Kybella for bra fat. What are the risks?

Thank you for your question. Kybella is great for bra fat.  It is FDA approved for fat reduction of the double chin area but many plastic surgeons use it off-label for reducing small areas of fat, including the bra-fat area. Similar risks of injevting under the chin apply but injection of bra fat, in the hands of experienced injectors, will be more commonly associated with swelling and possible bruising afterwards.  Multiple treatments may be needed depending on the volume of fat you want to reduce. Please see a qualified and experienced injector to see if Kybella would work for you. 

Thank you for your question. Kybella is synthetic deoxycholic acid which is a molecule that is normally produced in the gallbladder. It helps with the breakdown and absorption of fat. It is currently FDA approved to be used in the submental area or "double chin". It has been used "off label" in the underarm area or "bra fat" and under the buttocks. Unfortunately, long term risks cannot be established at this time, since it has not been studied for a long time yet. The short term side effects are pain in the injected area, swelling and you could develop some redness or bruising which resolves in around 4 days. Off label treatment in these areas have great results and reduce unwanted fat. I would recommend you get a consultation with a physician who has experience with this product and who knows how to inject it and how far you can go in the underarm region to prevent any unwanted side effects. I hope this helps, Dr. Linette Rivera- Bella Mia Medical.