Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Kybella is specifically approved for reducing submental fat (under the chin) and is not typically used in areas above the nasolabial fold. Injecting Kybella in that area could pose risks, such as uneven results or complications, due to the anatomical structure and potential sensitivity of the surrounding tissues. If you're looking to address concerns around the nasolabial folds, there are other treatments, such as dermal fillers or skin tightening procedures, that might be more appropriate. I hope this helps and best of luck!