Kybella Double Chin Before and AfterKybella is the first injectable substance the FDA has approved to dissolve fat under the chin. Until now liposuction or surgery has been the only option available to achieve a more sharply defined chin. Prior to FDA approval, Kybella (from the makers of Botox) has been tested in over 20 clinical trials involving more than 2600 patients and has been shown to be a safe and effective treatment for fact under the chin.

Kybella FAQ:  Frequently Asked Questions

What is Kybella made of?

Kybella is identical to a substance the body makes called deoxycholic acid, which helps to absorb fats. When injected under the chin, it destroys fat cells, leaving the skin tighter and the jawline more chiseled.

Who can benefit from Kybella treatment?

If you are bothered by the appearance of a double chin, Kybella may be a non-surgical option for you. Treatment with Kybella is approved only for the under-the-chin fat deposit. If you have fat deposits in the lateral jawline or a large amount of fat under the chin, liposuction may be a better option. the injectable fat dissolver’s primary function is to dissolve fat, although some patients noted skin tightening as well.  If the lack of a strong chin line is due to sagging skin, surgical treatment or a facelift may be a more appropriate treatment. A board certified dermatologist or plastic surgeon is best qualified to help you decide if Kybella is right for you.

Kybella Double Chin Reduction on Good Morning America

Kybella vs Liposuction, how can I decide?

If you have fullness or fat deposition extending beyond the under-chin area, liposuction may be a better option. Keep in mind that liposuction is a surgical procedure. It is done in one treatment session but there is at least a week of “downtime”. And, if it is done under general anesthesia, there is risk associated with that. For patients that have a large amount of fat under the chin requiring 4 or more treatment sessions of Kybella, the cost of double chin injections vs liposuction may be comparable. The selection of which procedure is right for you should be done in consultation with your treating physician.

Will I experience side effects from my Kybella treatment?

The most common side effects are bruising, swelling , pain, numbness and small, firm areas at the site of injection. These effects resolve over time, usually in several weeks.

Kybella can cause serious side effects such nerve injury in the jawline resulting in an uneven smile. This can occur if injections are done too close to the jawbone. This side effect occurred in 4% of patients, according to an FDA report. It eventually resolved in all of them.

What aftercare is recommended with Kybella?

There is no specific aftercare other than ice for bruising and OTC medication for pain.

Is there any downtime?

The bruising and swelling can be covered up with makeup and/or wearing a scarf. There is no need for days off of work. Contact sports or heavy exercise should be avoided for a few days.

How many treatments will I need?


Most patients require 2-4 treatments depending on their specific facial contour and needs. The treatment sessions are schedule 4- 8 weeks apart. Up to 6 treatments were administered in the clinical trials.non-surgical double chin reduction before and after photos

According to the trial reports, patients who had at least 1 grade composite improvement were:

  • 8% of patients after one treatment
  • 28% after 2 treatments
  • 43% after 3 treatments
  • 55% after 4 treatments
  • 72% after 6 treatments

How long does Kybella last?

Kybella causes destruction of the fat cells. Those cells cannot regrow or accumulate fat again. According to the manufacturer, Allergan “after the aesthetic response is achieved, retreatment with Kybella is not expected” The results are long lasting. It is too early to tell if results are permanent. In the clinical trials results lasted for at least two years.

How can I prepare for my Double Chin Reduction treatment?

Kybella, like many other injectables may cause bruising. Advise your doctor of all medications and supplements that you are taking. Your doctor can recommend which supplements or medications to hold pretreatment.  Avoiding all alcoholic beverages for a week may be helpful in decreasing post treatment bruising.

Application of a topical anesthetic to the treatment area for 15-30 minutes may be helpful in decreasing injection discomfort. This is an option you can discuss with your provider in advance.

What happens during treatment?

After cleaning the area with a surgical prep, the doctor will mark the borders of the treatment site. The injection sites will be marked with a grid. Kybella is injected with a tiny needle a few drops at a time into 12-20 sites about half an inch apart. The entire treatment takes 15-10 minutes. It is faster than a manicure. There will be some discomfort or warmth at the injection site which resolves right away. The results will be visible 4 weeks after treatment.

How much does Kybella cost?

The cost of injectables varies by geographic area. Costs may be higher in Manhattan or Beverly Hills. The total cost of treatment will depend on how many sessions are needed for you to achieve an optimal result. This is best discussed at the time of your consultation.

Is Kybella the next Botox?

Kybella has been FDA approved since April 2015 in the US. Long term follow-up will be needed to see if this treatment will become as popular as Botox or if additional uses will be discovered. Dr Derek Jones, the lead investigator in the initial clinical trial says the injectable fat dissolver “works best on small areas. Don’t count on it to dissolve love handles.”

Are you ready to get rid of your double chin?

If you are bothered by the appearance of a double chin, schedule a consultation with Dr. Susan Goodlerner, board-certified dermatologist in Torrance, South Bay, to see if Kybella is right for you.