I wonder if Kybella can also be used at the submandibular area as shown in area two of the attached image. I got rid of my double chin with Coolmini, but I still fat some fat left on the laterals.
Answer: Kybella in areas other than the submental Kybella works by breaking down fat anywhere it is injected. The main reason kybella isn't usually used in this area is the presence of a superficial nerve that can be temporarily paralyzed by the swelling. The area can be treated by an expert injector superficially and with low doses. However, it is important to see an expert to make sure that what you are seeing are not submandibular glands as well. Only see an expert injector; pay a little more, it will be worth it.
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Answer: Kybella in areas other than the submental Kybella works by breaking down fat anywhere it is injected. The main reason kybella isn't usually used in this area is the presence of a superficial nerve that can be temporarily paralyzed by the swelling. The area can be treated by an expert injector superficially and with low doses. However, it is important to see an expert to make sure that what you are seeing are not submandibular glands as well. Only see an expert injector; pay a little more, it will be worth it.
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Answer: Kybella Kybella is FDA indicated for the submental fat area. Moving to the submandibular area increases the risk of injuring the mandibular nerve. At our office we have a nerve simulator to eliminate the risk of hitting this nerve. Kybella also comes with a chart that sticks on to the submental area that helps avoid the mandibular nerve.
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Answer: Kybella Kybella is FDA indicated for the submental fat area. Moving to the submandibular area increases the risk of injuring the mandibular nerve. At our office we have a nerve simulator to eliminate the risk of hitting this nerve. Kybella also comes with a chart that sticks on to the submental area that helps avoid the mandibular nerve.
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August 5, 2016
Answer: Can Kybella be used along the jawline? Thank you for your excellent question. It is advised not to use Kybella in that region as it may interfere with the nerve that controls your lower lip muscle. This can leave you with an asymmetric smile that ultimately resolved spontaneously in all patients in the original Kybella study but which may take several months. Oftentimes Kybella into the submental region (#1) will pull the tissues from number 2 and indirectly improve its appearance. Hope this helps.
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August 5, 2016
Answer: Can Kybella be used along the jawline? Thank you for your excellent question. It is advised not to use Kybella in that region as it may interfere with the nerve that controls your lower lip muscle. This can leave you with an asymmetric smile that ultimately resolved spontaneously in all patients in the original Kybella study but which may take several months. Oftentimes Kybella into the submental region (#1) will pull the tissues from number 2 and indirectly improve its appearance. Hope this helps.
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July 22, 2016
Answer: "No Fly" zone for Kybella to avoid nerve injury That is a great question. The short answer to your question is no. The long answer: the marginal mandibular branch of the facial nerve travels in that area and supplies the muscles of the lower lip and chin. This nerve could be injured by the Kybella injection, which could damage the protective cover of the nerve and lead to weakness of the muscles of the lower lip and chin. This nerve injury was less common in the clinical trials (4%) and all cases did eventually recover but a few patients were reported to take up to a year.The submandibular glands are also in that area:"To avoid potential tissue damage, KYBELLA should not be injected in close proximity (1-1.5cm) of salivary glands" per the labeling instructions that come with Kybella.So the "zone 2" that you show is a No Fly zone for Kybella. Proper injection of Kybella in the central area does seem to give some effect laterally- one of the potential downsides of the cool mini is that it may not taper as well to the sides of the applied area.
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July 22, 2016
Answer: "No Fly" zone for Kybella to avoid nerve injury That is a great question. The short answer to your question is no. The long answer: the marginal mandibular branch of the facial nerve travels in that area and supplies the muscles of the lower lip and chin. This nerve could be injured by the Kybella injection, which could damage the protective cover of the nerve and lead to weakness of the muscles of the lower lip and chin. This nerve injury was less common in the clinical trials (4%) and all cases did eventually recover but a few patients were reported to take up to a year.The submandibular glands are also in that area:"To avoid potential tissue damage, KYBELLA should not be injected in close proximity (1-1.5cm) of salivary glands" per the labeling instructions that come with Kybella.So the "zone 2" that you show is a No Fly zone for Kybella. Proper injection of Kybella in the central area does seem to give some effect laterally- one of the potential downsides of the cool mini is that it may not taper as well to the sides of the applied area.
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July 22, 2016
Answer: Where can Kybella be used Thanks for your question. Kybella can only be used in the sub-mental (under chin) region. It cannot be used more laterally as this causes complications involving the marginal mandibular nerve, which results in an uneven smile and can last for many weeks. The area you have indicated is often treated with focused laser liposuction.Best,Lisa Vuich, MD
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July 22, 2016
Answer: Where can Kybella be used Thanks for your question. Kybella can only be used in the sub-mental (under chin) region. It cannot be used more laterally as this causes complications involving the marginal mandibular nerve, which results in an uneven smile and can last for many weeks. The area you have indicated is often treated with focused laser liposuction.Best,Lisa Vuich, MD
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