My doctor wants to do 6 vials Of Kybella at one sitting, is this realistic for a dramatic change? (Photo)

Question

I would like a second opinion, is 6 vials is too much in one sitting? Can more then .02 ml be injected in each dot?

Michael I. Echavez, MD · Answer

It is helpful to measure the area in person to determine how much Kybella would be needed for a specific patient, but 6 vials sounds like a lot to me.  In my opinion, liposuction is a better treatment and likely would cost less than multiple treatments of Kybella.

Pedro Rodriguez, MD · Answer

Hi-Thanks for asking about Kybella. Kybella’s typical treatment plan will include several sessions. Each session may require 3-4 vials for treatment. Considering the cost involved and downtime from each treatment, you may want to consider other options. Liposuction may be a great alternative for you providing immediate results and less downtime. Speak with your plastic surgeon about alternatives or seek a second opinion. Good luck! Dr. Rodriguez

Don W. Griffin, MD · Answer

While Kybella can improve your neck, it typically will require 3 to 4 treatments on average with at least 4 vials each treatment based on your picture. You will have significant swelling that will last a week with each treatment and the final result may or may not be what you expect. Neck liposuction is another alternative that you should consider. It can be done in the office under local or sedation anesthesia and the recovery is usually a week to 10 days, equivalent to the what you have with each kybella treatment. Most of the time, you will see more immediate and better results with liposuction.

Jason Emer, MD · Answer

you will get minimal improvement with kybella and a lot of swelling. you can do treatments and the number of vials Is based on the size, but you will need a series of treatments to see any outcome.  it would be best to get neck liposuction + facetite.  See link attached.
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear mzlovebird,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gregory Chambon, MD · Answer

In my opinion, liposuction (especially laser-assisted) is a more appropriate option for your situation. The procedure is done under local anesthesia, through small insertion points, the fat is lasered inside to melt the cells, followed by aspiration. This can be done in the neck and jowl area both. Skin tightening occurs and will be a more predictable and dramatic result than Kybella. It probably would also end up being less expensive in the long run.

Vibha Gambhir, MD · Answer

Thank you for your question. If the doctor you consulted with is recommending 6 vials at one sitting, kybella can quickly become very expensive. With kybella, usually you need several treatments anywhere from 3-4 and if you are doing 6 vials each treatment it can become pretty pricey. I would suggest starting with Coolsculpting which is a non-invasive FDA-cleared procedure for permanent fat reduction. You would also need 2-3 treatments and if you have any remaining tissue after coolsculpting, you can fine-tune the area with kybella. Hope this helps!

Ray Bayati, MD · Answer

My short answer is NO!!! I do not recommend.have you been explained the total costs of Kybella treatment for your neck? It could be 4 -6 sessions and each time need several vials!!???? I do not recommend.Have you considered the downtime and recovery period after kybella treatment? swelling gets worse after kybella and last 2-3 weeks each time after injections go away.Have you had evaluation for a liposuction? It is done under local anesthesia, matter 2-3 hours you are done. One time. costs around $4000.Have a consultation with a liposuction expert.best

My doctor wants to do 6 vials Of Kybella at one sitting, is this realistic for a dramatic change? (Photo)

Answers (8)

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