Kybella, Botox, or Fillers? The Best Non-Surgical Options for Jawline & Neck Rejuvenation

Woman touching her chin

Sculpting a defined jawline and smooth, youthful neck doesn’t have to mean surgery. It’s entirely possible to achieve noticeable, natural-looking improvements with today’s advanced injectables. At our physician-led medical spa in Asheville, we offer three of the most effective non-surgical treatments for contouring the neck and chin: Kybella, Botox (in a technique known as the Nefertiti Lift), and dermal fillers.

Each treatment targets different concerns, so choosing the right one (or combination) depends on your unique anatomy and aesthetic goals. Here’s your guide to how each option works—and how we customize treatments to help you look refreshed and sculpted with little to no downtime.

Kybella: Eliminate Under-Chin Fullness

Kybella® is an FDA-approved injectable that permanently reduces the submental fullness that blurs the angle between the jawline and neck and causes a double chin. It uses a naturally occurring molecule called deoxycholic acid to break down fat cells, which are processed out of your body through your lymphatic system. Once eliminated, those fat cells are gone for good!  

We recommend Kybella for patients with moderate to significant fat under the chin and good skin elasticity. It takes up to 12 weeks for your body to flush out all the treated fat cells, so you’ll gradually notice a leaner, more sculpted profile after each treatment. Most people need between 2-4 treatments spaced 1-3 months apart to see ideal results.

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Botox: The Nefertiti Lift for Subtle Sculpting

The Nefertiti Lift is a Botox® technique that targets the vertical bands in the neck (platysma muscles) that can pull the jawline downward as we age. We use Botox or Dysport® to relax these muscles and create a lifted, smoother look and enhance jawline definition.

The Nefertiti Lift is ideal for patients with mild sagging, early jowling, or visible neck banding. It’s a subtle but effective way to rejuvenate the lower face without changing your natural expressions. Results typically last 3-4 months and can be maintained with periodic touch-ups. 

Dermal Fillers: Build Structure and Definition

We use dermal fillers like Juvéderm® and Restylane® to enhance the shape and structure of the chin and jawline. Hyaluronic acid-based fillers like these are excellent for adding volume and support to:

  • Enhance chin projection
  • Define jawline angles
  • Restore volume loss that contributes to jowling
  • Create balance and symmetry in the lower face

Fillers offer instant results and typically last 12-24 months. Our experienced injectors use advanced techniques to sculpt naturally contoured results that bring harmony to your facial features and look authentic. 

Before and after chin filler for jawline contouring with Juvederm at Mountain Radiance medical spa in Asheville, NC
Patient shown before, after 1 syringe, then after 2 syringes of Juvéderm chin fillers.

Which Treatment Is Right for Me?

Each option has its strengths. Here’s how to help determine which may be best for you:

  • Choose Kybella if: You have unwanted fullness under your chin and want permanent fat reduction.
  • Choose Botox (Nefertiti Lift) if: You’re noticing early sagging, neck banding, or jowls.
  • Choose dermal fillers if: You want more definition, chin projection, or correction of volume loss.

“Sarah was wonderful! I was very anxious going in to my first appointment but she quickly made me feel welcomed, comfortable, and confident in her plan. I am so happy with what results I am already noticing and can’t wait to continue the journey. Everyone in the office is warm and friendly. Great vibe from the second I walked in.”

—5-star Google review

Can I Combine These Treatments?

Please do! Combining injectables often creates the most refined results. For example:

  1. Use Kybella to reduce unwanted fat beneath the chin
  2. Follow with a Nefertiti Lift to smooth and lift the neck and jawline
  3. Add dermal fillers to build structure and enhance definition

Not sure where to start? 

That’s where our expert team of providers comes in. During your consultation, our experienced injectors, Dr. Mark Chandler, Physician Assistant Christina, and Nurse Injector Sarah, assess your skin and facial structure to recommend the best injectable (or combination) to achieve the most flattering, long-lasting improvement.

Refresh Your Look Without Surgery

At Mountain Radiance in Asheville, NC, we specialize in non-surgical treatments for a variety of aesthetic concerns. Call us at (828) 627-2711 or book your consultation online today to explore your options for jawline and neck rejuvenation with injectables or to learn more about our full menu of treatment options for confident aging. 

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