Can I use Kybella to reverse facial fat graft to my cheeks?

Know one knows. Kybella causes tremendous inflammation and can lead to nerve damage.  For that reason and it enormous cost, tempers one's enthusiasm to explore off label uses of Kybella.  I see 3 to 4 new consults each week for folks who have been damaged by fat grafting.  

I’m sorry you are unhappy with your fat grafts. You didn’t mention when your procedure was done. You will be swollen for up to a few weeks. It also takes awhile for the grafts to “settle.” I wouldn’t recommend Kybella to melt the fat, though. It works best on submental fat and jowls. If you are still unhappy after a couple of months, consulting a board-certified dermatologist who is an expert at contouring the face will help resolve any asymmetry using very subtle amounts of hyaluronic acid fillers.

It's possible this could work on some parts of the face, but I think it would be high risk for nerve damage. Have a formal consultation about alternatives to Kybella with an experienced injector. 

A significant amount of time should pass before you consider treatment options. With fat grafting, it is difficult to determine how much fat will resorb over time. Kybella does dissolve the fat cell membrane so it will work wherever there are fat cells. It can be injected safely in areas where there are few nerve branches. It is possible that Kybella can be used in the cheeks to dissolve excess fat.  Discuss your options with your surgeon.

This is needs an in-person evaluation. If you're unhappy with your fat transfer results, a combination of 5/FU steroids, lasers, microneedling/prp and radiofrequency can give improvement. See an expert. Best, Dr. Emer