Experienced immediate mandibular paralysis after Kybella. Should I be trusting this Dr to perform the second treatment?

Thank you for your question. It's unfortunate to hear about your experience. Mandibular nerve injury is a known complication that may occur with Kybella treatments, and for this reason amongst others, ensure you seek out an experienced injector. Good news is that Mandibular nerve injuries are often temporary resolving in 1-2 months.  I would avoid correcting your smile with Botox as you may have further asymmetries as a result. Best to be patient. I would also recommend sharing your concerns with your treatment provider.   

Hello. Thank you for your question. One of the known complications of Kybella is paralysis of the marginal mandibular nerve. Every patient has a variable course of the nerve and at times it is not completely predictable. The paralysis typically goes away by six weeks. I do not recommend treating the contralateral side with Botox as the effect of kybella will likely wear off before you know it. You should discuss your concerns with your doctor and if you do not feel comfortable it is always reasonable to seek a second opinion. 

Thank you for
your question barneyjim92. I am sorry to hear about your situation. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. If the needle hits the marginal mandibular nerve it can lead to a temporary asymmetric smile. In the pivotal studies the median duration of such an adverse event was approximately six weeks. We have patients smile immediately before and after a treatment to assess for this possibility. Please
consult with a doctor for specific recommendations. Good luck!