Can I use Kybella for facial fat graft removal?

Question

Can I use kybella to remove facial fat grafting. I did it two years ago . It is a overfilled unnatural look and I’m young . I never needed it but my doctor suggested it it was the biggest mistake ever I want it out !!

Kenneth D. Steinsapir, MD · Answer

Kybellla is not particularly effective or selective in its effect.  It causes a chemical panniculitis which unfortunately also damages motor and sensory nerves. It has the potential to cause untold harm to you if it is used in a well meaning attempt to reduce the facial volume caused by the grafted fat.  I see 3 to 4 new patients each week who have been cosmetically harmed by grafted fat.  It is possible to remove some of this volume with surgery but it is not a fully satisfactory approach.

Michael P. Morrissette, DDS, FACS · Answer

I have used Kybella to reduce excess fat in selected and safe areas of the face. Unfortunately this approach is limited because Kybella also destroys the nerve cell membrane and can be harmful to the motor nerve that innervates the muscles of your face. Liposuction can also be performed safely in selected areas. Good luck

Jonathan Kulbersh, MD · Answer

No, Kybella should not be used for this. I recommend getting a formal consultation to discuss your options. I hope this helps.

Jason Emer, MD · Answer

there are not a significant number of options to reverse fat injections but kyeblla with 5fu/steroids often works in localized safe areas of the face. I suggest you see an expert.  You should be getting weekly venus legacy or exilis ultra facials to get the most improvement.  Best, Dr. Emer.

George Bitar, MD · Answer

Sorry to hear that you have this concern.  The reason that kybella injections were initially recommended for the central neck and not the lateral neck is that injection of the substance and the resulting inflammation were noted to have some transient but concerning effects on the local nerves. Consequently, it would be unwise to inject kybella to address facial fat grafts for fear that it could affect other facial nerves.  As you may be aware, sometimes the effects from fat grafting can be reduced by selective injection of kenalog and 5 FU.  As my colleagues have pointed out, there are some surgical procedures that can remove some of the grafts.  Seek out an expert with considerable experience, and best of luck.

Shaun Patel, MD · Answer

Kybella is FDA approved for treating submental fullness. Many physicians will use Kybella off-label to treat other areas such as the jowls and bra fat. However, reversing fat grafting is not one of the uses I have seen and I suspect it is because of risk of nerve injury.

Violetta Mailyan, DO, MS · Answer

Hello, 
Yes, what a wonderful question.  The answer is yes, with the increase of fat grafting we see many patients that have displacement or uneven fat placement, and Kybella can be used as a magic eraser for this issue, use an experienced provider when doing unconventional treatments, but the short answer is yes.  Hope that helps.
Thank you

David Alessi, MD - Account Suspended · Answer

I have used Kybella for some focal areas of aberrant fat injections.  It depends on where it is an how "balled" up it is.  If it is a generalized over-fill, then your best option if facial micro-liposuction.  Best wishes.

Can I use Kybella for facial fat graft removal?

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