Getting Kybella and Botox in the same area - which do I do 1st, and how far apart do I spread it (1, 2, 3 weeks?)

Question

I’m going to get Kybella in the jawline in 3 weeks, but I also want Botox in the jaw masseter. I don’t feel comfortable doing both at the same time in case it triggers some unknown chemical process. What is the appropriate order? Do I do Botox today, then in 3 weeks get my Kybella, or do I do Kybella 1st & once the fat is dissolved, shrink my masseter muscle?

Elham Jafari, MD · Answer

Hi and thank you for your question! While Kybella is primarily used for excessive fat under the chin, in some patients it might also be used to reduce fat extending to the jawline or jowls. Injection of Botox for jaw slimming (or treatment of TMJ/bruxism) is done into the masseter muscle and hence the site of injection is distinct from the site of injection of Kybella and they are not expected to directly interfere with each other. I hope it helps and good luck!

Jason Emer, MD · Answer

first off botox will slim the jaw and make it more loose, this is done on the neck and masseter.  shoudl be done 7-14 days before the kybella . with kybella you should do RF treatments weeekly to help it heal and have at home LED (see link). Id suggest facetite over this.  please see an expert, you will want to do morpheus treatments regularly long term and thermage/ultherapy to maintain the results. Best, Dr. Emer.

Michael I. Echavez, MD · Answer

Kybella injections are FDA-approved for use under the chin to reduce fat in that area.  There may be some doctors who use it in an off-label manner to treat other areas, such as the jawline.  I do not use it for that purpose.  There should be no interaction between Kybella injected to the jawline and Botox injected into the masseter muscles.  If you did not want to have them at the same time, I would suggest having the Botox first, as there is little to no swelling after Botox and significant swelling after Kybella.

Daniel Barrett, MD · Answer

Dear RSMember5134,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Portuese, MD · Answer

Botox is a neuro-muscular paralytic agent  which creates a temporary paralysis/weakening of  the muscles  that it is injected into.  We do not recommend kybella in our practice since it is not very effective, must be repeated many times, and has significant swelling with each application.  Liposuction of the fatty deposits in the neck works much better and is usually a one-time treatment.

Mats Hagstrom, MD (license on probation) · Answer

It’s fine to do these treatments at the same time because the Botox is being injected in a different area.
Kybella, Causes swelling for weeks and so it seems a bit pointless to have Botox at the same time since it will be a bit wasted While you were recovering bullfrog style.
I’m not a fan of Kybella. This medication gave 4% facial nerve paralysis during clinical trials for FDA approval.   It is not FDA approved along the jaw line for a reason.
Please look up the anatomy of the marginal mandibular branch of the facial nerve. See link below.
This is an ill advised  treatment.
Chin Liposuction is safer, more effective, far more consistent and has an easier recovery.
The jowls should NOT be treated with Kybella. 
Mats Hagstrom MD

Getting Kybella and Botox in the same area - which do I do 1st, and how far apart do I spread it (1, 2, 3 weeks?)

Answers (6)

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