Can Kenalog melt fat?

Question

I had lipo done on my stomach and there is some unevenness. I was going to try to tweak with Kybella but after doing some reading I'm wondering if Kenalog injections would help melt the fat faster? Can I ask my doctor to inject Kenalog into the fatty pockets? Could he control the outcome of how much fat would be reduced?

Misbah Khan MD, FAAD, FACMS · Answer

Steroid injections and Kybella are not a great option to remove or to soften the leftover fatty pockets after Liposuction. sometimes its not even fat but scar tissue that can easily form after an aggressive liposuction procedure. such nodules need to be evaluated in-person and if there is a need for those to be treated then one can use injections of cortisone very carefully placed inside the nodule to soften the scarring. the fatty pockets leftover after Liposuction have to be skillfully suctioned out. otherwise you're just asking for more problems.

Jason Emer, MD · Answer

kenalog shouldnt be used to even anything out. kybella can sometimes help but often irregularities from liposuction need revision liposuction, fat grafting.  jnon invasive treatments like truscluptID/flex combined with kybella can sometimes be an alternative option. please see a revision VASER HD 360lipo expert.  Best, Dr. Emer.

Arian Mowlavi, MD, FACS (license on probation) · Answer

It is difficult to answer your question without any photos or a consultation. That being said, lipo deformities can typically be corrected using high defintion VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Both of these are pretty poor options for treating undesirable Liposuction outcomes.Kybella It’s not FDA approved for this and is probably not going to deliver what you’re hoping for it.Anti-inflammatory steroids lower inflammation and have a side effect which is very rare called fat  atrophy.They can also cause muscle atrophy and hypo pigmentation.The great majority of times Kenalog is injected fat atrophy does not occur.When it does occur it can cause devastating fat loss.Using steroids to purposely control fat thickness is most likely a waste of Kenalog. Should you be the of the few who gets true fat atrophy then you may very well end up regretting that it worked. Revision Liposuction is generally a better option.In a nutshell correcting uneven contours after poorly done Liposuction it’s very difficult and sometimes not possible.it’s generally best done with revision liposuction or multiple rounds of fat transfer. Best,Mats Hagstrom, MD

Can Kenalog melt fat?

Answers (4)

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