At present treatments for removal of fat around the neck can be separated into surgical and minimally invasive treatments. Surgical treatments involve neck lifts that are often expensive, invasive and require a general anaesthetic. The recovery period is prolonged and can involve large scars. The results, however, are impressive and in some cases this is the only option available. Non-invasive treatments include the use of PDO threads to help tighten and provide lift. It is claimed by some that threads have some lipolytic (able to break down fat) ability. However, even when placed within submental fat the amount of fat reduction is extremely limited. Kybella has become increasingly popular recently. This is a prescription only medication that is injected into fatty regions and helps to break down fat. Multiple treatments are required and can cause injury to surrounding tissues if not injected correctly. In addition, despite loss of fat there is no associated change to the overlying, often loose and crepey skin.