Do I have to get my second Kybella treatment six weeks after the first? Or can I wait a few months between treatments?

I usually recommend waiting at least 6-8 weeks after the first treatment for swelling to go down so that an appropriate assessment can be made as to how many vials are needed for the second treatment. You do not negate the affects.  Once the fat is destroyed it’s gone.  But understand that all adipose tissue is not destroyed and thus if you put on weight, the exsisting adipose tissue may get bigger.    

I would recommend you wait six weeks after your first kybella and follow it up after that, but you can wait longer if you want. 

Dear gwooden,Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery