Time frame of swelling after 1st Kybella treatment? (Photo)

Every person’s body responds slightly differently to Kybella or any other treatment. Generally, most people are only swollen for a couple of days. The most I’ve seen in my practice is about 2 weeks. If you are still significantly swollen, it may be because of the amount used. I don’t like to give more than four vials during a treatment session because I want to avoid the “bullfrog effect” — pronounced and puffy-looking swelling. If your swelling doesn’t resolve in the next couple of weeks, consulting a board-certified dermatologist will  help you bring down the puffiness and then you should reduce the dosage of Kybella for your next treatment. 

The swelling is most intense the first few days and it slowly subsides in a few weeks. In some cases the swelling is barely visible in 7 to 10 days. In other cases it may take longer  to completely go away.

Swelling and soreness after Kybella injection is very common and usually resolves in 3-5 days. I actually believe that swelling is a good sign and indicates apoptosis (dying and dissolving) of the fat cells. Intermittent ice packs and gentle massage (lymphatic drainage by an aesthetician or self administered) can be very helpful. Rarely I have to prescribe oral steroids for 5 days to bring the swelling down. Ask your practitioner for anti-inflammatories such as Advil or a Medrol pack.