Can one and a half syringes of Kybella be used for one treatment?

Question

I bought a Groupon for one syringe of Kybella. The doctor recommended 1 and a half syringes. They charged me the additional price for the half which was half the Groupon price of one full syringe. Not sure if they only injected 1 syringe worth and just charged me extra to make up for the Groupon. Groupon was $499. The doctor had about 4 needles and one needle with a quarter full of kybella and numb me with lidocaine. There were about 10 to 13 dots when I looked in the mirror.

Jonathan Kulbersh, MD · Answer

The amount of Kybella needed will vary, but it is priced per vial. Kybella take 1-3 treatments every 6 weeks.  Patient will develop swelling and possible bruising after each injection that may last a few days.  The benefit of Kybella is each treatment is quick and completed in the office. However, some patients need more than one treatment to get desired results. Hope this helps.

Daniel Barrett, MD · Answer

Dear beauty05,Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

Kybella comes in a vial that can ultimately fill 2 (1 ml) syringes. The amount needed will vary. Keep in mind, Kybella results can take up to 6-8 weeks and usually require a series of treatments. Also, for best results with Kybella, I recommend a combination approach with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is an alternative for contouring the chin, if you're a candidate. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Monika Soni, MD · Answer

Kybella comes in a vial that can ultimately fill 2 (1 ml) syringes. The amount needed will vary. Keep in mind, Kybella results can take up to 6-8 weeks and usually require a series of treatments. Also, for best results with Kybella, I recommend a combination approach with thermage, ultherapy, exilis. VASER liposuction in combination with ThermiRF is an alternative for contouring the chin, if you're a candidate. I recommend getting a formal evaluation with an expert.

Deborah Kessler Hudak, MD, MHA · Answer

Kybella comes in vials, 2cc per vial, 10mg/cc of deoxycholate.  It does not come in a syringe.  It is drawn up into a syringe prior to injection....so, YES, one can draw up 3cc , the contents of 1-1/2 vials.  This would contain 30mg deoxycholate to treat the fat you are wishing reduced.
Alternatively, you could treat the fat with CoolSculpting, or the original formula of Kybella (mesolipotherapy, which is generally 42mg/cc of deoxycholate, and considerably less expensive than Kybella), or with Ultherapy (microfocused ultrasound, using a transducer that targets the subcutaneous fat).  Liposuction and surgery are other options, too.
Going to Groupon for cosmetic procedures for a "deal" is like going to LongHorn Steakhouse and expecting the quality of steak you paid relatively little for to be equivalent to on at Ruth's Chris or Morton Steakhouse.  It is not going to happen!  
Kybella is extremely overpriced by the distributor, Allergan, and it is therefore going to be expensive to you, the consumer.  If you want a real deal on injectable deoxycholate, the ingredient responsible for killing fat permanently, see someone who injects the original formula.  It is an extremely safe material, and its sole action is to kill fat.  It does not injure any other tissue.  In my own office, for instance, I inject as many as 1200 mg of deoxycholate for $525.

Steven F. Weiner, MD · Answer

Kybella is packaged in a vial of 2cc. One syringe would be 1/2 a vial, 1cc. Any fraction of a vial can be sold at the discretion of the provider. Typically, each dot get 0.2cc injected.

William Marshall Guy, MD · Answer

Hello Beauty05,Kybella is sold by the vial and cannot be stored and used on another patient.  Because of this if you use a 1/2, 1/4, or 1/8 of a vial you will be charged the full price of the entire vial.  The amount of Kybella needed depends on your anatomy and the amount of fat present.  I'd recommended you discuss your concerns with your injector.I hope this helps and good luck.

Jill C. Fichtel, MD · Answer

Great question about Kybella doses and pricing. The amount used depends on the area to be treated. A template of  dots spaced one inch apart from each other is placed on the area to be treated. Some doctors make their own dots without using the template. Each dot is to receive 0.2 cc of kybella. Each vial has 2.2 cc in it so you should have had close too 16 or 17 injection points which would equate to about 3 full syringes and about 1/3rd of one (each syringe is 1cc or 5 dots each). The doctor  may have not filled up the syringes all the way so 4 syringes seems appropriate if they were almost full. Pricing varies significant. I hope this helps.

Sagar Patel, MD · Answer

The Kybella is typically sold by the vial which contains 20mg. The amount is caluclated based upon the surface area of the area that needs to be injected. There is a nice temporary tattoo grid that is placed on the submental area and this imprints equally spaced dots. There is a "safe" area of injection which is outlined. This varies and factors on how much you need depends on your gender (men need more) and BMI. Some practitioners may sell by the syringe but that would be unlikely!

Can one and a half syringes of Kybella be used for one treatment?

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