Dear Goochie:This really is an excellent question but no studies on combination treatments have been performed. I don't think I would recommend Kybella on the same day nor for at least 3 or 4 months after CoolSculpting, as after that treatment, adipocytes (fat cells) shift into the end phase of the normal life cycle of the cell, programmed cell death or apoptosis, and they die slowly over a period of months, so injecting them with Kybella could be overkill and unnecessary. However, I see no reason that you could not treat remaining fat with Kybella after that time.You might be able to have CoolSculpting after any swelling from Kybella has subsided. Because the cells die immediately with Kybella injections, there is more rapid clearance of the treated fat cells, and the onset of the effect can be seen as early as three weeks. However, I wonder if you might somehow interfere with a nice side benefit of Kybella by doing this, that of the skin tightening we see 3 to 6 months after Kybella treatment.All the best, Dr. Clark