Belkyra/Kybella Treatment - Permanent Damage? How can I look how I did before? (photos)

Question

I had 2 vials of Belkyra (Kybella) in Nov 2018. I had SEVERE swelling for the first few days, which subsided over the following weeks. However, nearly 9 months on, my chin is still yet to improve and the fat area below my chin looks far worse than it did before the treatment. I have no pain, just a permanent look of swelling that has not improved over the last 7 months. I can’t find any information online regarding swelling lasting for this long. I just want to look how I did before. Help!

James H. Rogers, MD · Answer

It is not uncommon for some patients to exhibit marked swelling after injections, but most resolve within a reasonable time frame, certainly less than nine months. In my opinion, direct hand suctioning of this area is the most precise and least problematic way of achieving a good result, and is probably what will be necessary to correct the problem. Injection of steroids may be of benefit , but is less precise and could result in thinning of the skin. Consult an experienced surgeon for an evaluation.

Thomas P. Sterry, MD · Answer

We were all so excited to get Kybella a few years ago.  Now I have a drawer full of it that I won't use on any patients because I'm afraid it will ruin my reputation.  Sorry for your experience.I have performed chin liposuction on many patients who were disappointed with their Kybella injections (performed elsewhere).  I think it's your best chance for a nice outcome.  In my hands, I like to use laser energy (Smartlipo) to help break down some of the scar tissue that the Kybella creates.  I find it makes the liposuction more efficient.Good Luck!

Mats Hagstrom, MD (license on probation) · Answer

you were not a good candidate for fat removal of your chin in the first place.  Your primary problem is a lack of projection of your mandible not excess fat.  This is the primary reason you're not happy with the outcome.  I don't believe the problem is necessary one of prolonged swelling.  That may or may not be an issue but the treatment was never going to give you a great result in the first place.  Your chin does not look excessively swollen in your after pictures.  A chin implant would be a much better solution.  Best, Mats Hagstrom MD

Belkyra/Kybella Treatment - Permanent Damage? How can I look how I did before? (photos)

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Belkyra/Kybella Treatment - Permanent Damage? How can I look how I did before? (photos)

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Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.