Kybella to Jowls cause eye twitch?

Question

Hi, I had kybella in to the jowl area a week ago and a few days after I started to notice my lower eyelid is staring to twitch from side to side. It’s quite annoying! It’s the left eye lid, the left side of the jowl was a lot more swollen and tender. She used a cannula. Could a nerve be damaged? Will it repair and go back to normal? Might not be the kybella also.

Nissan Pilest, MD · Answer

Kybella (Deoxcholic Acid) is the first non-surgical, FDA approved injection to reduce submental fat. Injecting (considered off-label use) relieves pressure on the lower face resulting in more youthful jawline. Kybella should always be preformed by a skilled injector as to not damage the Marginal Mandibular Nerve, which may lead to nerve paralysis.It is best to follow up with your provider, or a Neurologist to clear you.

Michele S. Green, MD · Answer

Kybella is fabulous for reducing the submental fat under the chin. It would have no side effect involving your eye twitching which can be neurological. I would recommend that you consult your ophthalmologist and keep us posted. Best, Dr. Green

Joseph Franklin, MD · Answer

As you know, Kybella is a bile salt which dissolves fat.  Kybella injected into the jowls would not cause eyelid twitching.   It is likely totally unrelated.   If the twitching fails to resolve quickly or becomes increasingly bothersome, a couple of units of Botox can be placed in the lid to minimize the movement.

Mats Hagstrom, MD (license on probation) · Answer

without knowing exactly where the injections were made it's hard to tell you anatomically if this could be related to the injections.  The branches of the facial nerve that innervate the orbicularis oculi muscles( The muscle used to close your eyelids) start just behind your ear lobe then go up along the backside of your cheek fairly far away from where the true jowls are. Kybella it's FDA approved for use in the chin only. Off label use should be done with caution because of its destructive nature.  If your provider was a plastic surgeon or facial plastic surgeon then he or she will know facial anatomy well and should be able to stay out of trouble. Kybella can cause nerve problems because nerves have a fatty coating call the Meilin sheath which is required to be intact in order for the nerves to function properly.  My best guess is that your treatment is not the cause of your eyelid twitching but cannot say so without certainty.  If the injections were done along the route of the facial nerve and there could be a correlation.  If it becomes a serious long-term problem then Botox can be used to damp and down eyelid spasms.  Best, Mats Hagstrom MD

Kybella to Jowls cause eye twitch?

Answers (4)

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