Hi,Thank you for your question.The dot grid included in the package is not required for kybella treatment. It's a tool that helps the injector to evenly place the product in a standardized way that likely was used during the clinical trials. It's certainly not required and its use is provider dependent. It does not affect the final result.Hope that helps!
The standard for treating submental fat with Kybella includes using dot grids. However a practitioner can deviate from the standard if he or she wishes to.