The aesthetician injected a vial of kybella on each side of my face and I found this is wrong, what do I do?

You need to contact this person and review what has been done. Are you sure it was Kybella and not Sculptra? Contact the physician in charge and review your chart.Good luck, Dr. ALDO 

First keep in mind that often a single treatment with Kybella is pretty disappointing because it is hard to discern that it did much.  Having said that "aestheticians" should not be injecting Kybella even in Texas.  This would be the unauthorized practice of medicine.  I would make a complaint with the appropriate licensing agencies.  It might be appropriate to seek a criminal prosecution.  There are also civil remedies available under the law but this is not the forum for that.

Kybella is currently FDA approved for treatment of submental or under the chin fat. Some physicians are using it off label to treat cellulite and liposuction contour issues. Temporary numbness and swelling is common after the treatment. That will go away with time but it might take 3 months or so. 
I would not inject kybella above the jawline as this would not help define the jawline and put the facial nerve, which controls your motor function, at risk. Fortunately, it sounds like all your motor nerves are still functioning. Unfortunately, there is no reversal agent. You have to wait and give it time. You can ice and use anti-inflammatory medications to help with swelling. You may need fat grafting in the future if you have contour abnormalities. 

I personally would never use kybella this way but off label uses of kybella by an experienced injector can give good resutls.. if its been a few days or weeks its much too early to make a judgement on results or side effects

Many medications have specific FDA approved uses but occasionally are used "off label". Typically your surgeon or your doctor will be discussing all approved and "off label" uses prior to your treatment and this discussion should be reflected in the patient's chart and applicable consents for treatment. There is wide variation from state to state regarding what treatments aestheticians, medical assistants, nurses, nurse practitioners or physician assistants can perform. In most states any such treatments provided by physician extenders should be under the direct or indirect supervision of the physician who supervises them. Variation also exists regarding what tasks the physician may delegate to appropriately trained physician extenders. Kybella dissolves fat cells and if injected close to nerves may dissolve parts of the nerve sheath (myelin sheath) which is mainly composed of glycolipids (fat molecules) and result to numbness and or/weakness depending what type of nerves are affected. Typically the nerve sheath will regenerate over a period of time with restoration of function. You should follow up with your doctor or the medical director of the clinic where you had your injections. 

I'm so sorry to hear of this. Even though it is only FDA approved for the submental (under the chin) region, many providers are trialing it in other areas. It can be used for a parts of the face but again should be done with caution. The swelling and numbness that you are experience are normal for the post-procedure course after Kybella injection. There are several layers/ compartments of fat in the face so I doubt you will "look like a skeleton," however, I cannot speak to how the aesthetician performed the injection. Much of the results depend on the amount that was injected and depth. There are reports for facial nerve weakness ( ie. difficulty with certain facial movements) when used in the off label areas. To the best of my knowledge, the facial nerve weakness was temporary. Unfortunately, there is no antidote or reversal agent for Kybella, and you will just need to wait it out to see what the end result will be. Hope this helps

I am sorry this is happening to you.   A couple of thoughts:  First, aestheticians should not be injecting Kybella.  In my opinion, you should consider reporting this to the TX medical board.  Kybella is potentially dangerous when not injected by experienced physicians or RNs.Secondly, you don't say how long ago you had the injections.  It is very  normal to have significant swelling, numbness and tingling for up to a week (and sometimes two weeks) after the treatment.  Thirdly, while Kybella is only approved for the submental area, it can yield beautiful results in other areas, including the jowels.  However, it must only be done by skilled physicians with advanced training or by skilled RNs working under a physician's supervision.  Best of luck to you.

Kybella is an FDA approved treament of the submental (below the chin) fat. All other uses for Kybella are "off-label". Certain advanced injectors may use Kybella off-label based on clinical experience and available research. I do use Kybella off label for the jowl fat. That being said, an aesthetician should not be injecting Kybella which is a medical procedure. You should file a complaint with the Dept of Health/Medicine. I would also ask for your medical records and go to an experienced physician to see if any damage has been done.

Hello Ashleyf81,Kybella is an FDA approved injection for the double chin that helps to dissolve fat.  For the right patient it can be an amazing treatment.  However, it has not been studied in any other area of the body.  Injecting other areas is considered "off label."  This does not necessarily mean something is dangerous or inappropriate, only that it hasn't been studied.  Off label use of cosmetics is frequently done with fillers and Botox because we know how they work and what the goals of treatment are.  We also know the risks of using these treatments in other areas is minimal by knowing the anatomy.  However, with Kybella, I would be very hesitant using that in an off label manner. The reason is that the inflammation it creates can affect nerves in the area.  This is a low but not non existent risk when treating the submental or double chin area.  When treating the face though, there are many other nerves including ones that move the face and ones that provide sensation.  If the inflammation created affects these it can leave you numb or with the inability to move your face.  It sounds like you have numbness in a large area of your face.  The good news is that none of the patients in the studies had permanent numbness.  It typically lasts for about 6 weeks and then resolves.  As far as the result with a single treatment there is not a huge face.  I would not be worried about it making you like a skeleton.  But I also wouldn't recommend you receive any more injections there.  You mentioned it was an aesthetician performing your treatment.  When it comes to cosmetics and your face, I would always recommend you consult with a cosmetic physician such as a facial plastic surgeon.  This may be a little more expensive but this is your face.I hope this helps and good luck.