Kybella Information & Instructions

What is Kybella®?

Kybella® is an FDA-approved injectable treatment that reduces submental fat — commonly known as a “double chin.” Its active ingredient, deoxycholic acid, is a naturally occurring molecule in the body that helps break down and absorb dietary fat.

When injected into the fat beneath the chin (or other small body areas off-label), Kybella destroys fat cells permanently, which are then naturally eliminated by the body over time.

Treatment Areas:

• Under the chin (submental area) – FDA-approved
• Off-label areas: jowls, bra fat, inner thighs, lower buttocks (consult with provider)

 

What to Expect:

• The number of treatments varies, but most patients need 2–4 sessions, spaced 4–6 weeks apart.
• Swelling is expected and may be significant in the first few days.
• Gradual fat reduction will occur over 4–6 weeks as the body metabolizes the destroyed fat cells.
• Final results can be seen after the full series is complete.

 

Pre-Treatment Instructions

To minimize risk of bruising, swelling, and discomfort:

5–7 Days Before:

• Avoid blood-thinning medications/supplements if approved by your physician:
• Aspirin, ibuprofen, naproxen
• Fish oil, vitamin E, garlic, ginkgo biloba
• Start Arnica supplements (optional) to help reduce bruising

 

24–48 Hours Before:

• Avoid alcohol and smoking
• Avoid major dental procedures or vaccinations near the treatment date
• Stay well-hydrated and eat a light meal before your appointment
• Notify your provider if:
• You’ve had prior neck surgery, cosmetic treatments, or filler in the area
• You are pregnant, breastfeeding, or have difficulty swallowing
• You’ve had past issues with healing or infection

 

Day of Treatment

• Arrive with a clean, makeup-free neck and chin area
• A temporary numbing agent or cold compress may be applied
• Multiple small injections will be placed in a precise grid pattern in the treatment area
• The procedure takes about 15–30 minutes
• You may experience burning, stinging, or tenderness for a short time after treatment

 

Post-Treatment Instructions

Normal Side Effects (1–14 Days):

• Swelling: Most noticeable in the first 2–3 days. May last up to 1–2 weeks.
• Tenderness or soreness in the treated area
• Bruising or redness
• Numbness or firmness in the area (may last several weeks)
• Mild nodules or lumps as fat cells are broken down (typically temporary)

 

Aftercare Tips:

• Apply a cold compress (15 mins on/off) during the first 24 hours to reduce swelling
• Sleep with your head elevated for the first 2–3 nights
• Wear a chin compression garment (optional but may help swelling)
• Use Tylenol (acetaminophen) as needed for discomfort (avoid NSAIDs unless directed)
• Stay well-hydrated and avoid salty foods to minimize water retention

 

Avoid for 3–5 Days:

• Strenuous exercise or activities that increase blood flow to the face/neck
• Heat exposure (e.g., saunas, steam rooms, hot yoga)
• Massaging the treated area
• Makeup or skincare on the treated area for the first 24 hours

 

Follow-Up Treatments

• Most patients require multiple sessions
• Treatments are typically spaced 4–6 weeks apart
• Your provider will assess your response and customize your treatment plan

 

When to Contact the Office

Call us if you experience:

• Signs of infection (pus, extreme heat, increasing redness or pain)
• Asymmetrical swelling or hard nodules that worsen
• Difficulty swallowing, speaking, or breathing
• Skin discoloration or open wounds
• Severe pain or allergic reaction