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*Treatment results may vary

Kybella: Genetic, Submental Fat

I did my research, and decided I was a good candidate for Kybella because my “submental fat is more genetic, than weight-related.” I have been wanting to do this for myself for many years and decided it was time!
I asked my friends for referrals, made some calls, and set up a consult with Dr. Costa. I arrived at my consultation, nervous, but quickly felt at ease when I opened the doors to the doctors San Jose-Los Gatos border medical offices. Her office felt spa-like and sparkly clean. What’s not to love!
I was a little anxious about being a suitable candidate, and even more anxious by what I read, and was told. Being poked over and over with needles under my chin, was not appealing. I’ll share more of this below!
The woman staffing Dr. Costa’s sparkly white front office check-in desk, sweetly greeted me, checked me in, and I was swiftly escorted to a beautiful treatment room, and shortly thereafter the very petite and unassuming Dr. Costa appeared, and quickly eased all my anxiety. While examining me, she shared her thoughts, and I was in fact a perfect Kybella candidate. And we got started!
She took a series of before photos, applied numbing cream under my chin and handed me ice packs I held up under my chin, and 30 minutes or so later was, she was applying a temporary-tattoo dot grid; the map of my injection sites, and minutes later, she was done. I barely felt a single poke. “Is that it? When does it start?”
She administered a full syringe of Kybella, which I think was around 40 pokes! Though there were many, the shots themselves only took a matter of minutes. We immediately applied ice packs and was done with treatment number 1.
Dr. Costa recommended I do 1, or even 2 more treatments, approximately four weeks apart. I booked treatment number 2 and was on my way. I instructed to drink 8 ounces of water, every few hours, to flush my system. I booked treatment number 2 and was on my way.
My chin felt sore a few hours after my injections. As predicated, the injection area started puffing up like a bullfrog. Yes, a bullfrog! Which according to my research meant the treatment was working. I slept with my head propped up on my pillows and took a combination of acetaminophen and ibuprofen for pain. Swelling peaked about 24 hours after treatment and lasted for 3 or 4 days. I work from home, so I could hide out! It took me about three weeks, and I started to see results, and I was ready for the next treatment.
I was told the process could be slow, with results taking weeks or months. This can be discouraging, especially for those of us who are self-conscious about our chins to begin with. The good news is that the experts say those fat cells are not coming back.
I subsequently followed up four weeks later with treatment number 2 and another four weeks later with treatment number 3. I haven’t fully seen my results, but I do notice a dramatic difference and improvement, and I looking forward to even more.
I cannot say enough about my experience with Kybella, and with Dr. Costa and her offices. Absolute professionals, super communicative and informative, and it sure doesn’t hurt to have non-surgical treatments by a specialized facial plastic surgeon. Bonus!
I will follow up with another review once my results seem complete! I cannot wait!

Melinda A. Costa, MD, FACS
Melinda A. Costa, MD, FACS
12 Jun 2021

Thank you for your review and follow up. It is such a pleasure to work with patients who thrive to make subtle yet noticeable changes with personal intentions and goals in mind. It is an honor, and privilege to work with patients such as yourself. We look forward to seeing you again in the future.


Provider Review

Board Certified Plastic Surgeon
2516 Samaritan Dr., San Jose, California
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
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Melinda A. Costa, MD, FACS
Melinda A. Costa, MD, FACS
12 Jun 2021

Thank you for your review and follow up. It is such a pleasure to work with patients who thrive to make subtle yet noticeable changes with personal intentions and goals in mind. It is an honor, and privilege to work with patients such as yourself. We look forward to seeing you again in the future.