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Kybella Update

Kybella Update

A while back I wrote of a new treatment for sub mental fullness, better known as ‘double chin.’  Over the summer, I became increasing frustrated with Kythera, the company responsible for developing Kybella and bringing it through the arduous FDA approval process.  Kythera seemed to make little to no effort to bring their product to the market.  By the end of summer, we found out why.  They had been in negotiations and were purchased by Allergan.  This news is actually good.  Allergan is the aesthetic medicine manufacturing giant responsible for bringing us BOTOX, Juvéderm and Voluma.  Allergan will do well with Kybella, I am certain.

Last night I attended a training event for Kybella.  Over the next week, I will complete the required training.  De Luz Medical Aesthetics will begin offering double chin treatments after the first of the year.

Kybella is an injectable for of deoxycholic acid.  Deoxycholic acid is one of the naturally occurring bile salts produced by bacteria in our intestines.  The bile salts help to digest and absorb fat from the diet.  When Kybella is injected into the submental fat pad, it will begin to break down the fat cells.  The fat is then cleaned up by the body’s natural processes.

The package insert for Kybella, as approved by the FDA, reads as follows, “Kybella (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults.”  For Kybella to be both safe and effective the double chin or fullness needs to be fat just under the skin.  Other much less common causes of fullness, such as enlarged thyroid, lymph glands, or deeper fat, cannot be treated.  To determine if you are a candidate for Kybella requires only a brief physical exam.

A treatment session consists of chilling the area with ice for pain control, laying out a grid pattern on the skin, and injecting the Kybella into the fat just under the skin.  A treatment takes only 15-20 minutes (but the results last a lifetime).  Those individuals with larger double chins or areas to treat will require more injections and therefore more Kybella.  They will also need more sessions to obtain satisfactory results.  Most individuals will experience mild to moderate pain or burning at the injection sites but this subsides typically within an hour.  Also some localized redness and swelling to the area is normal or expected and is an indication that the treatment is working.  The swelling resolves gradually and may last for several weeks.

Kybella results in a permanent loss of fat cells under the chin.  This treatment is a great alternative for those who don’t want or can’t have surgery.  Come by and find out more.

Thank you for your time and attention,

Robert Zieber, MD

Medical Director

De Luz Medical Aesthetics

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