast, though they fade significantly over time.

Can I breastfeed after I have breast augmentation surgery?

Many women are able to breastfeed after breast augmentation. However, it is not possible to predict with certainty how breastfeeding will be affected. Your surgeon can discuss this with you in more detail based on your procedure and future plans for pregnancy and breastfeeding.

Explore Breast Augmentation Options at Our Carmel,
IN Plastic Surgery Practice

If you are considering breast augmentation surgery in Indiana, contact MPSG to schedule a consultation with Dr. John Aker or Dr. Di Beckman at our Carmel office to discuss implant type, size, profile, placement, and incision options. We proudly serve patients from Indianapolis and throughout Central Indiana, including Westfield, Fishers, and Zionsville.