Are vertical wrinkles a side effect of Kybella?

 Thank you for your question and for sharing your photos with us. Kybella does work to reduce the fatty tissue in the double chin region.  It can result in unmasking the underlying anatomy which can reveal small muscle bands in the center of the neck.  This can be softened with Botox.  If it is still soon after your last treatment, this could also be some fibrotic tissue that may soften over time.  A physical exam should be able to differentiate the two.  I would visit with your plastic surgeon for can assess you and then come up with options for you.

Hello Leeannemarie,There are really two possibilities taking place.  One is that you had bands of a muscle, called the platysma muscle, that has been exposed now that the fat is gone.  You can tell if this is the case by trying to pull the corners of your mouth down.  The muscle around the neck will then flex.  If the bands become more prominent, then what you have are exposed bands.  These can be treated with Botox or surgery.  The other possibility is that this is scarring deep to the skin.  I have not seen this with Kybella treatments, but the appearance almost looks like that.  If that is the case, then the bands can be improved with steroid injections to soft and relax the scar.  What I would recommend is you follow up with your surgeon for evaluation.  There are treatment options available dpeneding on the cause.  Treatment that is sooner is better, especially if this is scarring.  I hope this helps and good luck.   

It appears you got a very good response to Kybella and have exposed underlying platysmal bands of the muscle that drapes the neck underneath the superficial fat.  If these worsen when you grimace and 'growl', they are definitely platysmal bands and should respond to Botox/Dysport injections.   If it is true superficial skin laxity due to loss of that much flat, we tend to look at either Ultherapy or Infini for additional tightening.

Kybella often tightens the skin in this area as well.  I would consider Botox in this area.  Thermage is also very effective in tightening this skin around the neck and jowls.  Best, Dr. Green

In the FDA study conducted for Kybella, there was a subset of patients that had excellent fat loss results in the area treated, but they also had exposure of platysmal bands, which they felt unfavorable.  The best way to tell if the lines you see are from the platysma, is to flex your platysmas muscles and see if the banding gets worse.  If these are from the platysma, it would be best to reconsult with your treating physician prior to your next injection.