What's a fix for what was done with Kybella on my thighs?

Question

Miscommunication and next thing I knew I had 6 shots of Kybella down my thigh not at knee. Not a fan of lipo, have had some really bad experiences. I have an outer thigh lift scar I can use to try & lift the skin, but what about craters? I knew as soon as it was done I was in trouble. Put it right where my banana roll had been grafted 4 times to layer after it was suctioned out by a surgeon. I have slowly over yrs fixed what he did to me. I have had a full body lift & grafting. We used Kybella to take a few high areas down around knee. I never wanted down leg. :(

Jason Emer, MD · Answer

The best treatment for cellulite is Cellfina. However, a combination approach is needed to get the most improvement. I recommend Cellfina in combination with Sculptra injections and body treatments like Exilis Ultra, Venus Legacy, and Cellutone / ZWave. For patients who are also looking for fat reduction, contouring, skin tightening and definition, we often suggest a VASER HI DEF liposuction procedure to get the most toned result. See an expert for a formal evaluation. Best, Dr. Emer.

Robert M. Tornambe, MD · Answer

Eyecandy2162I appreciate your concern, and sorry to hear that you have had this complication. Kybella has only been approved  for use in the neck area only by the FDA. It appears from your photographs that combination of micro liposuction and fat grafting may be an option or redo of your thigh lift to release scarring from the Kybella and smooth out the area. Consult with a board certified plastic surgeon in your area to discuss all options. Good luck.

Connie Hiers, MD, FACS · Answer

I would suggest first micro-needling with radiofrequency, Secret, to improve the texturing and help tighten the skin. Then, Sculptra injections or fat grafting with micro-cannulae can be done. Please go to a board certified plastic surgeon who has experience with treating scarring after liposuction.

Mats Hagstrom, MD (license on probation) · Answer

When looking to do restoration or correcting previous work one should start by making a proper assessment.  This may seem obvious but when things don't go well often the primary problem was not clearly understood or addressed directly.  In your case the diagnosis is an uneven fat distribution from an appropriate use of fat dissolving chemicals.  The correct way to fix this would be to restore the fat. Fat transfer can help with this to some degree but usually requires multiple sessions and usually cannot restore completely.  Your treatment was inappropriate, off label and did not show signs of insight or common sense.  I doubt it was performed by a board-certified plastic surgeon.  Sometimes not treating the primary problem can't be a solution. Like you mentioned a thigh may be helpful.  Poorly performed fat removal is difficult enough to not possible to correct. It's someone a relevant if this was done through injecting chemicals or liposuction.  It would be appropriate to make sure your provider is fully aware of how inappropriate this treatment was and consider sharing your experience with others so they can make better choices.  Best, Mats Hagstrom MD

What's a fix for what was done with Kybella on my thighs?

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