Kybella Question- how long will swelling be noticeable? (photo)

I have a scheduled appointment for my first kybella treatment on Monday but have learned that I have a work function that following Saturday, leaving only a few days to heal. Do many patients have significant swelling 5 days after their initial treatment? My double chin and full cheeks has been the bane of my existence, I work out regularly and have a very low percentage of body fat everywhere else except for my face.

Doctor Answers 18

Swelling noticeable...

We have noticed the swelling is noticeable 3 to 5 days. People who swell more tend to have better results, which I find to be very interesting. If you feel your swelling is not improving talk to your injector. 

Scottsdale Plastic Surgeon
4.9 out of 5 stars 202 reviews

How long will I swell after Kybella injection for double chin?

Thank you for your question. In my opinion, older patients with loose skin tend to swell more than my younger patients with good skin tone. Also the amount of fat makes a difference. The more fat a patient has the more swelling they will have after the injections. In your case, based on the picture provided, you are young with good skin tone. The odds are on your side. 1 week should be enough for the swelling to subside.

I hope this helps. Best wishes! (Dr. Salameh, Plastic Surgeon, Bowling Green, KY)

Bernard S. Salameh, MD
Bowling Green Physician
5.0 out of 5 stars 19 reviews

Kybella Swelling

Swelling after Kybella is expected however temporary.  Patients can typically expect swelling to the treatment area for ~5 days post treatment, with most noticeable swelling occurring on day 2-3.  Icing immediately post procedure helps.  An oral antihistamine can also be used to minimize swelling as well as Motrin and light compression.  I would expect swelling to be largely resolved by your event 5 days after your treatment.  Subsequent treatments have less swelling since there is less fat there to enlarge

Bradley Bengtson, MD, FACS
Grand Rapids Plastic Surgeon
4.9 out of 5 stars 54 reviews

Kybella Question

In my experience, swelling can certainly persist for 5 days in a large percentage of patients. I would give at least 2 weeks to recover if this is a function where you are concerned about your appearance. Swelling will resolve and subtly persist until 4-6 weeks after treatment. Hope this helps. 

Nirmal Nathan, MD
Plantation Plastic Surgeon
5.0 out of 5 stars 42 reviews

Kybella and Swelling After Injection

Congratulations on deciding to have Kybella.  You appear to be an ideal candidate and with 2 to 3 treatments you should see a great result.  Most patients experience swelling that will last about a week but even at a couple of days most people will not notice the swelling.  My patients always think it is worse than it is and asked if any one has noticed they respond, "Not really, or at least if they have they have not commented on it." 

At 5 days you should be just fine, a little residual swelling maybe, but not bad.

I hope that helps.

Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 64 reviews


Some patients may experience swelling that can last up to a week and it all depends on the amount that has been injected and your response to Kybella. Usually swelling does not last longer than 3-5 days, so you can expect to be ready for social function after 5 days

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Swelling from Kybella

Most patients experience up to 7 days of swelling, but everyone reacts/heals differently. At 5 days post-Kybella treatment your swelling should be significantly reduced but it is possible you will still have some residual swelling. Most likely you will be ok, but it is really up to you if you are ok with the possibility of some slight swelling being visible. 

Jimmy S. Firouz, MD, FACS
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 18 reviews


Kybella can cause noticeable mild swelling in the 1st week after the injections and mild, barely noticeable swelling for up to 3 weeks afterwards. This assumes a full dose was injected.  Be well!

Estee Williams, MD
New York Dermatologist
5.0 out of 5 stars 22 reviews

Swelling after Kybella

Thank you for your question andrec17. Kybella is the first and, thus far, only non-surgical injectable treatment for the double chin. Most swelling occurs for the first week, although some people experience swelling for two or more weeks. Some doctors recommend using a strap around the area from under the chin to the top of the head in order to minimize swelling. Many people wear a scarf or turtleneck to cover the swelling. Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 4 reviews

Kybella Swelling

I think you will be ok.  I had my own treatment  with 3 vials and was back in the hospital 3 days later and no one noticed.  The biggest swelling is over by the 3rd to 4th day.  You will still be swollen compared to your baseline, but not that someone else would typically notice on a casual basis.  Some patients find that it helps to take Ceterizine (an otc antihistamine-Zyrtec is one brand) for the day before the day of and the day after.  You will find that in 3-4 weeks you will start to see an improvement, and most patients see the improvement continue for 3-4 months afterwards.  Good luck!

Jonathan Hall, MD
Boston Plastic Surgeon
4.9 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.