Does massaging the neck after Kybella make it less effective? (Photo)

Question

I had round 2 of Kybella 3 days ago. 4 vials injected. I have a hardened lump under my chin. I am tempted to rub or massage it. Will that diminish the tightening effect? I don’t want to undo any hopeful results by touching it too much.

Jason Emer, MD · Answer

Lymphatic massage may give improvement. 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

Jonathan Kulbersh, MD · Answer

It's unlikely to negatively impact your results, but I suggest following up with your practitioner about aftercare recommendations. 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.

Monika Soni, MD · Answer

Lymphatic massage may give improvement. 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.

Susan Buenaventura, MD, FACS · Answer

I think it is fine to gently massage the hard lump.  It may be swelling from Kybella or fat pockets lysing.  Be patient with Kybella, it takes time to see swelling resolve.  Swelling generally hits its peak at about 72 hours.  Results will be seen over the next couple months.  I do not retreat prior to 8 weeks.  You will likely see nice results over the next 8 weeks.

Pamela Stuart, MD · Answer

There can be considerable swelling for the first few days after Kybella treatments. I would not massage the area at this point, as it may make it worse. Having said that you should always check with your provider to see what they recommend as well. After a week or two if you still have small nodules in the area, they may recommend doing some light massage to those nodules only. It is always  important to follow up with your injector so they are aware of any of your concerns. Best wishes,

Carolyn Jacob, MD · Answer

You may be feeling the swelling that is common with Kybella, which usually lasts 48 hours, sometimes more depending on the patient and amount of fat underneath the chin. Do NOT massage the area, it will only cause more swelling. It's best to just leave it alone to allow the area to recover.

Does massaging the neck after Kybella make it less effective? (Photo)

Answers (6)

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