Kybella for under-eye bags

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.

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

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.