Should swelling on round 2 be worse and firm?

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.

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!

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.

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.

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