I had Kybella and am a little concerned?

I was an investigator on the Kybella trial and recently reported the results we saw, which was that laxity and crepiness did not worsen when patients had significant fat reduction of their double chin. Sometimes, in addition to excess fat many patients also have lax skin that Kybella is not intended to treat. If after a few months you are still experiencing loose skin, you can see about having a non-invasive skin tightening treatment performed, such as Ultherapy or ThermiTight. Be sure to only have these procedures done by a board-certified, experienced dermatologist or plastic surgeon. Good luck!

Kybella is a great treatment
option for those looking to remove excess fat under their chin. However, it is
not a cure-all for neck concerns. It does not create a desired outcome for
patients with poor skin elasticity, or with excess skin. So my first question
would be, are you sure fat removal is all you were looking for when you started
the Kybella treatments? If no, it’s time to have a speak with your cosmetic physician,
or perhaps get a second opinion from another cosmetic physician with Kybella
experience.

If fat removal was the sole goal
of your Kybella treatments, then I want to give you some good news: I hear
concerns just like these from our Kybella patients after the first treatment.
You are likely experiencing some swelling, which will go away over time. Things
should be looking back to normal, or slightly better, in another week (2 weeks
after injection).

Don’t expect to see a major
change after your first treatment. I know it’s discouraging, because it seems
like you should see half the result after half of the treatment, right? But
that’s not what happens. You’re going to see almost nothing after the first
treatment, but a really big result after the second. So hang in there!

Finally, if you find that your
skin quality is less than what you expected (i.e. you thought the skin would
tighten up if the fat was removed, but it doesn’t), you can always discuss skin
tightening treatments with your physician. There are, of course, surgical
procedures like a necklift and lower facelift which are excellent; there are
also a number of really effective non-invasive options, like Ulthera, Thermage,
and ThermiTight.

I tell my patients to expect swelling and jiggling for 2-4 weeks. Numbness lasts about 6 weeks. And then there are lumps and bumps for up to 8 weeks as well. Swelling does not fully resolve for a few months so i don't re-inject for a few months. There is always a chance that skin tightening may be needed, although not often, if the patients are chosen correctly.My best,Dr. Nazarian@drsheilanazarian on Instagram

Thank you for your question.Optimal effects of Kybella are typically achieved with multiple treatment sessions.  If skin laxity persists after adequate treatment, I would recommend evaluation for surgical intervention.To be sure, 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 with Kybella and/or surgical intervention for residual skin laxity.Hope this helps.

Thank you for your question.  Kybella can help reduce the submental fullness.  You will get a alot of swelling with the treatment, but this does go down with every few days that passes.  You should not get extra skin loosening with the procedure. In fact, several patients notice a mild degree of skin laxity reduction due to the inflammatory process that is occurring just under the surface of the skin.  I would wait until you get to the six week mark before reassessing.