reduce under-chin fat


Imagine being able to watch double chin fat disappear without dieting, surgery, or liposuction. That’s the beauty of Kybella® – a groundbreaking injectable. If you want to reduce under-chin fat, Kybella is an easy, fast, effective way to melt the fat away.

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Kybella® is the first-ever FDA-approved injectable to reduce submental (under the chin) fat. You may have excess fat that has developed beneath your chin, and you would prefer a more sculpted facial profile. The Kybella® is injected in a grid pattern into the fatty area, and over the weeks ahead, the fat is slowly shed by your body.

Women and men rave about the result of Kybella®. Many people don’t appreciate having a double chin but are not interested in an invasive procedure, and this injectable works wonders.

Your Kybella® treatment takes only minutes to complete, and then you are free to return home.  Imagine looking in the mirror and seeing a double chin getting smaller, day by day! It is a very exciting and rewarding experience.


If you are ready to do something effective about a double chin, you deserve to find out about Kybella. You are a good candidate for this treatment if:

  • You are tired of seeing a double chin in the mirror
  • You’d like to create a more defined profile
  • Your skin retains good elasticity
  • You prefer a non-surgical approach
  • You are not allergic to any of the ingredients

Your first step is to meet with Michael Spagna in a private in-person or virtual consultation. He will examine your condition and advise you whether treatment with Kybella is advised for you.

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"It's Never too Late to Start Aging Gracefully"

Andrea M.

“Michael is amazing !! He takes great pride and quality into ensuring you are comfortable and that you get the results you want. He is both personable and professional. He follows up to ensure you are completely satisfied. 100% recommend!!”

Melody M.

“It is so refreshing to find someone in St. John’s that I can trust with my face. I’ve been to River City Aesthetics for Botox and fillers and every single time I’ve been impressed and left with a smile, feeling more confident and beautiful than ever.”

Nik R.

“I have had excellent experiences and results with Michael. He is amazing. His work is amazing. I will not let anyone else work on my face!”

Other Treatments

"It's Never too Late to Start Aging Gracefully"
Wrinkle Relaxers

Botox, Xeomin & Jeuveau

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Dermal fillers

Juvaderm, Versa, Revanesse Lips +, Restylane & Radiesse

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Microneedling treatment that uses a microinjector device with hair-thin 24K gold-plated needles

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Tighten and Rejuvenate your Skin

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ZO® Skin Health

ZO® Skin Health provides a comprehensive range of solutions that will restore skin to a healthy state. From correcting sun damage and pigmentation to acne and aging, ZO® offers a simple, systematic approach to creating and maintaining healthy skin.