Can too many kybella treatments make things worse? (photo)

Question

I had 1 full treatment plus 1 vial of kybella. It has definitely helped with the fullness under my chin but it left me with these vertical lines on my neck. Also, the very center of my neck (see picture) still has a pudge of fat that i would like to get rid of while I still have skin elasticity (I'm 26). Would 1 more vial of kybella right down the center be harmful? Can you "over do" it?

Jason Emer, MD · Answer

Kybella does require a series of treatments to get improvement. For best results with Kybella, I recommend a combination approach with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is an alternative for contouring the chin, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Aldo Guerra, MD · Answer

Hello macmac and thanks for this question. 
The "pudge" of fat can be targeted by Kybella injection directly in to the area of concern. Most patients need 2 to 3 treatments with at least 2 vials so I'm not sure how much more you need based on that photos alone. 
I suggest you discuss with your injector, but up to 4 treatments are safe.

Kouros Azar, MD · Answer

It sounds as if you need another Kybella treatment. It takes at least 2 for most patients. In terms of the "cords" in your neck, that is a different issue. Botox may help. Speak with a board certified plastic surgeon who can examine you in person.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question macmac1110. Kybella is the first and thus far only FDA approved
non-surgical injectable treatment for the double chin. For my patients I recommend starting with at least two treatments and two vials per treatment. We have found that waiting 2-3 months between treatments yields better results. At 2-3 months after the second treatments significant improvement is usually seen. For loose skin overlying it treatments include laser skin tightening, fractional lasers, and radiofrequency devices. Please consult with a doctor for specific recommendations. Good luck!

Michele S. Green, MD · Answer

Kybella requires more than one treatment and typically one treatment requires at least two vials. Since there is still fat remaining you should have a second treatment session done.  The cords that you are referring to can be treated with Botox.  Tightening of the neck area can be done with Thermage for a great cosmetic result.  Best, Dr. Green

Can too many kybella treatments make things worse? (photo)

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Answer: Kybella treatments

Answer: Kybella and Neck Treatments for the Aging Neck

Answer: Kybella and Neck Treatments for the Aging Neck

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Can too many kybella treatments make things worse? (photo)

Answers (7)

Answer: Kybella treatments

Answer: Kybella treatments

Answer: Kybella and Neck Treatments for the Aging Neck

Answer: Kybella and Neck Treatments for the Aging Neck

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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.