Treatment FAQ

what volume of kybellacould you inject into the patient in a treatment session?1

by Enid Wisoky Published 3 years ago Updated 2 years ago
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2.1 Dosage KYBELLA injection is injected into subcutaneous fat tissue in the submental area using an area-adjusted dose of 2 mg/cm 2. A single treatment consists of up to a maximum of 50 injections, 0.2 mL each (up to a total of 10 mL), spaced 1 cm apart.

Full Answer

How many Kybella® treatments are needed to see results?

Many patients experience visible results in 2 to 4 KYBELLA ® treatments. 59% of patients received 6 treatments in clinical studies.

How do Kybella injections work?

Kybella injections dissolve fat cells to reduce small areas of excess fat. A synthetic form of deoxycholic acid, a naturally occurring enzyme in the gut, Kybella is the only injectable approved by the U.S. Food & Drug Administration (FDA) to permanently treat the submental fat, also known as the double chin.

Can Kybella be given with a syringe?

Do not inject Kybella® outside the defined parameters [see Warnings and Precautions ( 5.1, 5.4 )]. Using a large bore needle, draw 1 mL of Kybella ® into a sterile 1 mL syringe and expel any air bubbles in the syringe barrel. Have the patient tense the platysma.

What happens after a Kybella session?

You will most likely be able to go right back to work after your session. Apart from some swelling, minor redness, and unlikely but possible bruising, there are no noticeable physical effects. You can experience some post-injection discomfort from Kybella, but this is easily dealt with by using over the counter pain relievers.

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How many mL will be injected into a patient?

For a well-developed adult, no more than 5 ml of medication should be administered in a single IM injection because the muscle tissue does not absorb it well. For “deep” IM injections, the recommended volume ranges from 2 to 5 ml.

How many mL can you inject SQ?

Administration into the subcutaneous (SC) tissue is a typical route of delivery for therapeutic proteins, especially for frequent treatments, long-term regimens, or self-administration. It is currently believed that the maximum volume for SC injections is approximately 1.5 mL.

Can you inject 2 mL in deltoid?

The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).

Can you give 3 mL in deltoid?

The maximum amount of medication for a single injection is 3 ml. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. Begin by having the patient relax the arm.

Can you give 2ml subcutaneously?

Drugs administered by the subcutaneous route are deposited into subcutaneous tissue (Fig 1); small volumes (up to 2ml) of non-irritant, water-soluble drugs can be administered by subcutaneous injection (Dougherty and Lister, 2015).

Which is the preferred injection site for a subcutaneous injection of 1 mL volume?

The deltoid muscle is the site most typically used for vaccines. However, this site is not common for self-injection because its small muscle mass limits the volume of medication that can be injected — typically no more than 1 milliliter. It's also difficult to use this site for self-injection.

How many mL can you inject in vastus lateralis?

The maximum amount of medication for a single injection in an adult is 3 mL. See Figure 18.34 for an image of an intramuscular injection being administered at the vastus lateralis site.

How many cc can you inject in glute?

For a volume of 1.5 use the vastus lateralis or Gluteus medius, if the volume is 2 cc you must you the largest muscle the Gluteus medius. If the volume is greater then 2 cc you must divide the dose and give 2 injections as the maximum volume in the Gluteal muscle is 2 cc.

What are the 5 injection sites?

Intramuscular injection sitesDeltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. ... Vastus lateralis muscle of the thigh. ... Ventrogluteal muscle of the hip. ... Dorsogluteal muscles of the buttocks.

How do you give an IM deltoid injection?

Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2") below the acromion process. See the diagram. To avoid causing an injury, do not inject too high (near the acromion process) or too low.

At what angle do you give an IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required.

What happens if you give an IM injection too high?

Shoulder injury related to vaccine administration, or SIRVA, happens when a vaccine is injected too high or too deep in the shoulder. Injecting the vaccine this way can lead to intense and prolonged pain and other shoulder injuries, such as a rotator cuff tear or tendonitis.

How many sessions of Kybella injections are needed?

Kybella injection must be given in a series of up to 6 treatment sessions in order to be effective.

What is a kybella injection?

Kybella injection is used to help decrease the appearance of fat that hangs below the chin, sometimes called a double-chin. Kybella has not been tested for safe use on other areas of the body.

What are the side effects of a syringe injection?

pain, burning, irritation , or skin changes where the injection was given. pain, swelling, redness, or bruising, of treated areas . This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Can you take Kybella if you are allergic to deoxycholic acid?

You should not be treated with Kybella if you are allergic to deoxycholic acid, or if you have: an infection in or around the area to be treated. Tell your doctor if you have ever had: surgery or other cosmetic treatments on your neck, chin, or face (or if you plan to have surgery on any of these areas);

What is Kybella injection?

Kybella ® (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults.

What to tell your healthcare provider before getting Kybella?

Before receiving Kybella, tell your healthcare provider about all of your medical conditions, including if you: have had or plan to have surgery on your face, neck, or chin. have had cosmetic treatments on your face, neck, or chin. have had or have medical conditions in or near the neck area.

What is the chemical name of Kybella?

Kybella (deoxycholic acid ) injection, 10 mg/mL is a clear colorless, sterile solution for subcutaneous use. It contains a cytolytic agent, deoxycholic acid , as the active ingredient. The chemical name of deoxycholic acid is 3α,12α-dihydroxy-5β-cholan-24-oic acid, and its molecular formula is C24H40O4, and its molecular weight is 392.57 g/mol. The chemical structure of deoxycholic acid is:

Why is needle placement important?

Needle placement with respect to the mandible is very important as it reduces the potential for injury to the marginal mandibular nerve, a motor branch of the facial nerve. Injury to the nerve presents as an asymmetrical smile due to paresis of lip depressor muscles [see Warnings and Precautions ( 5.1)].

What is a kybella?

What is Kybella? Kybella is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”. It is not known if Kybella is safe and effective in children under 18 years of age.

Can you inject Kybella into the facial nerve?

To avoid the potential for nerve injury, Kybella injection should not be injected into or in close proximity to the marginal mandibular branch of the facial nerve. All marginal mandibular nerve injuries reported from the trials resolved spontaneously (range 1-298 days, median 44 days).

Is Kybella clear?

Kybella is clear, colorless and free of particulate matter. Visually inspect Kybella vials for particulate matter and/or discoloration, and discard the vial if the solution is discolored and/or contains particulate matter. After use, discard any remaining solution in the vial.

What are the side effects of Kybella?

The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area . These are not all of the possible side effects of KYBELLA ®. Call your healthcare provider if you develop open sores or drainage from the treatment area or for medical advice about side effects.

What is the FDA approved treatment for double chin?

KYBELLA ® is a prescription medicine and is the only FDA-approved injectable treatment used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”.

What is submental fullness?

Submental fullness is a gathering of excess fat beneath the chin, commonly known as “double chin.”. It can be something you’ve had your whole life due to genetics, or start to appear as you get older or if you gain weight. LEARN MORE.

How many injections do I need for chin splints?

Your specialist will create a tailored treatment plan based on your chin profile. At each treatment, you will be given multiple small injections under your chin. You may receive up to 6 treatment sessions, spaced at least 1 month apart.

Does Kybella cause hair loss?

KYBELLA ® can cause serious side effects, including injection site problems such as bruising, hair loss, open sores (ulcers), and damage and tissue cell-death (necrosis) around the injection site or trouble swallowing and nerve injury in the jaw that can temporarily cause an uneven smile or facial muscle weakness.

Does Kybella help with chin?

When injected into the fat beneath the chin, KYBELLA ® destroys fat cells, and once destroyed, these cells can no longer store or accumulate fat. This results in a noticeable reduction in fullness under the chin, revealing an improved chin profile. SEE HOW.

Is Kybella safe for kids?

If you’re bothered by fullness under your chin and wish to avoid surgery, ask your doctor about KYBELLA ®. It is not known if KYBELLA ® is safe and effective for the treatment of fat outside of the submental area or in children under 18 years of age.

What to do before chin injection?

Based on this information, your doctor may recommend a combination of treatments to help you achieve these results. Once you are approved for this treatment, you can begin preparing for your first appointment.

How long does it take for double chin to appear?

For most patients, 6 treatments produce ideal results that can last permanently. After your final injections, it may take up to a month for your results to appear completely. You should notice that your double chin is significantly reduced or eliminated.

How many Kybella injections are needed?

“Generally, three to four Kybella treatments are needed for the submental area,” says Dr. Green.

What is Kybella injection?

A synthetic form of deoxycholic acid, a naturally occurring enzyme in the gut, Kybella is the only injectable approved by the U.S. Food & Drug Administration (FDA) to permanently treat the submental fat, also known as the double chin.

How many treatments for belly fat?

Dr. Green says that “for larger areas of fat, patients may need up to six treatments to see their desired results.”.

Does Kybella work for bra fat?

Dr. Michele Green, a dermatologist who’s also based in New York City, says that “many patients choose Kybella for small bulges of fat, such as bra fat and small fat areas in the upper arms, that cannot be treated by other methods like CoolSculpting .”. Each Kybella treatment session requires multiple injections in the specific area, ...

Does Kybella help with double chin?

If you choose Kybella to treat a double chin, your outcome will depend on your unique anatomy, how much excess fat you want to treat, and whether your skin has good elasticity (or the potential to sag once the fat is removed).

Does Kybella work for fat reduction?

Kybella isn’t usually the fat-reduction treatment of choice for larger areas like thighs, where a noninvasive body contouring like CoolSculpting may deliver more significant fat reduction in fewer treatment sessions—or a surgical option like liposuction can create dramatic results in a single procedure. If you choose Kybella to treat ...

Where Can Kybella Be Injected?

It is important to discuss what Kybella is and how it works before diving deeper into whether or not it can be used as a safe injectable in other areas of the body. For starters, it is an FDA-approved approach for treating double chin and fat storage around the jawline.

Is Kybella Right For You?

The answer to this question is very specific to you. The best way to determine this is for you to schedule a consultation with our staff here at The Skin Center By CPS. If your stubborn area is on the smaller side, there’s a good chance Kybella will be a viable option. But if not, we have several other fat-busting tricks up our sleeves.

Schedule Your Fat-Blasting Consultation Today

Kybella is one of the newest ways to treat fat storage in the body. And yet, it is not the only option at your disposal. It is possible that, after a consultation, it will be determined that Kybella injections are not the best option for you, but that’s okay. There are other methods of treatment, depending on your own unique situation.

How many Kybella treatments are needed?

The number of treatment sessions necessary varies for each person. Multiple treatments might be needed to reach optimal results. You can receive up to six Kybella treatments, with at least one month between each session.

What is a kybella?

What is Kybella? Kybella is a nonsurgical injectable technique used to target the fat beneath the chin. The process uses a series of deoxycholic acid injections to target the fat cells in this area. No incisions are required, and the downtime is minimal in most cases.

How long does it take for a kybella to go away?

Minor side effects typically subside in one to two weeks.

Is Kybella a non surgical procedure?

As a nonsurgical procedure, there is little preparation required for Kybella. It’s advisable to schedule the procedure well before any major events. Washing your face properly before the appointment can help reduce the risk of infection, and avoiding ibuprofen and acetaminophen can prevent post-treatment bruising.

Is Kybella covered by insurance?

Kybella is considered a cosmetic procedure and is not covered by medical insurance. Last medically reviewed on June 1, 2017.

What are the different types of injections?

When ‘type’ of injection is mentioned, ‘type’ usually refers to the body tissue or path by which a medication is injected. The ‘type’ of injection describes its route of administration.

Where is the best place to get an injection?

The best site on your body to receive an injection depends on factors such as the medication being given, what you are treating, how quickly or slowly the medication needs to work, and the type of injection you are receiving.

Rotate your injection sites - the best spot is not always the same spot

If you are receiving SC and IM injections regularly it’s recommended to rotate the site of your injections. Injecting in the same spot each time can cause the skin in that area to become lumpy or sunken.

5 steps to follow when giving injections at home

Some people are prescribed injectable medications that they need to administer regularly at home. Often injections given at home are SC injections, but sometimes IM injections also need to be given at home.

Tips to help with needle phobia

A fear of needles or injections is very common, affecting about 1 in 10 people. It can cause your heart to race, your stomach to churn, and your blood pressure to increase then rapidly drop. It can make you faint or simply feel faint. A fear of injections may cause embarrassment, but it’s nothing to be ashamed of.

Sources

Infusion Associates. How Does an IV Work? [Accessed November 2, 2021]. Available from: https://infusionassociates.com/how-does-an-iv-work/.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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