Kybella for under-eye bags

Question

Hi, Kybella is only approved for under-chin fat, but I was wondering is there any scientific or technical reason as to why it can't be used some time in the future to melt fat bags under-eyes? Thanks.

Young R. Cho, MD, PhD · Answer

Thank you for your question. Kybella is FDA approved for the submental region.   However, just like other devices, off label use is going to be at the physicians discretion. Using it off label, does require a deep understanding of the underlying anatomy to ensure that the target tissue is isolated from critical structures.  You will find that the treatment indications with FDA will start to broaden over the next few years as more areas are studied such as the knees, love handles, anterior axilla, and possibly ankles. The makers of Kybella is developing a separate topical product that is being studied for under eye fat.  This may prove to be a safer approach given the critical structures under the eye. I would make sure you consider any off-label use with an experienced and knowledgeable plastic surgeon.

Jimmy S. Firouz, MD, FACS · Answer

Kybella is currently ONLY FDA approved to treat submental fat (double chin). I absolutely do not recommend using this product under the eyes. The under eye is a very delicate area and should not be treated with Kybella. There are many other surgical and non-surgical treatments that are safe and effective that you should consider. Please consult in person with a board certified plastic surgeon who has expertise in anti-aging treatments for the eyes. Good luck!

Simon Liubinas, MBBS · Answer

While in theory it can be used to treat fat in any area of the body, the FDA has only been approved it for use under the chin. There have been trials performed demonstrating that it is safe and effective for treatment of fat under the chin, but there is no data on its safe and effective use in any other body region. I would strongly advise against using fat dissolving injections under the eyes, as there are many important structures in this region, and no recognised “safe-zone” for injection. There are other options for treating bags under the eyes, including the use of injectable dermal fillers to the region, and this would be my preference. I would suggest that you seek advice from a plastic surgeon or aesthetic physician who can discuss your aesthetic treatment goals with you and discuss the safest options for you.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question tignis. Kybella is the first and
thus-far only FDA-approved non-surgical injectable treatment for the double
chin. Some doctors use it elsewhere off-label. There may be future studies in other areas. I have not heard of anyone using it for under-eye bags or festoons. Please
consult with a doctor for specific recommendations. Good luck!

Kouros Azar, MD · Answer

While Kybella may one day be FDA approved for other areas of the body than the chin, I would definitely not recommend it for the under eye area. That area is beyond delicate and must be handled with extreme care. Kindly,Kouros Azar

Michael T. Somenek, MD · Answer

Kybella is not approved to treat the under eye bags. In fact, it is only FDA approved to treat the submental area(under the chin). When I treat the submental region, I always tell my patients that it will take at least 2-3 treatments before they start appreciating any noticeable results. Be cautious about doing this treatment in off label areas as it has not been studied and you are at risk for increased complications.

Jonathan Hall, MD · Answer

That is a very interesting question but I would not recommend it there.  Kybella has only been approved for the submental fal, and yes it can be used off-label in other areas of fat.  But the eyelid anatomy is delicate- not only is this an area rich in nerves and blood vessels that may increase the risks, but any tightening of the orbital septum ( the innermost layer of the eyelid) could cause a severe retraction of the lower eyelid (ectropion) that could be difficult to fix.  So as an intellectual question it is interesting, but as a practical matter the risks would outweigh the potential benefits.  There are many other well developed ways to treat this area with and without surgery. Be sure to consult with a board certified plastic surgeon.

Michele S. Green, MD · Answer

I would definitely NOT recommend Kybella for the under eye area. It is not FDA approved or studied in this delicate under eye area.  Fillers such as Belotero or Botox for the crow's feet are highly effective. Please consult an expert.  Best, Dr. Green

Kybella for under-eye bags

Answers (8)

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