Fat Reduction & Body Contouring

Syringe Liposculpture before and after

Treatment Options

Fat reduction can be accomplished in a variety of ways. Here at Dr Nightingale Dermatology Aesthetic, we provide non-surgical options, which you can learn more about below.

Which procedure is best depends on a number of factors including patient’s age, size, treatment location and the degree of skin laxity.  Some procedures required more downtime, which may be a factor in your decision. The consultation process is designed to help you decide which procedure is most suitable.

Kybella® Chin Fat Reduction

KYBELLA® is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”

The active ingredient in KYBELLA® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA® destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.

Number of Treatments: 1 to 3 (one-month interval)


Procedure Length: 15 to 20 Minutes

Maintenance: Diet & exercise

Down Time: Mild swelling under the chin for 2 to 4 days

Discomfort: Mild discomfort for 24 hours 

Kybella Frequently Asked Questions

Q: How is Kybella administered?

A: Kybella is given during an in-office visit. The injection process may take 15 to 20 minutes. Dr Nightingale will give you a series of injections into the fat under your chin at each treatment session.

Q: How many Kybella treatment sessions will I need?

A: Dr Nightingale will help you determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals. Up to 6 treatments may be administered, spaced no less than 1 month apart.


Q: How long will the results last?

A: When injected into the fat under your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the aesthetic response is achieved, retreatment with KYBELLA® is not expected.

Q: Will I experience any side effects?

A: The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. KYBELLA® can cause serious side effects, including trouble swallowing and nerve injury in the jaw that can cause an uneven smile or facial muscle weakness. These are not all of the possible side effects of KYBELLA®. Call Dr Nightingale for medical advice about side effects.


TightSculpting® for Any Area of the Body

Fotona Tightsculpting is a state-of-the-art, non-invasive laser treatment that effectively reduces fat, sculpts, transforms, and tightens any area of the body. Fotona Tightsculpting is both safe and comfortable and yields highly effective results for patients who have tried other methods and who struggle with minor skin laxity or stubborn fat.

Fotona Tightsculpting delivers controlled heat to targeted areas, allowing for skin tightening and sculpting across many areas of the body. The dual modes work synergistically to create an excellent result for all body types. First, the PIANO pulse gently and comfortably heats fat cells and tightens the skin, without damaging the skin itself.

Number of Treatments: 4-6


Procedure Length: 30 to 60 Minutes

Maintenance: Diet & exercise

Down Time: None

Discomfort: Minimal discomfort

Why Do Our Patients Like TightSculpting?

Non-Invasive Treatment

No surgery or downtime required. You can resume your typical daily activities after treatment.

Treatment is Safe

TightSculpting is FDA approved and is a safe and comfortable treatment.

Results are Amazing

Patients see immediate tightening with a gradual change in contour over time.

Dual Results
TightSculpting reduces cellulite while at the same time working on skin tightening.
Almost Everyone is a Candidate

This treatment is great for anyone looking to tighten and sculpt a portion of their body.

Treatment Can Be Used Anywhere on Your Body

Skin tightening and sculpting can be done on your arms, abdomen, buttocks, thigh and knees.

Syringe Liposculpture for Face, Neck, and Arms

Syringe liposculputure is an office based  small volume liposuction procedure.   Our focus is to help the patient  regain a more youthful  body contour of the face and neck, arms and other small areas.  To create more skin tightening and reduce burising we will often combine this procedure with laser lipolysis.  We can also use the harvested fat to produce both microfat and/or nanofat which can then be used for facial volume restoration and skin rejuvenation.  Downtime is usually limited to few days.

Number of Treatments:  1


Procedure Length: 1 to 3 hours

Maintenance: Diet & exercise

Down Time: 2 to 7 days, depending on area

Discomfort: Mild to moderate discomfort

Trust Dr. Nightingale with all of your aesthetic dermatology needs!

Offering the most up-to-date treatments in aesthetic dermatology at competitive prices. Call us for a consultation and discover what we can do for you. 

Photodynamic Therapy


248 State Street, # 3A
Ellsworth, ME 04605

Toll-free:  (844) 800-2919


16 Railroad Street
Essex Jct, Vermont 05452