Kybella injection more swollen and feels hard and tender to touch on day 3?

Question

I had my first Kybella injection in a Bangkok clinic 3 days ago. My swelling on day 3 is now worse and feels hard and is tender/sore to touch. My doctor only did about 5 injections and I have been told to have 6 sessions, each 2 weeks apart. Is this normal? I have read on the internet that people usually have 28 injections 4-6 weeks apart. I will appreciate any assistance.

David Gilpin, MD · Answer

Thank you for your question.  Kybella is the only FDA approved injectable product for submental (under the chin) fullness caused by fat.  Typically Kybella is injected in a specific pattern under the chin, and 4 cc's is injected at one session.  The sessions are usually spaced at least 6 weeks apart to allow for all swelling to resolve.  Typical, expected side effects of the injection include swelling, brusing, and numbness under the chin. It sounds as if you may have had 1 vial injected, which may not give you the results you are desiring.  I would consult with a board certified injector who has experience in injecting Kybella for a full evaluation.  I hope that this helps!-David Gilpin

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Kybella is an innovative injectable that provides a dramatic reduction in submental fatty tissue, sculpting the chin in a quick office visit, with no downtime. You can immediately return to work or school. There are no restriction on activities or exercise. Most often, patients can see their improvement in 2 treatments, but the amount of treatments may vary based on the patient's unique needs and treatment plans. 
Best wishes,

Payman Kosari, MD, FAAD · Answer

Every neck is different and will therefore require different amount of kybella.  The swelling with kybella can be significant so not surprising to hear the amount of swelling you are experiencing.  I educated patients that it can last anywhere betwen 2-4 weeks.  With that said, some of the swelling can be caused by a hematoma.  Best to go back to your injector and let them evaluate your neck.  Best of luck!

Kouros Azar, MD · Answer

Swelling is a very normal side effect of Kybella. However, treatments should be spaced at least 4-6 weeks apart. Not two weeks. You need to give your body time to heal. And most patients only need 2-4 treatments.

Michele S. Green, MD · Answer

Kybella is fantastic for reducing the fat bulge under the neck.  However, you would never inject in two week intervals.  You need to wait 4 to 6 weeks to see the full effect and let the swelling resolve. In addition, a grid should be placed and it would definitely be more than five injection points.  Please consult an expert in Kybella for the best cosmetic results.  Best, Dr. Green

Kybella injection more swollen and feels hard and tender to touch on day 3?

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Kybella injection more swollen and feels hard and tender to touch on day 3?

Answers (10)

Answer: Kybella results

Answer: Kybella results

Answer: Kybella and Intervals of Injection

Answer: Kybella and Intervals of Injection

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Recommended reading

Everything you need to know about Kybella

Our mission is to create a world where every investment in modern beauty is Worth It.