Aspen, Colo. – At the summer edition of The Cosmetic Bootcamp (CBC), Dr. Narurkar shared tips for optimizing Kybella (deoxycholic acid) injections in the jowls.
With Kybella, said Vic Narurkar, M.D., “One of the areas where I believe I’m getting more of a bang-up result is in selected jowls. Be aware that with the marginal mandibular nerve, there is a risk of injury when you’re injecting jowls.”
After treating the submental area, he uses leftover Kybella to inject 0.2 to 0.4 cc deep into the jowls perpendicularly, using a 30-gauge, half-inch needle, while also lifting the jowls with his nondominant forefinger and thumb. “For the thinner jowly patient, it’s been a home run.”
With Kybella in general, said Dr. Narurkar, “The other trick I’ve learned is to inject between the dots, not directly on them. I don’t believe it will tattoo. It’s just a little messier when that ink runs.” 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.
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