I had Kybella done over 4 months ago. I don't see very much change.

it is very important to see your before and after from all angles.  Also your overall health/weight is also important.  I find that generally after three treatments, there is definitely a reduction in fatty tissue.  However, depending on your age and elastin production, the skin under the chin may not have firmed up and thus you see a disassified chin.  Sometimes laser can help tighten up this area quicker after fat destruction.  

Thank you for this question. After 3 treatments, I would expect to see an improvement as well. I suggest you post your before and after photos for a better evaluation. You should go in and discuss these concerns with your injector and have an exam of the area that is troubling you right now under the chin. Your injector should be able to provide you with photos to post online.

For best results with Kybella, I recommend a combination approach with thermage/ultherapy/exilis. Steroid injections may help with the lumps your feeling. VASER liposuction in combination with ThermiRF or ultrasound are best for contouring the chin, if you're a candidate. I recommend following up with your Doctor for a workable time-line. Best, Dr. Emer

Kybella is a great treatment for small pockets of submental fat.  One of the biggest risks is persistent edema where a hard area persists for several weeks.  Often, if this is present, it masks the results from the kybella.  In my patients, I will sometimes inject a local steroid to reduce this if it persists.   If there is still hardness in the area, that should be addressed prior to liposuction as this will make the liposuction harder to perform and less optimal results.  Generally, I tell people to wait 4-6 months after Kybella for liposuction.  Return to your physician and discuss the concerns of the hardness.  If you are not satisfied with the results, I would recommend a consultation with a physician who performs both non-invasive and invasive techniques.  Best of luck.

Some photographs of before/ after as well as your starting and current weight would be helpful information. I have seen a Kybella non-responder before, but in general, a change is noticeable if before/after photos are compared.  Lumps are not uncommon following Kybella and are temporary areas of inflammatory response -- steroid injections may help expedite their resolution.  At this point, Coolmini remains a viable non-surgical option. Liposuction is also an option. There isn't any literature on timing of surgical procedures following Kybella or Coolsculpting to my knowledge. I would wait about 4-6 months after your last Kybella treatment to perform surgery/ liposuction on you because of the inflammation that exists in the neck following this treatment.  Good luck moving forward!

Thank you for your question! Kybella melts the fat cells in the neck area. It does not alter lax skin. After 3 treatments I would expect you to see some results. Maybe Kybella is not the right treatment for you. Regarding the lump in your neck, I would make a check up appointment with your provider or choose a different provider to assess your case. Liposuction might be an option for you as well. It is hard to give you more precise opinion without picture provided. Best of luck!  

After 3 treatments, you should be seeing an improvement. I would suggest that you schedule an appointment with your injector and compare yourself now to your "before" photos. There may be more of a change than you realize. If not, the two of you can discuss your next step. 

Thank you for your question Gigi 241. I am sorry to hear about your
situation. Kybella is the first and thus-far only FDA-approved non-surgical
injectable treatment for the double chin. It is difficult to make an assessment without photographs. I treat my patients every 3 months. This allows for better resolution of any nodules and better results. Please consult with a doctor for specific recommendations. Good luck!

Kybella melts the fat cells in the neck area. It does not alter lax skin. After 3 treatments I would expect you to see some results. Maybe Kybella is not the right treatment for you. Regarding the lump in your neck, I would make a check up appointment with your provider or choose a different provider to assess your case. Liposuction might be an option for you as well. It is hard to give you more precise opinion without picture provided. Good luck! 

It is best to wait a little more time to see if the results/lumps are resolved.  You should return to your treating physician to look at your before and after photos and compare the results.  Please keep us posted.  Best, Dr. Green