Kybella; no results. Did it 5 weeks ago? Chin fatter than before? (Photo)

We have become accustomed to fast and dramatic changes with Botox and fillers. Kybella is different. 
Kybella's timeline after injections is something line this....
     2 to 7 days of swelling obvious to everyone (for me this was 4 days)
     weeks of swelling obvious to the patient and physician (for me, this was about 12 weeks)
     Very subtle changes of tightening along jaw line starting around 5 to 6 weeks after first injection
     Palpable lumps in injected area up to around 12 weeks
     Little improvement in submental fat pad after the first treatment, even after swelling resolves
     4 to 8 weeks after second treatment, patients start to notice a reduction in the fat pad 
     Around the same time, patient note that their jawline is crisper
     I haven't met a patient yet who was particularly impressed after the first treatment
     The thrill occurs after the second treatment.
Hoping that you will be happy with your results in the long term.

Hi there. It is hard to say base on the photo you sent. Your injector should have counseled you regarding the treatment course and common side effects related to Kybella. In most patients, at least 3 treatments are necessary for optimal results. Of course, depending on how much fat you have, less or more treatments may be necessary.

Swelling is to be expected, and usually resolves over 2-4 weeks. Sometimes this can last longer. Depending on the dose, fat necrosis can rarely develop, but this usually happens on a longer timeframe. This would appear as a small nodule. 

Less common side effects include temporary nerve paralysis and skin ulcerations. Someone who has a good knowledge of facial anatomy, such as a board certified plastic surgeon can help minimize this risk. Always make sure your injector has the appropriate qualifications and has a good understanding of the product.

What you are describing sounds like persistent swelling, and should resolve over time. I would return to you injector for evaluation. Hope this helps. 

Thank you for sharing your question and photograph.  Though the angle of your chin will worsen the appearance of retained adipose tissue Kybella often requires a series of treatments to improve the chin region - recommendations call for 3-4 sessions.  I would discuss your anticipated plan with your injector to have the best treatment plan made.