Is it normal to still have hardness and lumps?

Question

I visited my doctor 2 weeks before my second injection because I have hardness and lumps. She said it was normal and to massage the area. I have been doing so constantly, and have seen a little bit of a reduction. As far as my appearance, I feel like I look worse than i did before.

Payman Kosari, MD, FAAD · Answer

It is difficult to assess without looking at picture but the firmness you feel is quite common and part of the inflammatory process that takes place after you receive your injection.  This will resolve but does take some time.  I have patients return every 8 weeks for their injections to give them optimal time to heal.  I have found that this can also decrease the number of treatments needed since results continue to be gained just merely with time.  Also, keep in mind that swelling can be persistent and occasionally requires 3-4 weeks to resolve.Best,Payman Kosari, MD, FAADDermatology, Laser and Vein SpecialistsCharlotte, NC*Please remember to +1 answers you like to keep them at the top*Also, "Follow" physicians you like to receive email updates as they post on RealSelf

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your concerns. Kybella can definitely result in some lumpiness in the immediate weeks after the treatment. These typically resolve by around the six week mark, and it is one of the reasons why I have prolonged treatment interval to a minimum of six weeks between treatments.  I would recommend that you visit with an experienced plastic surgeon or dermatologist who can help develop and manage your treatment plan alongside with you.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to Kybella. Yes, hard lumps and bumps are common after Kybella injections. To be sure what is best, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Jason Emer, MD · Answer

Kybella swelling can last 2-4 weeks. I suggest seeing an expert for treatment and consider venus legacy post treatment to speed up the healing process.  Best, Dr. Emer.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question allieg2086. I understand your concern. Kybella is the first and
thus-far only FDA-approved non-surgical injectable treatment for the double
chin. Nodules may form after a treatment and they resolve slowly over time. It could take over 4 weeks for full resolution. For this reason I recommend that my patients space treatment every 3 months. We have found that a minimum of 2 treatments is required. We assess the results 3 months after the second treatment. If further enhancement is desired more treatments can be performed. Patience is important. Please
consult with a doctor for specific recommendations. Good luck!

Kouros Azar, MD · Answer

The lumps and bumps that you are experiencing following your Kybella treatment are totally normal. It's actually the broken down fat cells, combining together as they wait for you body to eliminate them. Since every individual does so at his or her own rate, it may just be taking your body longer than the norm. Don't worry. Things will improve. Kindly,Kouros Azar

Michael T. Somenek, MD · Answer

The firmness in that area that is causing a lump is completely normal. It is the body breaking down and cleaning up the fat cells that have been destroyed. The inflammatory process will soften in the coming weeks.

Michele S. Green, MD · Answer

Kybella can often produce hard lumps to the area that can persist for several weeks after the injection. It just takes time to go away.  I often combine Thermage with Kybella to tighten the neck/jowls and have the best results for the submental area.  Best, Dr. Green

Bruce E. Katz, MD · Answer

Thank you for your question. Lumps or hardness after Kybella is normal.
It can last 3-4 weeks. If it persists for longer than that, please schedule a
follow up appointment with your physician so that they may review the area.

Anita Arora Gill, MD · Answer

It is normal to have induration (firmness) and bumps on the neck post kybella for 2-4 weeks. I usually recommend icing the area for the first week, and eventually those areas will subside. Make sure you are seeing a board certified dermatologist or plastic surgeon- all the best, Anita Gill MD

Is it normal to still have hardness and lumps?

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