Crooked chin and smile from kybella, is this permanent? (photo)

Hi,  Kybella's target is fat and our nerve cells are covered in fat layer called myelin, which helps the nerves transmit signals better. When Kybella is injected, there is about 1 cm area of spread and if the nerve is close by, some of the myelin might be affected by it.  It is not a permanent damage and body has the ability to regenerate myelin but it is a slow process. It may take anywhere from 1 month up to 9 months for full recovery.  Please be patient and hope you feel better.  You should also inform your provider of this side effect. Best, Dr.Avaliani

This is a risk of Kybella and it has been found to be temporary in clinical trials. It may take as long as 150 days to resolve. Speak with your injector to see what options you have for symmetry now with Botox injections. 

The nerve may be irritated and will resolve on its own in 6 -12 weeks.  Oral steroids, diuretics, non steroidal antiiflammatories, and RF treatments like venus legacy and exilis can help speed the resolution.  Best, Dr. Emer.

Thank you for your question! It appears to me that you are experiencing a nerve paresis. There have been few cases where Kybella irritated the nerves and similar side effects occurred. Do not worry! This is temporary and it should resolve within few weeks, max 2 months. Best of luck!

It sounds like an irritated nerve. This can happen. The good news is that it will resolve with time, typically 6-12 weeks.

Thank you for
your question Mirre. I am sorry to hear about your situation. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. One of the rare side effects of Kybella is a temporary asymmetric smile. This occurs if the product hits the marginal mandibular nerve. In the pivotal studies this side effect lasted for a median of approximately six weeks. Please
consult with a doctor for specific recommendations. Good luck!

It appears to me that you are experiencing a nerve paresis. There have been few cases where Kybella irritated the nerves and similar side effects occurred. Do not worry! This is temporary and it should resolve within few weeks, max 2 months. Hang in there!

As effective as Kybella is in melting away submental fat or "double chin", it does come with side effects if not injected correctly and accurately.  The swelling you are experiencing may be normal but it usually resolves within 7 days or even sooner in most patients.  Studies have shown that about 4% of the subjects experienced paresis of the marginal mandibular nerve which may be what is happening in your case.  The good news is, its temporary and should resolve, most of it by 6 weeks but could certainly take longer.  Wishing you a speedy recovery!

Kybella can irritate nerves in the area of injection.  That is why it is not recommended in the jowls.Kybella does not dissolve nerves, only fat, but the nerves get irritated and take some weeks or so to improve and is not permanent.

You are experiencing a rare but temporary side effect of the Kybella injections. It should resolve within several weeks to months. See your injector if you have any other concerns or want to try something to speed up the recovery.