Is it possible to have no results at all after 6 weeks of treatment?

We have found that many patients take 4 weeks to get back to their original contour and then see some shrinking and tightening over the following 2-3 months.  We have been using Kybella for the past 6 months and most patients have been thrilled with the improvement from their first treatment and have come back for a second treatment.  As in many things with plastic surgery, you may might not notice an improvement day to day, but then be surprised when you look at the photographs from before and after your treatment.  If there is fat to treat and enough Kybella was injected then you should see a change, but it may take time.  And maybe you were hoping for a bigger change.  Remember that most patients have 2-4 treatments to reach their goals.   I have heard from doctors lecturing about Kybella that most treatment "failures" they have seen have been from under-treatment and have responded to additional treatment with the proper dosage.  I would see your doctor at the 2 month mark and review photos from before and after.  The improvement that you see at 6 weeks will typically still be increasing over the next few months.  And most patients need at least 2 vials with a treatment to see enough of a change.

Kybella works by destroying fat using deoxycholic acid.  Since too large of a dose of Kybella can have unwanted side effects (swelling, bruising, numbness, temporary nerve or muscle weakness) most of its treatments are spaced over a period of 6-8 weeks.  Most patients will require 1-4 treatments of Kybella.  The benefit of Kybella is that it offers a nonsurgical approach with little to no downtime in treating submental preplatysmal fat.  Patient selection is critical.

Thank you for your question!  Kybella works by dissolving fat which lies just below the skin underneath the chin and jawline.  As long as you maintain a healthy lifestyle with good skin care, you should not see this fat return.  Because Kybella is FDA approved to dissolve fat cells, it is possible to have less than ideal results if there is no fat under the chin.  However, our office typically recommends two treatments for full effect, and this may be why you are not seeing a change, yet.  Be sure to discuss your concerns with your board certified injector, and look at your before and after photographs, as well.  I hope that this helps!-David Gilpin