Does Kybella cause scar tissue? And after 4 rounds should I stop trying to see results? (photos)

Question

I have had 4 rounds of Kybella over 1 year. Each round consisted of 2 vials. Do you think I have scar tissue? Or do you think I just need two more rounds of Kybella? Or should I just throw in the towel? I don't have the money for Lipo at this point.

Andrew T. Lyos, MD, FACS · Answer

Hello and thank-you for your question and photo.I have seen very good results with the coolsculpt mini and Kybella when there is a small or moderate amount of fat in the submental chin and there is good elasticity of the skin.  With these non-invasive technologies, the more fat, the more treatments required.  Another treatment with Kybella should improve the result.  You may consider Ultherapy for skin tightening after you complete the course of Kybella.  Reviewing your pretreatment photos, I would have recommended Liposuction combined with J-plasma or Imode NeckTite.  These technologies have just recently become available, but I am seeing excellent improvement in terms of fat reduction and neck tightening. Hope this help.  Best Wishes, Andrew Lyos MD, FACS

Sabrina Fabi, MD · Answer

You have been responding well to Kybella, so if you want to continue contouring your chin, there is no reason to stop therapy. In the clinical trial we injected up to 5 vials per session and performed up to six treatments on patients with good results. Be sure to watch your weight so that you can continue to get the benefits of your treatment over the long term. You can also wait a few months before your next treatments to allow your body to completely eliminate the dissolved fat cells. Consulting a board-certified dermatologist when you're ready to continue your treatments will get you the best results.

Kouros Azar, MD · Answer

You have gotten a nice improvement so far so we know that the Kybella is working. It is not out of the ordinary to need 5 or more treatments when there is a lot of fat present so yes, schedule another round if you still aren't satisfied with your results.

Margaret Weiss, MD · Answer

It's not unusual to need five or more treatments with Kybella when you have a good deal of submental fat. You have gotten good results thus far and so should continue to benefit from treatments. If you are frustrated by needing to do so many treatments, take a break until your body completely eliminates the fat cells. I like to wait at least a month between Kybella sessions. Please see a board-certified dermatologist to get your Kybella treatments.

Cain R. Linville, MD, FACS · Answer

If you would have asked a plastic surgeon, I believe they would have told you to have lipo in the first place.  Four rounds of Kybella is likely more expensive than doing submental lipo in the office or in the outpatient setting, is minimally invasive, and is a one-shot procedure usually.  However, now that you're committed, another round of Kybella won't really hurt anything, and you have had a good result.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question anon20000. Kybella is the first and thus-far only FDA-approved non-surgical
injectable treatment for the double chin. If I had a patient who looked like the person in these photographs I would say that this is a good result and more treatments may be performed if further enhancement is desired. Using more than 2 vials per treatment will provide more significant results. The pivotal studies demonstrated that up to 6 treatments can be performed. I treat patients every 3 months because I find that waiting provides better results. Please consult with a doctor for specific recommendations. Good luck!

Does Kybella cause scar tissue? And after 4 rounds should I stop trying to see results? (photos)

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