Can Kybella be used to treat excess fat on mons pubis?

Kybella is great for getting rid small unwanted pockets of fat. It has FDA approval for the submental (chin). People are using it in other areas off label as well, so make sure you have a provider who is skilled and comfortable treating off label areas.

Kybella could be used that way. It is off label and considering that most people find the results in sufficient for the tiny amount of fat they want reduced under their chin doing body contouring with chemical fat distraction is really subpar.

This can easily be done using local anesthesia with or without sedation.

The amount of swelling and inflammation will be less with liposuction than an attempt with chemical fat distraction.

Liposuction is far more predictable and can be blended better and surrounding areas.

It is the gold standard and the best form of subcutaneous fat removal.

The idea of injecting chemicals noxious enough to rupture cell membranes seems highly unappealing to me. liposuction is so safe, so simple and predictable it is simply better than Kybella by every measure.

A lot of people who complain of excess fat in the mons pubis also have skin laxity that contributes significantly to the problem. It’s really important to differentiate how much skin laxity contributes and how much is really a true fat problem.

To differentiate how much skin laxity may be contributing I suggest pulling up fairly aggressively on your lower abdomen until the skin is nice and touch and see if the area of concern changes in contour.

If it does them that amount of change is purely related to skin laxity and will not be approved with fat removal.

This is often the case for women who’ve had children or weight fluctuations.

You may find a provider especially a non-MD or someone who is not trained in plastic surgery offering Kybella(those who cannot offer Liposuction). I don’t think anyone who has the proper qualifications to do all procedures would recommend Kybella as the first treatment option.

Best,

Mats Hagstrom MD