Scar tissue from kybella? 3 treatments; first time I saw results, second & third possibly look worse after (Photos)

Thank you for your photos.  It is unclear how long it has been since your last treatment.   Swelling can last for several days.  I typically wait 4-6 weeks before treating again.  I have had patients feel some lumpiness which is typically scar tissue.   This feeling eventually went away.   I would wait and let things settle down before treating again.  An experienced injector would be able to assess you and decide if what you have is fat, or something different.  Best of luck! 

You did not mention the time between treatments. I generally like to wait at least six weeks. If your before photo looks anything like your "current" photo, I would have anticipated that it would have only needed one or two treatments with probably just one vial each time. If you are still not seeing any improvement I would suggest trying something else like Coolsculpting.

Thank you for sharing your case and photos.  One vial is a very mild treatment to have during your first session.  Usually the early treatments require more and subsequent treatments require less because the fat has been dissolved.  The final results are typically seen 12 weeks after your last treatment.  Good luck!

VASER/Thermi does best for contouring the neck, if you have had kybella ... exilis/venus legacy and botox can help give you more improvement.  Best, Dr. Emer.

Thank you for sharing your question and photographs.  It is difficult without feeling your chin tissues what you may be experiencing.  After a Kybella treatment swelling and small areas of firmness can develop and persist for weeks to months, especially if you had your sessions within 4-6 weeks of one another.  I would advocate allowing more time to pass for your results to mature, and voice your concerns to your surgeon, they are in the best position to provide you with information and reassurance.

Thank you for
your question S21915. 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 does not say which one is before and which one is after. Also it is important to take photographs at the same angles with the same position of the chin for best comparison. Most people have a series of 2-4 treatments, sometimes up to 6 treatments. We notice more improvement with more treatments. Please
consult with a doctor for specific recommendations. Good luck!

Without seeing you in person, it’s difficult to tell whether or not you have scar tissue. If you have scared from past treatments you may be susceptible to scar tissue. After three unsuccessful treatments I recommend to leave it alone for a while. Please consult with your treating physician about your concerns. Best of Luck!

I do not see any hypertrophic scarring evident in these pictures.  I assume that the photos you posted were taken after your treatments.  Keep in mind, Kybella injections can cause swelling that may last a week or longer, which can modify the appearance of the treated area.  Though I can't assess your situation accurately without an in-person examination, I do think your submental region looks quite good.  If the "fullness" you describe is due to fatty tissue, Kybella might be helpful.  If it is due to loose skin (or "skin laxity"), then Kybella would not work here.

Without seeing you in person, it is impossible to say whether or not your fullness is due to scar tissue. However, given the fact that you are not seeing improvement, I would definitely recommend that you hold off on a fourth treatment and get a second opinion regarding the potential scar tissue from another board certified plastic surgeon in your area. I am sorry that you've had such a negative experience. Kindly,Kouros Azar

Thank you for your question. Without
consulting with you in person, it’s difficult to tell whether you have scar
tissue or not. If you have scarred in the past, with other treatments, you may
be more susceptible to scar tissue. After three treatments, and no improvement,
it may be best to leave it alone for a while. Please consult with a
board-certified expert to discuss what your options may be to improve. Best, Dr. Katz