Is it safe to do four vials of Kybella at a time?

Yes, four vials per treatment is perfectly safe and acceptable. The average dosing treatment in the Kybella clinical trials was between 3 and 4 vials per treatment.

Dear 1Dolly,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is recommended to do not more than 2 vials of kybella in one area at one time. I would not recommend doing more. Severe pain and tissue swelling will double if you inject twice more of recommended volume. It is better to do it slowly and if required to do an extra session for optimal results.

I recommend administering Kybella two vials at a time, over the span of 2-3 treatments, 4-6 weeks apart.
We do not want to trade one problem for another, introducing the solution into the body all at once could prevent the skin from retracting optimally. By introducing the injection slowly into the area allows the tissue to dissolve and the skin to retract slowly, providing the best aesthetic results.

Personally I’m not a fan of this treatment and recommend patients choose liposuction which is a better treatment by every standard.

Using large doses causes immense post procedure swelling.

Kybella causes severe inflammation especially compared to liposuction is unpredictable and in many ways imprecise.

I recommend having in person consultations with local board-certified plastic surgeons to learn about chin and neck fat remove all options and to get a good assessment.

Best,

Mats Hagstrom MD