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

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

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. 

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.