Is Kybella contraindicated if you think you may need/want a full face lift with in 5 years?

Thank you for your question. As
the principal investigator for the FDA trials on Kybella, and with over 400
treatments performed, we found that Kybella injections result in significant
improvement in the appearance of convexity or fullness associated with
submental fat. Kybella is injected as a solution below the skin surface into the
fatty tissues. It acts by destroying fat cells in the area injected. The lysed
fat cell contents create an inflammatory reaction, resulting in skin
contraction and tightening (in addition to reduction of fat). Kybella
treatments consist of a series of injections (usually 4-5) to improve contour
in even the fattest of necks without surgery. Both liposuction and Kybella
injections are equally effective in treating the fat underneath the chin.
Kybella is a non-surgical option, resulting in gradual improvement. There is
modest swelling after the treatment and is directly related to the amount of
fat present and the amount of kybella injected. A compression garment worn for
a few days should help with the mild swelling. If you have excess neck skin or platysmal
bands, however, this is not addressed with Kybella injections; rather, a lower
facelift and platysmaplasty are the procedures of choice for these conditions.
Kybella injections do not preclude you from undergoing a facelift in the
future. Prior to any intervention, however, a proper physical exam is
necessary. I hope this information
helps, and I wish you the best of luck.

There is no need to hold off on your Kybella treatment just because you are considering a full rhytidectomy (aka facelift) 5 years from now. If you are sufficiently bothered by the fat under your chin that you don't even want to look at photos, then having your double chin removed may help you feel better about yourself.  I commonly combine it with fillers to the chin and jawline to give the soft tissue support and improve any laxity that comes from a lack of structural support.  Depending on the whether some saggy skin is still left, Ultherapy or ThermiTight can be done afterward to improve any remaining loose skin. Please consult a board-certified dermatologist to see if you are a candidate for this ground-breaking fat-removal technique.

Obviously, without seeing a photo or better yet examining you in person, this is all conjecture, but no, there shouldn't be an issue getting Kybella now and then having a facelift in 5 years. If you have extra fat under the chin, it would need to be removed with your facelift anyway. However, your best bet would be to schedule a consultation with a board certified plastic surgeon to be assessed in person and discuss.Kindly,Kouros Azar