How can I reduce swelling after getting Kybella?

I got Kybella May 9th. My chin was swollen and I have the "bullfrog" look on my neck. I put the gel and kept ice packs on it like my instructions said. Today it is still swollen but you can tell it's going down. I was wondering if there was something I could do to help the swelling. Thanks!

Doctor Answers 18

Reducing swelling after Kybella

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At 2 weeks you should be over the worst of it.  I have some patients that take 3-4 weeks to get back to where they started.  The swelling is due to the inflammation as the Kybella works to reduce your fat.  At this point there is not much to reduce the swelling faster- some patients might wear a chin strap.

When you go in for your next treatment, try Cetirizine (Brand name Zyrtex) which is an over the counter antihistamine.  I have my patients take one the day before , the day of and the day after.  This might help give you less swelling.  Hope this helps!  And get ready, because now that the swelling is nearly over you will start to see the fat reduction and tightening as the area starts to shrink. 

Boston Plastic Surgeon
4.9 out of 5 stars 38 reviews

Swelling after Kybella

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 Thank you for your question and for sharing your concerns with us. We use lymphatic massage, the Venus Viva, icing and compression to help manage the swelling after Kyvella of treatments.  

Kybella Swelling

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Thank you for your question. It is normal to have quite a bit of swelling following a treatment of Kybella. The swelling is also dose dependant, so the more vials you do - the more swelling you will have. You actually want that inflammatory response! Definitely follow up with your plastic surgeon though.

Kian J. Samimi, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 5 reviews

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How can I reduce swelling after getting Kybella?

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Hello Bwillis92,

The swelling with Kybella is a good sign it will work for you.  The bull frog look is usually gone within a few days but in some patients it can take a few weeks (this is not common).  The good news is the greater the swelling the better the result is going to be.  There are some treatments  that can be used to help with the swelling available via prescription, which your injector can discuss with you if the swelling is a problem.  

I hope this helps and good luck.  

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews

Kybella and Injections

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Kybella is a great injection to permanently destroy the fat under the chin.  Part of the process is destroying the fat which causes this swelling.  I often combine Kybella with Thermage for the best skin tightening results. Please consult an expert for the best cosmetic results.  Best, Dr. Green

Elevation and light lymphatic massage to reduce swelling

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Swelling is expected after kybella.  Please try lymphatic massage (a very light tapping motion or sweeping motion). and sleep with your head elevated.

Managing Swelling after Kybella Treatment

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Swelling is a side effect that may be expected if you will undergo Kybella injection treatment. It should naturally go away on its own in as early as 5 days or as long as a couple of weeks. At some cases, there swelling may just completely go away in a matter of 3 to 4 weeks. That said, there are some tips that you can try to either prevent swelling from happening or reduce it if it is already there.

-      Ice the swollen part, but do not directly put ice over it. You can use a clean cloth, wrap it around ice cubes, and use that to ice the affected area.

-      When sleeping or lying down, elevate the swollen part higher than the rest of the body to allow gravity to reduce the swelling.

-      Depending on the suggestion of your doctor, you may also try wearing a chinstrap to ease the swelling.


Hope these tips would come in handy for you.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 21 reviews

Swelling after Kybella

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Thank you for your question bwillis92. Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. Swelling is normal for 1-2 weeks after the treatment. I recommend that my patients apply cold compresses such as ice packs and sleep with an extra pillow under their head to reduce the swelling. Please consult with a doctor for specific recommendations. Good luck!

Kybella Swelling

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Bruising, redness, swelling, firmness are typical side effects following a kybella treatment. It may take approximately 4 weeks to resolve. Immediately after treatment, we recommend patients sleep with the head elevated using 2-3 pillows, limit salt intake, and ice for the first 48 hours to minimize swelling. Hope this helps !

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Swelling from Kybella

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It is normal to have quite a bit of swelling following a treatment of Kybella. Minor bruising or slight swelling may occur in the injection site, but will fade in about 3 days. Ice and compression are the best treatment for the swelling. Your swelling will continue to decrease every day.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.