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

 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.

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.

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.