Follow-up to my first question. Clarifying my first question. Kybella no change. doctor did not use temporary tattoo.

my concern was that the doctor did not use the Kybella temporary tattoo to inject. He only injected my chin at 6-10 injection sites (I always count) :} during both treatments(each about a month apart). last treatment was two months ago. swelling lasted about 3 weeks. should I be concerned at the fact that he did not use the temporary tattoo? when I asked about it, he stated only less skilled injectors needed to use the tattoo and he did not need to use one. any advice would be greatly appreciated.
To see the previous question, please click here. 

Doctor Answers 15

Kybella Question

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Thank you for your question.  You should always seek treatment from an experienced board-certified facial plastic surgeon who adheres to FDA guidelines for injecting Kybella.  The grid is used to ensure that optimal treatment is given.    Make sure that you follow up with your injector about your results and/or subsequent treatments.

Kybella Question

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Thank you for your question.  I have not attempted to inject Kybella without the tattoo, and cannot speak to injection without doing this.  So far, I have had excellent results with Kybella, when injected as directed by the FDA.  You may want to discuss your concerns with another board certified facial plastic or general plastic surgeon, for a full evaluation and recommendation. 

I hope that this helps,
-David Gilpin

David Gilpin, MD
Nashville Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Kybella grid

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Thank you for your question Katherinexox. I understand your concern. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. Kybella comes with a grid used to mark the area. The dots on the skin help to guide the injector on the injection points, but they are not necessary.

Please consult with a doctor for specific recommendations. Good luck!

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Kybella and the Kybella Injection Grid

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Kybella is a chemical that dissolves or disrupts fat cells.  When injected, it disperses for about 1 cm in all directions from the injection site and so to get an even result, the grid or that is marked in 1 cm intervals, can be a great tool to help get even results.  While most injectors will use it, it is not necessary to get great results and experienced injectors may elect not to use it for a variety of reasons.

The real question is "How are your result?"  Hopefully your injector took before photos.  If so, go back and ask for after photos to be done and to see the photos.  That will tell you if you are making any progress.  Usually each treatment gets about 40% improvement at a minimum. 

I hope that helps.

Best regards.

Kybella results

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The tattoo is a guideline for where to place the injections. Have you compared how you look now to your before photos? Because there should be a change. If not, then you may want to see another qualified injector to be assessed in person.


Kouros Azar

Tattoo and Kybella

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I have never injected Kybella without a grid.  In my hands, I like the temporary tattoo to help guide treatment.  I do recommend that you seek an experienced injector. I think the injector's experience and comfort with Kybella are the most important.

Kybella and temporary tatoos

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Thank you for your question.  Temporary tattoos are meant to be a guide as to where to inject.  I teach other injectors for the company and encourage everyone to incorporate the use of the tattoos as part of their injection protocol.  Having said that, what is more important than the tattoos is the experience level of the injector and their ability to define the treatment area based on the patient assessment, consideration for asymmetry between the left and right sides.  I would ensure that you go to a injector with experience in facial injections and assessments and with experience in Kybella.  In addition, if you go to a plastic surgeon, you may also hear what your surgical alternatives are.


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Thank you for your question, Katherine. Please see a board certified facial plastic surgeon that follows all FDA guidelines with the Kybella procedures. I suggest you consult with your board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 123 reviews

Kybella tattoo

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Thanks for the question.  The tattoo is just to make it easier for us to inject.  It places a grid onto the proposed area of treatment, so that the injections are evenly distributed.  That being said, you do not need to use the tattoo if you know what you are doing and can accurately space out the injections.  I am a bit concerned that only 6-10 injections were given.  This would be an unusually small area.  An average treatment usually involves 20-25 injections sites.  Also, sometimes the first treatment does not give a noticeable change and a second treatment might be recommended.  

Good Luck

"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Kybella temporary tattoo

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Thank you for your question. When performing the Kybella treatment on our patients, we’ve always used the Kybella temporary tattoo to ensure accuracy and better results. If you are concerned with your treatment, I suggest finding a second qualified physician to review the area. 

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.