Kevin Cavanaugh, MD

Hi,

Thanks for your question and sharing your pictures. Lip asymmetry can be fixed with a variety of dermal fillers. You have naturally full lips so I would advise a consultation with an experienced cosmetic dermatologist or plastic surgeon near you to discuss which dermal filler would give you the optimal results. I hope this is helpful and wish you all the best!

Kevin Cavanaugh, MD

Hi,

The indentations you have are temporary and should go away with time. If you notice they are persistent I recommend you make an appointment with your injector / dermatologist to have them assessed. 

Best,

Kevin Cavanaugh

Hi,

Dropping after Kybella is possible and is a side effect of injection around the marginal mandibular nerve. Typically this side effect is temporary, but I would recommend calling your injector to have a formal evaluation in clinic. They can discuss with you what to expect and the typical duration of symptoms. Time is typically the best medicine for this type of side effect. In our clinic we see patients in follow-up from 10-12 weeks because we do not notice maximum fat loss and skin tightening until this time point. I would expect improvement in your symptoms (or resolution) by this time point. I'm sorry you had a bad initial experience and hope you are happy with the final results. Best of luck!

Kevin Cavanaugh, MD

Hi,

Thanks for your question and sharing your pictures. Dermal fillers under the eyes typically swell quite a bit and this can last up to two weeks. Product choice in this area is quite important. Juvederm under the eyes will often absorb water and end up looking puffy/swollen. At this point I would recommend ice and an antihistamine, like zyrtec, to help expedite the resolution of the swelling. If you still have considerable swelling /puffiness after two to three weeks I would follow-up with your injector to discuss your concerns. Hyaluronic acid based fillers can easily be dissolved with hyaluronidase. I hope this is helpful and wish you all the best!

Kevin Cavanaugh, MD

Hi,

Thanks for your question and I'm sorry you had a bad experience with your first Kybella injection. Based on your description you have injury to the marginal mandibular nerve. When injected on label using the grid system provided by Allergen this is a rare side effect. If the injector explained to you that he/she was going off label to inject a pocket of fat around this nerve then it is more of an expected side effect. I have heard from most injectors that this side effect is temporary. That being said, I would still call your injector and explain what is going on. They should bring you back into clinic and do a full assessment. If it is the marginal mandibular nerve, time is usually the best medicine. In terms of your second session of Kybella, I would wait it out and see how things shape up after the first injection. At our clinic we only inject four vials to start and typically wait ten to twelve weeks to see patients in follow-up because in our experience maximum fat loss and tightening do not occur until this time point. Swelling can also last several weeks. I hope this helps and wish you all the best.

Kevin Cavanaugh, MD