Is an immediate crooked smile after Kybella normal? (Photo)

Kybella is one of my most asked for treatments in the office and has great permanent results in reducing fat in the submental area. However, a side effect is if it is injected in the wrong place the submandibular nerve can be affected and you get a droop.  This droop can last for several weeks but should eventually subside.  Please consult an expert in Kybella injections for the best cosmetic results. Best, Dr. Green

this represents a lack of function of your mandibular branch of the facial nerve.  If this happened five hours after your treatment then it may take potentially a long time to get back to normal function.  Was your treatment done in the general area or just in the chin area?  That nerve runs right through the jail in that area should not be treated with this product.  It's not FDA approved and anyone who knows the facial anatomy would stay clear of that area.  I am a strong believer that Kybella causes far too many problems to be in appropriate treatment.  I believe someday we will all see the pitfalls with this treatment and stop using it.  I suggest sharing with the real self community what your experience was so others can make better choices. You should also follow up with the person who did the treatment so that they are aware of what happened I won't do it again to other people.  No one can tell you how long it will take to recover. Generally when this happens from liposuction you can take anywhere from a few weeks to six months or longer.  My best guess is around six weeks.  In case you're interested nerves have a fatty coating that's required for nerve conduction to work properly.  Since this treatment destroys fat cells it can also strip the nerve of its necessary fat to function properly. There's a reason this is limited to the chin area only since there are no motor nerves in this area that can be damaged.  Best, Mats Hagstrom MD