Is Kybella effective if you are overweight?
As with any cosmetic procedure (especially ones that are permanent like Kybella) it is recommend that patients reach their ideal body weight before undergoing the procedure. Chances are your neck will look different if you lose a significant amount of weight. It would be beneficial to first lose the weight and then treat the areas that still are a problem.
Does swelling mean the product is working?
A moderate amount of swelling after Kybella treatment is normal. This typically lasts about 1 week. Things to minimize the swelling like arnica or cool packs can be helpful, but you do not need to wear any compression garments. I recommend cool packs (not ice) over the area for the first day, avoid any strenuous exercise for 24 hours, and the use of ibuprofen (Motrin) as needed for the first 24 hours to decrease and discomfort and swelling.
Can Kybella be used to treat other areas of the body?
This has become a common question. It is currently only approved for treatment of submental fat. This means that the FDA trials were conducted for this indication and use outside of this body part has not been studied and evaluated by the FDA. The price of Kybella would make it impossible to use on larger areas of the body. It will probably have additional FDA indications as time passes, so be very cautious with anyone who is using the product on other parts the body.
How many treatments are needed to see a difference?
I have treated patients that have seen dramatic results with only 1 Kybella injection. However, most patients need a second or third treatment to get the desired results. Some of the patients in the clinical trials have had 4-5 treatments to obtain their results.
Can I exercise after getting Kybella?
I would recommend waiting at least a good 24 hours before vigorous exercise after you have Kybella injected. I don’t think that exercise would necessarily hurt your end results, but the increased heart rate and blood flow to your head might cause you to have more swelling than you would otherwise. Some degree of swelling is normal for the first several days and will dissipate over the first week. Better just to relax the day of your treatment and apply some cool packs as necessary to the area to help minimize the initial swelling.
How does Liposuction compare with Kybella and Coolsculpting?
In general for larger, or more diffuse, amount of fat you are probably going to be looking at something like liposuction. Depending on the amount this can be done under local or with sedation. Liposuction requires the use of a compressive garment and is moderately invasive. For smaller, more localized, amounts of fat you can start to consider procedures like Coolsculpting and Kybella. Coolsculpting is completely non-invasive, and Kybella is minimally invasive. Both procedures are likely to require at least one treatment session, and likely more. Kybella takes between 5-10 mintues per treatment session, and Coolsculpting takes about 45 mintues. Cost is also a factor, and this can vary between provider and by region. Some people do not fit the Coolsculpting Mini adaptor piece, and they would be more appropriate for Kybella. All three of these treatments permanently remove fat from the neck.