Kybella to create back dimples by dissolving fat in a circular area?

Question

Would it be possible to use Kybella to create back dimples by dissolving the fat in two circular areas on the back?

Sabrina Fabi, MD · Answer

It may be possible to use Kybella to melt the fat in the back to create dimples, but it would not be a very accurate way of trying to get such a result. Kybella works best under the chin or in the jowls, where it will dissolve the fat with deoxycholic acid. This is a diffuse effect that treats the entire area, not just a small circle. To get the dimpled look you want, microliposuction would probably be a better choice. Consulting a board-certified dermatologist will allow you to describe more precisely what you want so the best treatment can be chosen.

Nirmal Nathan, MD · Answer

As mentioned by some of the other plastic surgeons, this is off-label use and thus the results will be less predictable. I do think that it may work, although you may not have the sharp definition of natural dimples. This is because these dimples are caused by attachments to the underlying tissue that Kybella will not be able to mimic. Make sure you visit a board certified Plastic Surgeon for evaluation prior to undergoing any procedure. Hope this helps.

Kenneth D. Steinsapir, MD · Answer

The biggest problem with your great idea is that this drug is in no way precise.  It will never ahieve this level of control.  Please do yourself a favor and don't ask someone to attempt this for you.  They might just try and the consequences could be unfixable.  Murrphy's law is alive and well in cosmetic surgery.

Jill C. Fichtel, MD · Answer

I would estimate that very few physicians in the U.S. have ever administered Kybella for the purpose of creating back dimples.  In my professional opinion, this is a bad idea.  It would be difficult to predict your cosmetic outcome, and you could be quite unsatisfied with your results.

Kouros Azar, MD · Answer

In theory, it should work. Obviously, the use would be considered "off label". My concern is that I am not sure there's a way to be precise enough with the fat removal to actually "sculpt" a dimple in the way that you want. Schedule a consultation with an experienced injector to discuss.

David A. Sieber, MD, FACS · Answer

Thanks for the great question! I agree with Val Lambros. This is an off label use of the drug, but I think it would dissolve the fat in that area. That being said, I think the fat will be dissolved more diffusely and probably won't create a nice clean dimple like you want. The other thing to thing about is if you need multiple treatments, you'll need to inject in the exact same location both times. Best of luck!~Dr. Sieber

Johnson C. Lee, MD · Answer

Kybella is only FDA approved for the area under your chin. Kybella also takes several treatments to have a noticeable effect. I would not expect Kybella to be very effective in creating natural appearing dimples in your lumbar region. Those dimples are created by connective tissue which tether to your back. Kybella can dissolve fat but may not be effective at creating a specific spot of dimpling which is why people don't end up with many little dimples under their chin after getting their double-chin treated. It is possible you may just look like you have a general sunken-in depression in that area. Hope this helps!Johnson C. Lee, MD Plastic Surgery

Bradley Remington, MD · Answer

When you have two areas that need to be symmetric, the potential for not creating symmetry is there. The unpredictability of injecting the Kybella into the exact spot to create the dimples on each side should be considered.  I would advise you against the procedure.  Be safe, not sorry.
Cheers,
Brad Remington, MD

Robert Zieber, MD · Answer

Yes, Kybella could be used to create dimples in the back by dissolving the fat and tightening the skin.  However, you might want to first have a consultation with a plastic surgeon regarding liposuction to the area.  Thanks, Dr. Z.

Val Lambros, MD, FACS (retired) · Answer

I actually think that it may work, but it might not look as you expected it to. in cases where steroids were injected into the buttocks, there is an indent, but it doesn't look cute.  if you don't mind experimenting, and if you don't mind being wrong, try it. It's your back.

Kybella to create back dimples by dissolving fat in a circular area?

Answers (10)

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