Kybella is an injectable treatment that dissolves fat cells. It is used to treat small areas of excess fat and is FDA approved to permanently treat fat under the chin. It is important to note, skin elasticity is needed because once the fat is removed, good elasticity can ensure the skin will bounce back (instead of sag). 

What to expect during treatment?

A topical numbing cream is applied about 45 min before the procedure. The skin is prepped, cleaned and the injection site is mapped out. A series of injections with be administered. An icepack is applied after completion of treatment.

What to expect after treatment?

Some bruising may occur. The injected areas may feel tender and swelling may occur.

How many treatments are needed?

Generally, a series of 3-4 treatments every 4-6 weeks. For larger areas of fat patients may need more. 

When will I see results?

Swelling can last anywhere from 1 week to 1 month. 

Risks associated with treatment

Swelling may occur following treatment and may last up to one month. If skin elasticity is poor, once the fat is removed, sagging may occur. Some have reported a link between Kybella and alopecia that leads to hair loss in men around the injected sites. Some have experienced bruising around the treated areas. Numbness can last for 3-6 weeks; sensation will return gradually. In rare cases, damage to the nerve that controls smiling can lead to facial muscle weakness, causing asymmetry around the mouth and in severe cases difficulty swallowing. It generally resolves on its own in about one month, but some cases have reported symptoms up to 4 months. Please note, remaining fat cells can expand if you gain weight, which could diminish your results.

Kybella can help treat:

  • Submental fat – aka double chin



  • Avoid alcohol 24 hours before treatment.


  • Avoid using anti-inflammatory medications (ie: ibuprofen, aspirin) for 1 week prior to your procedure.

  • Avoid fish oil, gingko biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, or any other supplements/herbals 1 week before treatment as it may lead to increased bleeding.


  • Avoid hot tubs, saunas, strenuous exercise for at least 48 hours until swelling has resolved as heat may worsen this.


  • Avoid blood thinning products such as ibuprofen and aspirin for at least 48 hours post treatment to reduce the effects of bruising.


  • Icing may help reduce discomfort.

  • A chin strap may also help reduce discomfort associated with swelling.

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3195 Danville Blvd Suite 4
Alamo, CA 94507


The World of Fillers

The World of Fillers

Fillers are comprised of hyaluronic acid, which restores volume and improves the overall texture of the skin. As we age, we lose fat in the face, the muscle wears down and even the bone structure changes. This all contributes to an ageing face. In our youth, the face is shaped like an upside-down egg, wider at the top and narrower at the bottom. As we age, this flip around. We become narrower up top having lost volume around the temples and wider at the bottom. This is because of the changes we mentioned above – loss of subcutaneous fat, muscle atrophy, and changes in bone structure.

When tackling volume loss, we start with the midface. It fills the cheeks, elevates the midface, and in doing so can improve the hollowing of the eyes and smooth the lines around the mouth. Filler can restore definition to the jawline. Not only can it plump the lips, but also restore its color and hydration too. Don’t forget the hands, always a dead giveaway of our age. The hands can also be filled, we use Restylane Lyft for this area. With the correct type of filler and amount used most won’t know what you’ve had done, just that you look rested, refreshed, youthful.

Prior to coming to the clinic there are a few things you should do to prepare. Avoid alcohol and Ibuprofen 48 hours prior to injection as this will minimize bruising. Of course, there still is a risk of bruising as we have hundreds of thousands of blood vessels in our face but taking this precaution will help. We locally anesthetize the area and in some, perform a nerve block. Other practices just use a topical anesthetic. We do not find this to be as effective. After your procedure you should avoid strenuous activity for a few days. Sleeping upright can help with swelling. Keeping hydrated and using a topical hyaluronic serum is great to support your treatment at home. By staying hydrated and using a good skin care regimen, we support and maintain our results following treatment.

We love Galderma’s Restylane line of fillers. Their line of fillers with XpresHAn technology integrates into the tissues and moves with the face keeping a natural look. We’ve included a list of Restylane’s line of filles and areas we like to use them:

Restylane Refyne – can be used anywhere on the face
Restylane Defyne – lower face such as nasal labial folds (laugh lines), chin
Restylane Contour – midface
Restylane Lyft – midface, temples, jawline, hands
Restylane – L – can be used anywhere on the face, lips
Restylane Kysse – lips, wrinkles around the mouth

We are happy to answer any questions you may have! Consultations are complimentary. Call or schedule online at

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