Why is Kybella so expensive?
Doctor Answers 51
Pricing for Kybella
Kybella and Cost
Kybella is a very expensive procedure but works extremely well. Allergan bought the company that developed Kybella and now increased the price to market it. Since there is no direct competition they can set the price. It may take quite a while before the price comes down. The price may drop in the future if there is a similar product. I often combine Kybella with Thermage to treat the neck area and tighten the skin laxity at the same time. If you have a large area of submental fat you can have the Cool-mini performed by Coolsculpting and this may be less expensive for you. I often use several different modalities to treat my patients in the neck. I find that this combination yields the best results in my office. Best, Dr. Green
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Kybella is Excellent for Small Double Chins
My experience is very positive. I do agree if several treatments will be necessary, it might be better to do a formal Smart Lipo to the chin.
Kybella Avoids Surgery for Those who will Avoid Surgery at Any Cost!
A reason that Allergan paid dearly is because the clinical trials involved thousands of patients. Many of the important questions (how much to be effective, how much to stay safe) were worked out pretty thoroughly in the expensive clinical trials.
Most patients need 3- 4 treatments, one month apart. It is true that liposuction of the neck is less money than most Kybella series.
I offer both options, and let patients choose. Some patients simply do not want to have a short (30 minute) outpatient procedure, and now they have a safe and effective choice.
Kybella Is Expensive Because Allergan Paid Too Much For It
I have to agree that Kybella is expensive. As a matter of fact, it just got MORE expensive for a treatment because Allergan has doubled the recommended dose.
The short answer to your question is that Allergan has priced this product way too high. I don't think the executives were thinking about the treatment properly when they bought the product from Kythera last year (actually, they bought the entire company for $2.1 Billion). Now, they seem to want all the profit and plan to leave the doctors holding the bag with patients who are frustrated with the results.
We continue to offer Kybella in my office, but I don't suggest it for everyone. I'm trying to be very careful about who gets it.
Kybella vs. submental liposuction
For uncomplicated liposuction under the chin (submental suction lipectomy), we charge $1500. This includes the preoperative appointment, procedure, and all postoperative followups. We have laughing gas available at no additional charge. The procedure requires a single 4 mm (less than 1/4") incision and takes about 45" to an hour. You will have to wear a compression garment 24/7 (minus showers) for 2 weeks and 16/7 for an additional 2 weeks. Please read the realself reviews of our practice, as some of our patients have posted pre- and postoperative photos of liposuction under the chin.
Kybella is a very reasonable alternative for those patients who do not wish to undergo liposuction. However, it requires more treatments, more downtime, and greater expense. Kybella typically requires 2 to 4 treatments, each with at least 2 weeks of associated social downtime due to bruising, swelling, and redness and typically runs $2000 to $4800.
Kybella cost -vs- liposuction
The cost-of-goods (price per vial) for a Physician set by the company is exorbitant, to put it mildly. The best case scenario for those with smaller volume of unwanted chin fat would be if a patient paid only for what was used on them. In other words according to the number of vials needed as opposed to the same cost for every double chin. Similar to Botox being charged by units and not by sites for those with less overactivity of those muscles. Chin/neck Liposuction (usually $2500, depending on the provider and area of the country) remains a phenomenal treatment for submental fat.