Are these injection site bruises or is this worse, like a tattoo?!

I had Kybella shots Friday. Monday I have dots on my neck (I assume from the grid used).

Doctor Answers 7

Marks after Kybella

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Thank you for your question MKG6267. I understand your concern. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. It is difficult to make an assessment without photographs. However bruises are possible with any injection. We treat  bruises with a laser as early as the next day. Bruises normally resolve on their own in 1-2 weeks and with the laser it usually resolves in 1-3 day. A grid is used for the injections and colored spots are seen on the skin once the grid is placed. These marks can be removed with alcohol swabs.

Please consult with a doctor for specific recommendations. Good luck!

What are these dots post Kybella?

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If they are from the grid used, they should wipe off with alcohol. If they're bruises, it may take a week or more to resolve. 


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 38 reviews


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Thank you for your question in regards to Kybella. That is most likely bruising at the injection site which it totally normal. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Bruises from Kybella

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The grid that is used is easily wiped off after the treatment with a little alcohol. This should not leave any residual marks on your neck. If you have tiny red dots, these are likely from the injection sites to place the Kybella in the tissues. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon

Are these injection site bruises or is this worse, like a tattoo?!

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Without examining you or seeing photos its difficult to give specific advice. If there is leftover grid on your neck it should come off with rubbing alcohol but if you have bruising or 'tattooing' it wouldn't. I'd suggest seeing your injector for a followup to be examined. Best of luck! 

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
4.9 out of 5 stars 40 reviews

Dots after Kybella

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Thank you for your question. Please submit a photo so that I can see what you are talking about. The temporary tattoo grid used is removed easily and I can’t be certain it’s bruising unless you have a photo. Otherwise, please follow up with your doctor. 

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Dots from Kybella

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If you can post photos we can assess the dots from Kybella. The grid should easily remove by washing the area so it sounds more likely that it is a bruise.  Please consult an expert.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.