Should swelling on round 2 be worse and firm?

Question

I've been reading that most people say round 2 is not as bad in terms of swelling but for me it is just as bad, if not worse. This time it is also hard as a rock -- almost like I have a golf ball right behind/under my chin. Wanted to see if this is normal or to be expected?

S. Larry Schlesinger, MD, FACS · Answer

Thank you for your question. Swelling normally is less on the second round of injections, but could be the same as the first round. It depends on the amount of sub mental fat, and the time between injections. As for the hard lump, you could get some hard lumps and usually always go away after about three to four weeks.You should follow up with your Kybella injector, and see what they recommend for your lumps.

Jeffrey Rockmore, MD · Answer

Swelling and firmness are both side effects of Kybella so it sounds like what you are experiencing is normal. I would recommend lightly massaging the area to help with the firmness and it should subside over time. If you have additional concerns or feel that you aren’t healing properly I would recommend having the doctor that treated you take a look. Best of luck!

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your concerns.  You are correct that swelling is usually less with the second treatment. I do find that the degree of swelling is largely dose dependent. I would make sure that you are going to an expert Kybella injector.  There are also other reasons for having a lot more swelling than anticipated.  This could be due to a large bruise or hematoma, or not waiting enough time between treatments.  I would definitely visit your provider to follow up.

Jason Emer, MD · Answer

Swelling from kybella is unpredictable. I suggest you see an expert for treatment. There are no guarantees that less fat means less swelling.  Venus legacy helps speed up the healing post kybella.  Best, Dr. Emer.

Kouros Azar, MD · Answer

While most patients do find that the swelling is less after their second Kybella treatment, probably due to the fact that there is less fat to dissolve, every individual heals differently. If your "lump" doesn't resolve on its own in the next week or so then schedule an appointment to have it assessed in person by your surgeon.Kindly,Kouros Azar

Should swelling on round 2 be worse and firm?

Answers (10)

Answer: Kybella -- FDA approved for Submental Fat, Non Surgical Option But Still New

Answer: Kybella -- FDA approved for Submental Fat, Non Surgical Option But Still New

Answer: Swelling typically reduced with second Kybella treatment

Answer: Swelling typically reduced with second Kybella treatment

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.

Should swelling on round 2 be worse and firm?

Answers (10)

Answer: Kybella -- FDA approved for Submental Fat, Non Surgical Option But Still New

Answer: Kybella -- FDA approved for Submental Fat, Non Surgical Option But Still New

Answer: Swelling typically reduced with second Kybella treatment

Answer: Swelling typically reduced with second Kybella treatment

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.