Belkyra Injection Lipolysis (Double Chin)

Belkyra (deoxycholic acid — known as Kybella in the US) is the only injectable approved specifically to permanently dissolve double-chin fat. At I am clinic the physician injects a grid of micro-doses under the chin; the deoxycholic acid breaks down fat cell membranes, and the destroyed cells are cleared by the body's metabolism over the following weeks — permanently, since fat cells in the area do not regenerate. One application is 13,000 Kč, with a two-application package at 20,000 Kč reflecting the typical multi-session protocol.

Submental fullness — the double chin — is one of the most stubborn aesthetic concerns because it often persists regardless of body weight, driven by anatomy and genetics rather than lifestyle. **How Belkyra works:** The active substance, deoxycholic acid, is a synthetic version of a bile acid the body naturally uses to emulsify dietary fat. Injected into the submental fat compartment, it disrupts adipocyte (fat cell) membranes; the destroyed cells are then metabolised and removed over 4–6 weeks. Because adult fat cell numbers are essentially fixed, cells destroyed by Belkyra do not return — the result is permanent at a stable body weight. **The session:** The treatment zone is mapped with a grid template, and a series of small injections (typically 20–30) is placed across the submental fat. The session takes 15–20 minutes. Expect significant swelling for the first week — this is the treatment working (an inflammatory clearance response) — plus possible numbness, firmness, and bruising that settle over 2–4 weeks. **Protocol:** Visible reduction usually requires 2–4 sessions spaced at least a month apart; patients with modest fullness may be satisfied after two (hence the 2-application package at 20,000 Kč, saving 6,000 Kč versus separate sessions). **Belkyra vs alternatives:** Compared with liposuction it requires no surgery or anaesthesia and leaves no scar, at the cost of needing several sessions and producing temporary swelling. Compared with cooling or RF devices, the fat destruction is more definitive per treated zone. Patients with significant skin laxity may benefit from combining lipolysis with skin tightening (e.g. Morpheus8 submental, available at the clinic for 8,000 Kč) — the consultation covers which combination fits your anatomy. **Contraindications:** Infection in the area, pregnancy and breastfeeding, swallowing difficulties, and previous neck surgery require individual assessment.