Aspen, Colo. – The success of submental fat treatments rests heavily on patient education and expectations, said experts at the summer Cosmetic Bootcamp (CBC).
“With Kybella,” said Vic Narurkar, M.D., “the results and satisfaction rates over time are incredible. It’s not as much about technique, but about assessment, setting goals and education. The hardest part of Kybella for me is patient education.” He is founder and director of the Bay Area Laser Institute, chairman of dermatology at California Pacific Medical Center, San Francisco, and a CBC cofounder and director.
Overall, he said, “The patient may need 2 to 3 vials. This is where the discussion comes – do we start at the beginning and give the patient a big ‘bang’ that will hold them for awhile, or do it the way I’ve been? In urban San Francisco, where people are really sensitive about how they look, I do a vial at a time,” typically 3 months apart, coinciding with neuromodulator injections.
The lengthier patient commitment has proven challenging, he said, in terms of compliance and patient expectations. To address this problem, Dr. Narurkar said, “We view this as a procedure – charge upfront, and then patients show higher compliance.” He suggested selling the result, and not allowing patients to fixate on the number of treatments needed to get there.
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