Kybella to Jowls cause eye twitch?

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