Had my 3d Kybella treatment on Friday. Woke up on Monday with lower lip dropping on the left side.

Question

Asymmetry is noticeable when I smile with lips open, mouth wide open, and lip retraction. No asymmetry when I smile with lip closed or pucker lips. There is a new feeling of numbness radiating toward my cheek and ear areas. Did my treatment with a board-certified dermatologist who is highly respected in my community. She followed the grid and everything went smoothly. I called her and she said if doesn't resolve in 2 weeks to see her. I understand its a nerve damage. Is it permanent?

Hardik Soni, MD · Answer

It is one of the risks after the Kybella treatment that occurs with small percentage of patients. It should resolve itself. It may not go away within the 2-week time frame, but it will within 4 weeks. Anyhow, you should have a follow up with your provider after 2 weeks. Good luck!

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question kat39. I am sorry to hear about your situation. Kybella
is the first and, thus far, only non-surgical injectable treatment for the
double chin. The pivotal studies demonstrated that a marginal mandibular nerve injury may occur less than 5 % of the time leading to a temporary asymmetric smile. The median duration is about six weeks; it is not permanent. Please
follow up with your doctor for specific recommendations. Good luck!

Michele S. Green, MD · Answer

It sounds like your mandibular nerve was effected which should go away in a few weeks.  It sounds like it should resolve in a few weeks.  Best, Dr. Green

Sumit Bapna, MD · Answer

You have one of the rare, but temporary side effects from the inflammation caused by the Kybella injections. It will resolve but could takes weeks to months. There are strategic injections of Botox or Dysport that can be done to make the asymmetry less noticeable while it is resolving, talk to your physician about this at the follow up.

Kouros Azar, MD · Answer

I am so sorry that you are experiencing this, but it should be temporary. That's the good news. The bad news is that it may take a few weeks to resolve. Hang in there and yes, if things don't improve in 2 weeks, see your surgeon.Kindly,Kouros Azar

Had my 3d Kybella treatment on Friday. Woke up on Monday with lower lip dropping on the left side.

Answers (8)

Answer: Lip drooping after Kybella

Answer: Lip drooping after Kybella

Answer: Temporary nerve damage

Answer: Temporary nerve damage

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Everything you need to know about Kybella

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Had my 3d Kybella treatment on Friday. Woke up on Monday with lower lip dropping on the left side.

Answers (8)

Answer: Lip drooping after Kybella

Answer: Lip drooping after Kybella

Answer: Temporary nerve damage

Answer: Temporary nerve damage

Browse related questions

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.