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Proper aftercare is important for minimizing side effects, reducing swelling, and ensuring optimal results after Kybella injections.
Since Kybella works by breaking down fat cells under the chin, the body needs time to process and eliminate the treated fat naturally.
Here’s a detailed guide on how to care for your skin post-treatment to ensure a smooth and comfortable recovery.
Manage Swelling with Ice and Cold Compresses
Swelling is the most common side effect after Kybella injections. This is a natural response as the body triggers an inflammatory process to break down and remove fat cells.
Swelling usually peaks within 24-48 hours and gradually subsides over the next 1-2 weeks.
How to Reduce Swelling
✔ Apply ice packs or cold compresses for 15-20 minutes every few hours for the first 24-48 hours to ease discomfort. Avoid applying ice directly to the skin. Wrap it in a clean cloth.
✔ Keep your head elevated at all times, even while sleeping. Use two to three pillows or a wedge pillow to keep your head above your heart level to prevent fluid buildup.
✔ Stay away from salty foods and alcohol. They can contribute to water retention and prolonged swelling. Stick to hydrating foods like cucumber, watermelon, and leafy greens.
✔ Avoid excessive heat exposure, including hot showers, saunas, and sunbathing, for the first week. Heat can worsen swelling.
✔ Gently move your neck and jaw throughout the day to promote circulation and reduce stiffness. Avoid excessive motion, though, as it can increase irritation.
How Long Does Swelling Last?
- Day 1-3: Swelling is at its worst and may cause a “bullfrog” effect under the chin.
- Days 4-7: Swelling begins to subside, but mild puffiness and tenderness remain.
- Weeks 2-4: Most of the swelling is gone, though mild firmness may persist.
Avoid Touching or Massaging the Treated Area
Your skin may feel tender, lumpy, or slightly numb after Kybella injections. While it may be tempting to massage the area, doing so can cause uneven results and spread the deoxycholic acid to unintended areas.
Key Do’s and Don’ts
✔ Do let the treated area heal naturally without interference.
✖ Don’t press, massage, or rub the injection site for at least 7-10 days.
✖ Don’t apply heavy skincare products or harsh exfoliants in the first week after treatment.
Stay Hydrated and Maintain a Healthy Diet
Proper hydration and nutrition play a key role in helping the body metabolize the broken-down fat cells.
Hydration Tips
✔ Drink at least 8-10 glasses of water per day to flush out toxins and aid fat elimination.
✔ Herbal teas, coconut water, and electrolyte drinks can also support hydration.
✔ Reduce caffeine and alcohol, which can dehydrate the body and prolong recovery.
Foods to Eat for Faster Recovery
✔ Leafy greens (spinach, kale, arugula) – High in vitamins that reduce inflammation.
✔ Berries (blueberries, raspberries) – Packed with antioxidants to support skin healing.
✔ Lean proteins (chicken, tofu, fish) – Help with tissue repair.
✔ Nuts and seeds – Provide healthy fats and omega-3s to combat inflammation.
Foods to Avoid
✖ Excess salt – Causes water retention, making swelling worse.
✖ Processed foods and sugar – Increase inflammation and slow healing.
✖ Alcohol and sodas – Can dehydrate the body and extend recovery time
Sleep with Your Head Elevated
For the first 3-5 nights, your sleep position can affect swelling and fluid retention.
✔ Use two or more pillows or a wedge pillow to keep your head elevated while sleeping.
✔ Avoid sleeping on your stomach or side, as this can put pressure on the treated area.
✔ Consider a travel pillow if you’re someone who tends to move around in their sleep.
You’ll help minimize fluid buildup, leading to a faster recovery by keeping your head propped up
Avoid Strenuous Exercise for at Least 48 Hours
Exercise increases blood flow and body temperature, which can worsen swelling and prolong bruising after Kybella.
When Can You Work Out Again?
✔ Wait at least 48-72 hours before resuming any high-intensity workouts.
✔ Light activities like walking or stretching are okay but avoid excessive sweating.
✔ Avoid bending over or lifting heavy weights in the first few days, as this can increase facial pressure and swelling.
Wear Loose, Comfortable Clothing
Tight clothing, especially around the neck and chin area, can increase irritation and slow down recovery.
✔ Wear loose, breathable tops and avoid scarves, turtlenecks, or restrictive necklaces for at least a week.
✔ If you wear compression garments, ensure they are not too tight, as this can increase swelling rather than reduce it.
Be Patient – Results Take Time
Kybella does not provide instant results. Your body needs time to break down and absorb the destroyed fat cells.
What to Expect
- First 1-2 weeks: Swelling and tenderness are still present.
- Weeks 3-4: The treated area starts looking more defined as swelling subsides.
- 6-8 weeks: Noticeable fat reduction appears, but the full effects may take up to 12 weeks.
Most patients require 2-4 treatments, spaced 6 weeks apart, to achieve their ideal results.
Avoid Blood-Thinning Medications and Alcohol
To reduce bruising and swelling, it’s best to avoid blood thinners before and after treatment.
Medications and Substances to Avoid
✖ Aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve)
✖ Fish oil, vitamin E, and certain herbal supplements
✖ Alcohol for at least 24-48 hours
Instead, take acetaminophen (Tylenol) if you experience pain, as it won’t increase the risk of bruising.
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