Kybella for larger body areas like back, abdomen and buttocks?

Question

Hello Doctors, I have been reading up on non-invasive fat loss solutions and came across Kybella that is generally used for chin and jawline treatments. I am curious .... can this be used for larger body areas like Back, Abdomen and buttocks etc. ? Would it be a very long and painful procedure ? Is the recovery too long. Will appreciate your valuable insight ...thanks so much regards

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question.  Kybella may be used on larger areas of the body and the treatment could be coupled with Fat Freezing.  I recommend scheduling an appointment with an experienced doctor to discuss treatment options best suited for you.  All the best.

Kimberly Butterwick, MD · Answer

Very good question. Kybella has only been approved by the FDA to treat submental fat (fat underneath the chin) at this time. While studies are underway on Kybella’s effect on other areas, it is not recommended for treatment outside its approved area. For fat reduction on other areas, I offer both CoolSculpting and liposuction, depending on the amount of fat you want to remove and the results you hope to achieve. I recommend scheduling a consultation with a board-certified dermatologist who can assess you in person and recommend a treatment plan based on your specific needs and goals.

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. 
Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Anteneh Roba, MD · Answer

Kybella was approved by the FDA to treat  submental fat only. However, it can be used off label to dissolve fat in other areas, but I would not advise you to get Kybella treatment for large areas. It will be very costly and results will be at best suboptimal. Consider liposuction. It is the gold standard treatment to remove fat from large areas.

Mats Hagstrom, MD (license on probation) · Answer

Kybella is FDA approved for the removal of chin fat only.  My personal opinion is this is not a great treatment. The inflammatory response is dramatic and undesirable. Most people need to go through the process several times to get results. Occasionally the treatment is effective to the point where people look skeletonized and this is difficult to correct afterwards.  It's based on making small aliquot injections. This seems to work reasonably well in the chin without making people look like the surface of a bag of marbles.  Still, I question if you injected a small amount every inch on the abdomen if you wouldn't look a bit like a cobblestone street in Europe.  The product is expensive to the point were even for each and the price of liposuction is competitive.  To treat a full torso would probably cost $100,000 if someone needed three rounds.  Liposuction his time proven, has always been and will continue to be the gold standard in fat removal. 
 Best, 
Mats Hagstrom MD

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