I had my first Kybella treatment 8 weeks ago - 2 doses. How long between treatments can one go with successful end results?

Question

Due to illness and life events and the business of my surgeon's office, I may have to go 11 weeks between my 1st and 2nd treatment - is this acceptable? The first treatment showed very little difference (using 2 vials) - which I know is typical (but also very expensive). Can I go 11 weeks and expect success, or should I just give up, or try to find another provider? Thanks for your help.

James M. Ridgway, MD, FACS · Answer

Dear elw123,Thank you for your question.  Although you have had a longer than normal gap between your first and second treatments, this will not be of clinical consequence.  Most patients require 2-3 treatments to reach their desired goals.  If you feel comfortable with your provider and the surrounding circumstances of your delay in treatment seem reasonable (as they seem to) then I do not see a reason to find another provider.  I hope this helps you find the right answer for you.Be healthy and be well,
James M. Ridgway, MD, FACS
Bellevue & Seattle Facial Plastic Surgeon

Kally Papantoniou, MD, FAAD · Answer

Having the sessions too close together (under 4-6 weeks apart) is a concern because you want to heal and actually give the skin time to respond to the treatment before moving forward. There is no limit on the amount of time put in between sessions, you can wait 6 months or even a year if you have to. The lack of results is concerning, I would possibly ask the physician or get a second opinion by an expert to see if there is not perhaps a skin tightening issue which is not going to respond to Kybella. For skin tightening I recommend Thermitight and the Ulthera, and another fat reduction treatment is the Coolmini which can work well in combination. Best, Dr. Papantoniou.

Richard Baxter, MD · Answer

You do not lose the effect of Kybella by waiting longer between treatments. It is more important to not do them too close together.

Anil Rajani, MD · Answer

I would not be worried about waiting 11 weeks until your next Kybella procedure. The timing between treatments is less important than the number of treatments. We Routinely wait more than 8 weeks between treatments and results can continue to be seen up to 6 months. It's a great treatment but in many cases takes time and additional injections to see desired results. Most of our patients need approximately 3 sessions of injections to see a nice reduction in the appearance of their double chin. Understanding the procedure is important. Kybella is a naturally occurring molecule that helps metabolize fat. It disrupts the fat cell membranes. As soon as it hits, it causes lysis - destroying the

cell membrane. After that, the fat cell releases its fatty content, and the body metabolizes it.

I hope this has been helpful information. My best, Dr. Rajani

cell membrane. After that, the fat cell releases its fatty content, and the body metabolizes it.

I hope this has been helpful information. My best, Dr. Rajani

Jason Emer, MD · Answer

It's o.k. to wait 6-8 weeks or more between treatments. However, for best results with Kybella, I recommend a combination approach with thermage/ultherapy/exilis. Another alternative would be VASER liposuction in combination with ThermiRF or ultrasound are best for contouring the chin, if you're a candidate. See an expert. Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

Kybella is an alternative to surgery but for some, not the best alternative.  Waiting longer than 4 weeks between Kybella treatments is probably a very helpful think.  Many of us wait 6 weeks between treatments.  Remember that most patients having Kybella need 6 sessions.  For many, these means that Kybella will be more expensive than having a neck liposuction with 4 days of down time but accomplishes the neck improvement in a single procedure.

Monika Soni, MD · Answer

Thank you for your question! In my personal opinion having 11 weeks instead of 8 in between your treatments should not hurt your end results. Kybella melts fat cells, so after first session your it melts around 25% of your fat cells which is hardly visible. After 2 or 3 treatments, your fat cells are mepted up to 75% and results become visible and satisfying.Best of luck!

Hardik Soni, MD · Answer

In my personal opinion having 11 weeks instead of 8 in between your treatments should not hurt your end results. Kybella melts fat cells, so after first session your it melts around 25% of your fat cells which is hardly visible. After 2 or 3 treatments, your fat cells are mepted up to 75% and results become visible and satisfying. Good luck!

Jill C. Fichtel, MD · Answer

I usually recommend approximately 8 weeks intervals between Kybella treatments.  Waiting 11 weeks in your case shouldn't have any bad effects on your treatment.  Most patients do require two or three separate treatments to achieve desired results.

Henry Mentz, MD, FACS · Answer

Thank you for your question. Kybella is a permanent treatment for eliminating fat under the chin. The time between treatments will not hurt the results however you will not see your final results (meaning after all the treatments needed) for some time if you wait between treatments for a period of time. Wish you all the best,Dr. Mentz

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