I recently got Kybella. After a few weeks I noticed that the area underneath had some sagging that was not there before.(photos)

Question

How can I fix this without spending a fortune? Why did this happen? What could have caused this? Can I ever get rid of this? What is the best treatment to fix this?

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your photos with us. Kybella does work to reduce the fatty tissue in the double chin region.  It can result in unmasking the underlying anatomy which can reveal small muscle bands in the center of the neck.  This can be softened with Botox.  If it is still soon after your last treatment, this could also be some fibrotic tissue that may soften over time.  A physical exam should be able to differentiate the two.  I would visit with your plastic surgeon for can assess you and then come up with options for you.

Trefor Nodwell, MD · Answer

Hi Nicole, sorry to hear you're having trouble with your Kybella result.Without a doubt this is something you need to discuss with your Kybella injector. A thorough repeat examination with your pre-treatment photos and original consult to act as a guide will be invaluable.I am somewhat surprised to learn that your skin laxity showed up after only a few weeks. Typically within the first month the Kybella product is still working away at the fat deposit and the area is swollen and somewhat tight, rather than being lax and saggy. Results are usually not fully appreciated until 3 months after the final series of injections (perhaps you have already had 2 or 3 sessions).Also, because Kybella triggers an inflammatory response there is some early evidence to suggest that it may result in slightly tighter skin in the chin and neck area. That too will take a few months to develop so don't lose hope yet!There are some in office maneuvers that can help better determine what you are seeing - loose, excess skin or underlying structures like the platysma muscle. Assuming this doesn't resolve to your satisfaction on its own, and depending on your exam, you might be a candidate for Botox to the platysma and or non-surgical skin tightening technologies like Thermage. These tend not to be overly expensive options.Give your treatment team a call.I'm sure they want to hear back from you.Good luckDr Nodwell

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to Kybella. It is suggested to return to your provider for a follow up visit 6-8 weeks after your first treatment. Comparing before and after photos are a good starting point to discuss your concerns and achieve your desired results. 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.

Jason Emer, MD · Answer

I often combine kybella with ultherapy or thermiRF and botox. I suggest you see an expert who does combination therapy.  Best, Dr. Emer.

Josh Waltzman, MD, MBA · Answer

It would be important to see some pictures before you had kybella in order to do a fair comparison.  Kybella relies upon the skin's elasticity and ability to retract after the fat is dissolved.  I would wait at least 4-6 weeks after your treatment to evaluate the results.  I recommend following up with the doctor who performed your initial injection and express your concerns.  If you truly have extra skin after being treated with kybella, then the only really effective way to remove that extra skin would be with surgery.  Best of luck in your healing process!

I recently got Kybella. After a few weeks I noticed that the area underneath had some sagging that was not there before.(photos)

Answers (10)

Answer: Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

Answer: Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

Answer: Sagging skin after kybella

Answer: Sagging skin after kybella

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Everything you need to know about Kybella

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I recently got Kybella. After a few weeks I noticed that the area underneath had some sagging that was not there before.(photos)

Answers (10)

Answer: Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

Answer: Double Chin Treatment / Laxity-- SmartLipo/VASER/ThermiRF, Botox, Venus Legacy, Kybella, CoolMini

Answer: Sagging skin after kybella

Answer: Sagging skin after kybella

Browse related questions

Recommended reading

Everything you need to know about Kybella

Our mission is to create a world where every investment in modern beauty is Worth It.