Kybella or CoolSculpting for stubborn armpit fat? (photos)

The armpit is one of those trouble areas that is difficult to attach a coolsculpting piece to. Kybella could probably work, however given the amount that I see in the photo, it would likely require multiple injections to achieve your goal which can be costly. 
For these areas, I would typically perform an awake liposuction in the office under local anesthesia. The cost is comprable to both coolsculpting and kybella, however the result is instant, compared with the two non-invasive treatments (coolsculpting and kybella) which take time to see results, and can actually be more painful with regard to tingling and swelling than awake liposuction under local anesthesia. 

Kybella and CoolSculpting are both effective treatments to spot-reduce fat, but CoolSculpting will likely cost less. Kybella also causes swelling for a couple days, whereas CoolSculpting rarely causes swelling. If you were my patient, I would recommend CoolSculpting. 

Currently, Kybella is only used “off label” for the underarm fat. CoolSculpting’s CoolMini applicator is FDA approved and a great fit for the area. It is best to see a certified CoolSculpting partner to determine that the tissue is in fact fat and not loose skin or breast tissue. Also, dependent on the amount of volume, plan on treating the area twice. The other option to consider is liposuction

Coolsculpting works great for the arm pit fat. Recommend a complimentary consultation to see if you are a good candidate. 

I would recommend using CoolSculpting rather than Kybella to treat fat in the armpit area.  Kybella treatments would require multiple treatment sessions and could easily end up costing more than CoolSculpting.