Kybella is an injectable which addresses the double-chin problem. The presence of excess fat under the chin area creates an out-of-shape, lethargic look, that can detract from an otherwise pleasing appearance even for people who are generally in good physical condition. A double chin usually comes about due to several factors, such as genetics, weight gain, and the aging process. A strict exercise regimen and a proper diet can’t always change the appearance of excess fatty tissue in this area. Farzad R. Nahai, M.D. and his team of experts at The Plastic Surgery Center at MetroDerm, P.C. in Atlanta, GA, recommends Kybella™ facial fat removal to sculpt the neck and chin.

Kybella™ facial fat removal is an injectable treatment more comparable to other injectables like Botox® Cosmetic and Juvéderm®. Unlike other double chin treatments, no surgery is required. Some swelling and tenderness after treatment is expected, though it usually resolves within a few days. There may also be temporary numbness at the injection site, which resolves. The use of ice and painkillers reduces these mild effects.

Patients need to be aware that some medications increase the likelihood of bruising. Dr. Farzad R. Nahai advises patients to stop taking the medications listed below for 4-7 days prior to injections:

  • Motrin, Advil, Ibuprofen, Naprosyn (or same class of anti-inflammatory medications)
  • Aspirin
  • Fish oils
  • Vitamin E
  • Glucosamine
  • Ginko Biloba
  • Coumadin or Lovenox (though you are more likely to bruise if you are on these, we suggest you DO NOT stop this medication, and seek your primary doctor’s approval).

About the Procedure

Before the procedure begins, your Dr. Nahai will administer a numbing agent around the area being treated to ensure comfort. Using a special grid, he will carefully draw the boundaries for the injections on your skin. He will then use the temporary grid marked on your chin and neck as a guide and give you 14-50 injections, depending on your particular needs. The procedure is simple and straightforward, taking roughly 20 minutes to complete. Then you’re on your way.

Most patients need multiple injections spaced at weekly intervals in order to achieve maximum results. Most patients see noticeable results after 2-3 treatment sessions. The number of treatments required will depend on the amount of fat being eradicated. Once your aesthetic goal has been reached, there is no need for further treatment. When Kybella™ kills those fat cells, they are gone for good.

How Long Does Kybella™ Last?

Most patients need multiple injections spaced at weekly intervals in order to achieve maximum results. Most patients see noticeable results after 2-3 treatment sessions. The number of treatments required will depend on the amount of fat being eradicated. Once your aesthetic goal has been reached, there is no need for further treatment. When Kybella™ kills those fat cells, they are gone for good.

Aftercare and Recovery

Kybella™ does not require any recovery time or downtime; most patients can return to their normal activities immediately. As with any injection, there is a risk of bruising and swelling at the injection site and some patients experience temporary redness and/or swelling. This usually disappears within a couple days but can last up to a week.

Each patient is unique; therefore, results of treatment may vary.


Kybella™ permanently removes fat.  If you want to get rid of your double chin, call The Plastic Surgery Center at MetroDerm, P.C. and make an appointment.  Dr. Farzad R. Nahai and his team of experts perform the Kybella™ facial fat removal procedure at the Johnson Ferry/Perimeter location for patients in the surrounding communities of metro Atlanta, GA including Sandy Springs, Dunwoody, Tucker, Decatur, and Lilburn.

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