Is 4 vials of Kybella too much for 1 treatment?

Question

I’ve been reading that most people need 2 vials and 2-3 treatments. I just had my first treatment and they used 4 vials. Will I need to go for a second treatment or should I see a great improvement in a few weeks or months?

Aisha McKnight Baron, MD · Answer

The amount of kybella done per treatment will be determined based off the patient needs. Typically if I have a patient with a decent about of fullness under the chin I like to start with at least 2 vials and have the return with in 6 to 8 weeks to be reevaluated.I suggest asking what protocol the doctor you selected to performing this treatment likes to follow. Thanks for your question.

Jason Emer, MD · Answer

The amount of Kybella needed will vary and needs an in-person evaluation. Keep in mind, a combination approach with other treatments is needed to get the most improvement with non-invasive options. I recommend Kybella with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is the best alternative for contouring the chin. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Shareef Jandali, MD · Answer

Thank you for your questions. Don't be concerned if your dosing does not match other patients who have been treated. The amount of Kybella needed varies from patient to patient and is based on the size of the treatment area. Even with dosing greater than two vials, it is possible that you may need additional treatments to achieve your desired results.

Mark Taylor, MD · Answer

4 vials of Kybella is a reasonable amount for a larger pocket of fat in a double chin.  An experienced physician can judge the right amount for you.

Vilma Di Maria, MBBS · Answer

Thankyou for your question. the dose of kybella depends on the size of the area that needs to be treated. you are correct that most people need 2 vials which equals 4mls of kybella but there are many people that would also require 4 vials. With Kybella you will need a minimum of 2 treatments but most patients require more.Hope this helps and good luck

Laura Riehm, MD · Answer

Thanks for your question and posting pictures.  We have discontinued Kybella in our practice for melting submental fat.  The FDA recently approved the SculpSure laser for treating submental fat (double chins).  It is a quick 25 minute, completely non-invasive treatment.  In the FDA study, the participants had 100% satisfaction after 1 or 2 treatments.  If you look at the Kybella FDA studies, there is high satisfaction after an average of 6 treatments.  I did SculpSure recently and it was only mildly uncomfortable.  I had no noticeable swelling.  With Kybella, you will have noticeable swelling for 1-4 weeks.  Best of luck.

Joseph Franklin, MD · Answer

The amount of Kybella used during treatment depends on the size and extent of the treatment area.   Some practices sell Kybella as a kit and each kit comes with 4 vials.   Using 3 or 4 vials at the first treatment is now becoming standard practice.   Initially, we were probably underdosing people when we first started using the medication.  You should begin to see a result in 4-6 weeks.  Complete results can take 9 months to a year.

Jean M. Casello, MD · Answer

The amount of kybella used per treatment is determined by the size of the treatment area.The practitioner will usually use a grid to mark out the area.  This will determine how much Kybella needs to be injected.You should see improvement in 6-8 weeks. Your practitioner will re-evaluate you at that time and determine if additional treatments are needed.

Justin Harper, MD - Account Suspended · Answer

Hi DaiseyWalker, The number of vials used depends on how much you need. In general, results are seen after 6 weeks - meaning that if your second treatment came after a month, you probably won't be seeing much change. Most patients require 3 treatments and no more than 6.All the best,Justin Harper, M.D.

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