Loosen Your Tie: Kybella for Men

Your parents or grandparents may have passed to you many gifts.

The family car. Your hair color. Their way with words. But, for many men, they’ve received an unwanted gift-- that of a hereditary double chin. Also known in the cosmetic surgery world as “submental fullness,” double chins have long caused practical issues for professional men.

It’s not uncommon for men afflicted with a double chin experience problems finding shirts and ties that fit appropriately. The outfits many men are forced to select appear either overly loose or fit uncomfortably tight, the latter requiring constant adjustment. But, it’s not all about the shirt.

The jawline of a man has been a source of pride for those with chiseled, angular features. The associations made with a strong jawline include vitality, attractiveness, masculinity and confidence. It’s not hard to see why men have long sought a solution to their appearance given these factors.


In an ever-growing social media age, men are finding their jawlines featured more and more in pictures. This forces men to face the music; their submental fullness has no place to hide in our digital world. It’s no surprise that until today, men have had to either accept their condition or go recovery-intensive under the knife procedures to find relief.

Enter Kybella, a FDA-approved groundbreaking treatment. The treatment is a simple non-invasive injection which is designed to tighten and accentuate the contour of the neck area under the face.  

Kybella is the first of it’s kind injectable which treats submental fullness at the source. The injectable is composed of naturally occurring deoxycholic acid which breaks down fat.  Once fat cells have broken down by with Kybella, the remnants process through the body’s natural metabolism.

Kybella works lightning fast to deliver results within weeks of application. It’s also a “lunch hour treatment.” Under a skilled injector such as Dr. Usha Rajagopal, the treatment time clocks in under 20 minutes to complete. Patients can complete treatment and return to their day immediately. Given the type of treatment, Kybella leaves no-scars and requires no downtime.

Dr. Usha Rajagopal’s Kybella Patient Results

Dr. Usha Rajagopal’s Kybella Patient Results

Submental fullness can affect the lives of both healthy men and women. When diet and exercise alone aren’t enough Kybella may be a universal non-surgical solution. What may surprise you is that in cosmetic surgery offices across the world, more and more men seek Kybella treatment. In some locations up to 40% of Kybella treatments are for men-- not women.

If you’ve desired the aesthetic relief provided by a more defined jawline, or simply want clothing to fit appropriate to your body-- this treatment may work for you. Whatever the reason for your double chin (age, genetics, or otherwise), Kybella is rapidly becoming the definitive first choice in addressing submental fullness for men. Be proud of your look and ask about Kybella today.

We offer professional Kybella treatments at the San Francisco Plastic Surgery and Laser Center. If you would like more information about Kybella visit the procedure page or schedule an in-person evaluation with Dr. Usha Rajagopal at our office.

Vaginal Rejuvenation Treatments for Urinary Stress Incontinence

The vaginal rejuvenation process includes both the external and internal part of the vaginal area. Most people seek out vaginal rejuvenation when they experience looseness either during intercourse or they’re not as satisfied with intercourse. They could have urinary stress incontinence or dryness issues. Both the dryness and urinary stress incontinence are generally from age-related changes, especially after menopause when the estrogen level comes down.

There are two very great treatments to address these issues:

Femilift Laser: A non-surgical laser that resurfaces the internal vaginal canal all the way from the cervix to the outside (introitus area). When this is done, the vaginal mucosa sheds and new vaginal healthy cells are formed and the body increases collagen in that area. By doing this it helps with urinary stress incontinence because the vaginal mucosa gets tighter and some of the heat that’s dissipated to the ligaments around the vagina will also help support the tissues around the bladder. The second benefit is that it will help the dryness issues as now the vagina has new healthy vaginal cells.

Emsella: Helps strengthen the pelvic floor. When you have pelvic floor issues you can experience urinary stress incontinence. Some women who have had children can have a little bit of urine leak by doing certain activities or even when they cough or sneeze. I even hear women say when they do jumping jacks with their kids they have a little leak. When you get older, men and women generally experience urinary stress incontinence. Making the pelvic floor stronger can greatly reduce these symptoms and that’s where the Emsella comes in. Emsella is based on HIFEM technology and strengthens the pelvic floor muscles.

Lastly, if we are looking to improve the appearance of the vaginal area non-surgically and externally, there are two options. One is the CO2 Laser to resurface the skin of the vulvar area. It’s the same laser we would use on the face when someone has wrinkles and poor quality skin. The second option is called Infini RF where it uses radio frequency to tighten the skin around the labia majora and also tighten the skin and reduce fat around the mons pubis area.

Who qualifies for this procedure?

It can be both young and older women. I usually do a consultation to determine what their issues and concerns are then see if they’re a good candidate. For example, if someone has an IUD, then when I’m placing the CO2 Laser, I would want to avoid where the string is and that would be the only reason not to do the Femilift laser. With the Emsella, since it works on electromagnetic pulses, a woman cannot have any metal in the area that’s being treated.

What are the benefits of this procedure?

You can have improvement in urinary stress incontinence, improve moisture for the vaginal canal, and better sensation when having intercourse.

How long do results last? Are there any follow-up treatments necessary?

As with any treatment, our body is dynamic and the tissues do regenerate, but as we get older they regenerate slower. Once we do these treatments these tissues are regenerated at full strength but as time goes by they will weaken. After a patient completes a series of 3 Femilift treatments, I recommend that they come back once every 18 months to 2 years for a touch up with a single treatment.

Once a patient completes their 4 sessions of Emsella and continues with kegels at home, they can maintain pelvic floor health. It’s like any muscle in the body. If you don’t use it you lose it. So if the patient does not do any kegels at home or physical therapy regimen for the pelvic floor after the Emsella, then they would need to come back twice a year for maintenance.

Enjoy this article? 

See related procedures:
Vaginal Tightening
Revisional Labiaplasty
Mommy Makeover

Introducing ZO Skin Health

Meet Amanda and Victoria, our fabulous Patient Care Coordinators! Have any acne, pigmentation, or general skincare concerns? We definitely recommend Zo Skin Health products to get you skin ready!

Give us a call (415) 392-3333 to schedule your complimentary consultation with our skincare experts.

Usha Rajagopal, MD Introduces Groundbreaking and Completely Non-Invasive Treatment for Incontinence in Women

Groundbreaking BTL EMSELLA™ treatment effectively treats incontinence by strengthening a woman’s pelvic floor

SAN FRANCISCO, CALIFORNIA – March 15, 2019 – With incontinence affecting over 19 million women in the US, Board-Certified Plastic Surgeon, Dr. Usha Rajagopal, and her team at the San Francisco Plastic Surgery and Laser Center are excited to introduce a breakthrough technology from BTL Industries. BTL EMSELLA™ stimulates the entire pelvic floor region and musculature by rehabilitating weak pelvic muscles and restoring neuromuscular control. BTL EMSELLA™ is revolutionizing the women’s intimate health and wellness category, by effectively treating urinary incontinence. Additionally, the technology provides women with an easy, effective and completely non-invasive treatment option, empowering them to address an often private health issue that can dramatically impact their quality of life.

Incontinence is actually caused by a weakening of the muscles within the pelvic floor region, often a result of childbirth, menopause and the natural aging process. Although incontinence is extremely common, 5 out of 10 women do not seek help, according to the National Association for Continence (NAFC), which can have a dramatic effect on a woman’s self-esteem and confidence.

“Given how common this is for women, it always surprises me that women keep it to themselves as many of their friends and colleagues are suffering as well,” shared Dr. Rajagopal. “By the time they come to me, they’re really at loss and are excited to learn about BTL EMSELLA™, the completely non-invasive nature of the treatment allows it to be approachable, making it easy for women to treat this issue and stop suffering in silence.”

Harnessing the power of HIFEM (High-Intensity Focused Electromagnetic) technology, BTL EMSELLA™ stimulates the entire pelvic floor at once—with a single session providing thousands of supramaximal pelvic floor muscle contractions, comparable to thousands of Kegels. Supramaximal pelvic floor muscle contractions are extremely important in muscle re-education of incontinent patients.

A recent clinical study demonstrated that 100% of patients had better awareness of pelvic floor muscles as a result of treatment, with 95% of patients treated reported satisfaction and significant improvement in their quality of life following six treatments with BTL EMSELLA™.

BTL EMSELLA™ serves as a complementary treatment to BTL ULTRA FEMME 360™ introduced earlier this year that rounds out the brand’s Pelvic Suite of treatments. When used together, the treatments address both internal and external pelvic health concerns of women providing a comprehensive approach to intimate health.

For optimal results with BTL EMSELLA™, Dr. Rajagopal recommends a series of six, twice–weekly, 28 minute treatments.

About Usha Rajagopal, MD

Dr. Usha Rajagopal is a pioneer in women’s wellness for over 20 years and is the first to address vaginal rejuvenation in the region. Combining her surgical expertise with a continued focus on client empathy and empowerment, Rajagopal began offering additional cutting-edge vaginal rejuvenation procedures like labiaplasty, monsplasty, vaginal tightening, Femilift, O-Shot, and now the Emsella. Each procedure is designed to instill a sense of pride in patients and meet their most intimate needs, whether related to pain, vaginal tightness, sexual dysfunction, urinary incontinence, aesthetic, or self-consciousness.

About BTL Industries

Founded in 1993, BTL has grown to become one of the world’s major manufacturers of medical and aesthetic equipment. With over 1,500 employees located in more than 53 countries, BTL has revolutionized the way to offer the most advanced non-invasive solutions for women’s health & other medical treatments. BTL’s brands include BTL Emsella™, Emsculpt™, Exilis ULTRA 360™ with Ultra Femme 360™, BTL Vanquish ME™, and BTL Cellutone™. Additional information can be found at http://www.pelvicsuite.com.