How is Kybella safe?

I am a candidate for this type of treatment and absent complications probably would love the results. However, I just can not understand how this product is safe and wont somehow migrate to so horrifying place on your face, your heart or your brains Lol. I cant help but feel when something is to good to be true it probably is.

Doctor Answers 12

Kybella is FDA approved

Thanks for your question. Kybella will destroy the fat cells and is FDA-approved for use on fat underneath the chin. It is minimally invasive, no downtime, allows for a more youthful look, no surgery or general anesthesia and has minimal side effects (typically bruising, pain, and redness at the injection points.) Hope this helps. Best, Dr. Katz

New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Kybella is a natural substance

Kybella is present in your body and is made in the liver.  Kybella is injected into your subcutaneous tissues and not your veins or arteries, so it does not migrate to your brain.

Kybella and the dissolved fat disappears via the lymphatic system.

Kybella can reduce the fat in a neck and reduce the double chin

Kybella injecitons are FDA approved for the reduction of fat in the neck below the chin. The bile salts we use in our intestines to dissolve fat we eat, are used in Kybella to dissolve the fat underneath the skin. There are risks with all treatments, and although there can be numbness, soreness, temporary beard loss in the treated area, nerve weakness in the area treated and other risks including scabbing and scarring, there isn't evidence the company has shared with physicians that other organs such as the heart can be affected. The right candidate who only has fat accumulation in this neck area, has a high chance of being satisfied with the results after a few Kybella treatments as it has a good patient satisfaction rating, keeping in mind there is temporary bruising and swelling that may last a few weeks or more.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 36 reviews

Kybella is safe

Kybella was FDA approved this year and is entirely safe procedure.  The key is to consult a board certified dermatologist who is trained with Kybella and the other cosmetic procedures.  Best, Dr. Green

Kybella treatments

Kybella is injected into the area of fat in the chin and not into veins or arteries. Deoxycholic acid is present in our bodies as bile acids to help dissolve fats that we ingest. I would highly recommend that you speak with your physician in order to get all your questions answered before you proceed and so you have reasonable expectations from the treatment. While there are some potential risks with any procedure, the concerns you mention would not be expected with Kybella treatments.

Pamela Stuart, MD
San Jose Physician
5.0 out of 5 stars 1 review

Kybella Safety

The active ingredient in Kybella is actually a naturally occurring substance in the body, deoxycholic acid. The injection goes into the subcutaneous fat, not your veins so there is not risk of it traveling to your brain. The acid dissolves the fat which is eliminated from your body through your lymph system. It is completely safe. Hope this helps.


Kouros Azar 

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.8 out of 5 stars 21 reviews

Kybella is Safe

Dear OilyChick:

Kylbella (Belkyra in Canada) or deoxycholic acid is FDA and Health Canada approved for treatment and reduction of submental fat.  Deoxycholic acid is naturally produced in our gallbladder and liver and helps breakdown fat in our intestine.  Kybella (Belkyra) is injected directly into the submental fat (target tissue) and is safe in the hands of an expert injector.  Hope this information helps.

Kybella Too Good To Be True?

Dear OlyChick,

Thank you for your question. A small dose of skepticism can be healthy when something appears to good to be true. As in any surgical or non-surgical procedure risks are inherent to the procedure and mostly comes down to the magnitude of risk. Key elements to minimizing this risk is making sure you are the right candidate for the procedure at hand, having the procedure done by someone who is well trained and experienced at that procedure as well as similar procedures (invasive/non-invasive) to accomplish your desired outcome; this can minimize trying to make "one size fits all" approaches. Kybella is "deoxycholic acid" which is a natural bile salt found in our bodies who job is to break down fat from our diets in our intestines; hence a chemical the body knows and does not see as foreign. By injecting it directly into the fat in the area under the chin it is essentially performing the same job as when in the intestines, namely breaking down fat. However the difference when used as "Kybella" is that it only is working in the target area that it is injected therefore by not being a systemic injection will not effect your heart, brain etc. When injected properly by a skilled professional the risk of nerve injury or migrating all over your face is extremely low. Yes it is very effective and our results have been great and those treated very happy with the outcome. Be well. 

Paul Pietro, MD
Greenville Physician
5.0 out of 5 stars 2 reviews


Kybella is FDA approved to reduce fat in the submittal area.  The real name of the product is Deoxycholic Acid. While that sounds horrible, it is actually a naturally occurring acid found in your very own gall bladder.  It's job in your GI system is to break down fat.  So, every day there is deoxychloic acid released in your GI system to do a specific job--break down fat.  Kybella does the same thing when it is locally injected into the submental area.  It is then slowly absorbed by the body, as is the fat that it has broken down.  To date, there have been no reported systemic problems with its use in the correctly-described, FDA approved manner.  

Jesse E. Smith, MD, FACS
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Kybella does not migrate to other parts of the body

Kybella is absorbed into the fat cells in the area under the chin where it is injected. It is a natural material and has a good safety record.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.