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

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.

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! 

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!

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. Kindly,Kouros Azar

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.