Can kybella be used in lips the remove fat lumps from fat grafting 2 years ago. Dr removed some but not all. My have one internal lip scar too. Not sure. What are the positives or negatives to think about? Thanks.
March 1, 2022
Answer: Chemical fat destruction in lips Direct surgical excision is probably the most effective way of removing the previously grafted fat in the lips. Kybella it’s not FDA for anything other than under the chin. When the chemical starts dissolving fat cells it also does this on the myelin sheath which is a fatty covering necessary for nerve function. The inflammatory response from this treatment is pretty dramatic and lips tend to swell quite a bit because they’re so vascular. I don’t think you’re gonna find anyone who has experience and simply finding any provider who has ever done this before is going to be challenging. I personally would not mate if I was going to attempt it I would go very conservatively with a test dose to see if the patient tolerated it and then increase the concentration or the amount injected. This is a conservative and safer approach but causes the patient to have to undergo several rounds of lip swelling. All patients and providers need to ask themselves how can the fat be removed if their results are not to their liking before injecting fat in any part of the body. Facial fat transfer is by its inherent nature unpredictable, imprecise and crude in relationship to word fillers can do. I realize that for you the decision was already made but others considering facial fat transfer should take note of how complicated this can turn out. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
March 1, 2022
Answer: Chemical fat destruction in lips Direct surgical excision is probably the most effective way of removing the previously grafted fat in the lips. Kybella it’s not FDA for anything other than under the chin. When the chemical starts dissolving fat cells it also does this on the myelin sheath which is a fatty covering necessary for nerve function. The inflammatory response from this treatment is pretty dramatic and lips tend to swell quite a bit because they’re so vascular. I don’t think you’re gonna find anyone who has experience and simply finding any provider who has ever done this before is going to be challenging. I personally would not mate if I was going to attempt it I would go very conservatively with a test dose to see if the patient tolerated it and then increase the concentration or the amount injected. This is a conservative and safer approach but causes the patient to have to undergo several rounds of lip swelling. All patients and providers need to ask themselves how can the fat be removed if their results are not to their liking before injecting fat in any part of the body. Facial fat transfer is by its inherent nature unpredictable, imprecise and crude in relationship to word fillers can do. I realize that for you the decision was already made but others considering facial fat transfer should take note of how complicated this can turn out. Best, Mats Hagstrom MD
Helpful 1 person found this helpful