Should swelling on round 2 be worse and firm?

That's a great question.  Most of my patients report that the swelling is less with the second injection of Kybella.  This might be expected because there is less fat the second time.  In addition to Ice and elevation, my patients are reporting that an over the counter antihistamine such as Zyrtec or Benadryl started the day before, taken the day of and the day after, has seemed to help.

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!