Can Kybella be used on festoons? If not, why?

Kybella is only indicated for use in the submental area (under chin). Festoons can be improved with fillers, lasers, microneedling/skin care. I suggest you see an expert. Best, Dr. Emer.

Kybella is the brand term for a chemical called deoxycholic acid. This product leads to the breakdown of fat cells in the area of injection. Kybella is only approved for treatment of fat accumulation under the chin. Unfortunately, festoons are the result of fluid accumulation and or excess skin in the region of the malar eminence. Therefore, Kybella would not significantly affect the festoon--if anything, it may leave you looking worse if it affects the cheek fat pads. Hope this helps!

Kybella is only approved by the FDA for use in the submental area (under the chin). It is not indicated for use around the eye and would be very unsafe. Kybella dissolves fat cells, however in the periorbital area the entire orbit contains fat. Disruption of the orbital and periorbital fat would be unaesthetic and dangerous to ones vision.Also festoons are not usually fat. Festoons are the accumulation of tissue fluid over the malar bones and are most successfully treated metabolically.If you are concerned with your eyes please consult with a board certified facial plastic surgeon, an eperienced expert.

Kybella has only been FDA approved to treat the fat under the chin which means that there hasn't been enough research done on the efficacy and safety of using it elsewhere on the body.  I would not recommend using Kybella to treat your festoons. Kindly,Kouros Azar

I would be extremely cautious to get Kybella in that area of the face. Kybella is only FDA approved for the submental area under the chin. Using it anywhere else can put you at risk for complications due to lack of research in a particular area. 

Thank you for your question joyce6647. Kybella is a treatment used to address the double chin. The safety of Kybella has not been tested in other areas. Festoons are the "bags" that some people see under the eyes. Usually the festoons do not contain much fat and therefore it is unlikely that a fat dissolving product such as Kybella will improve festoons. Surgical options work well to treat festoons. Please consult with a doctor for specific recommendations. Good luck!

Festoons are extra "bags" or pouches of the lower eyelid and cheek areas.  The ones over the cheek are sometimes called "malar bags" - malar is another word for cheek.  They are difficult to treat and are probably due to chronic swelling combined with looseness of the tissues rather than fat.  To my knowledge I do not know of Kybella being described to treat these but I would not  expect it to be helpful. And I would worry about the inflammatory response causing an ectropion-pulling the eyelid down.When festoons are large and localized, a direct excision may be the best treatment.  I would recommend that you consult with a board certified plastic surgeon who is experienced in this area.

Hello Joyce6647,Kybella is able to dissolve unwanted fat.  It is FDA approved for the treatment of the double chin.  Festoons represent more of redundant skin tissue and swelling as opposed to fat.  To treat in this area would be an off label use with possible unforeseen side effects, and would not likely provide much benefit.I hope this helps and good luck.  

Kybella for treatment of festoons has not been tested or reported to my knowledge.It makes sense to try to dissolve some of the accumulated fat.Kybella would not help tightening the skin and would not help the lymphatic collections that are part of festoons.Best wishes,Dr. Denkler

First off, Kybella is only FDA approved for submental fat, so any other use is off label.  While there are other areas that Kybella can treat this is not one of them.  The effect could be devastating.  Festoons are not from having too much fat.  It is descent of the soft tissues as we age that cause it to puff up in that area because of the surrounding ligaments holding things in place.  The only solution is a lower lid surgery to tighten the skin and reposition the soft tissues.  Consult with a plastic surgeon in your area.  "The above answer has been given without seeing this
patient and cannot be substituted for actual in-person examination and medical
advice; it is only opinion. Seek in-person treatment with a trained medical
professional for appropriate care."