Generally with all consultations, I generally listen to your concern, do an assessment, and develop different options for you. As a plastic surgeon who also specializes in many of the non-invasive options out there, I tend to spend a lot of time discussing the pros/cons of each option. Kybella is a great non-invasive way to treat the submental fatpad (double chin), but there are other options including liposuction and a neck lift. I would recommend that you visit with a plastic surgeon who offers various options so you can determine what is best for you. If you decide you are open to Kybella, then the procedure can be usually be done on the same day. The procedure takes ~20 min and is very well tolerated. Although you may start to see changes with even one treatment, you may want to consider 2-4 treatments before you start to notice a much bigger change.
Kybella is FDA approved for the fullness beneath the chin. It can reduce the fat by multiple injections. Only local anesthestic is needed and you can expect mild to moderate swelling and redness. It has to be injected 5 weeks apart and for 3-6 sessions.
You consultation will involve an assessment of your anatomy and an explanation of the risks, benefits, and alternatives to kybella treatment. If you decide to proceed, the treatment area will be cleaned, numbed and the injection plan will be marked. You will have a series of small injections to evenly treat the desired area. You can expect some bruising, numbness or discomfort in the area which may take a week to fully resolve.