The internet is buzzing about Morgan Cohen’s incredible Kybella journey, prompting a deeper dive into how this FDA-approved treatment works to eliminate a double chin, what to truly expect during its recovery, and why the “Quagmire” phase is part of the process.
The quest for a more defined jawline often leads people to explore various cosmetic treatments. Even with rigorous diet and exercise, stubborn fat under the chin, often referred to as a “double chin” or submental fat, can persist. Recently, social media influencer Morgan Cohen captured the internet’s attention with her dramatic before-and-after video showcasing the results of Kybella, an FDA-approved injectable treatment designed to tackle this common concern.
While Cohen’s transformation, which resulted in a noticeably slimmer face, garnered widespread praise, her candid portrayal of the intense recovery phase sparked conversations and concerns among viewers. Her experience highlights the significant, albeit temporary, swelling that can occur, leaving many to question what truly happens during a Kybella journey.
Understanding Kybella: The Science Behind the ‘Snatched’ Look
Kybella (deoxycholic acid) is the only injectable treatment approved by the U.S. Food and Drug Administration (FDA) specifically for reducing moderate to severe fat below the chin in adults. Unlike other aesthetic procedures that temporarily relax muscles or add volume, Kybella permanently destroys fat cells at the injection site.
The active ingredient, synthetic deoxycholic acid, is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the submental fat, it works by disrupting the cell membranes of fat cells, causing them to burst. The body then naturally processes and eliminates these destroyed fat cells, leading to a visible reduction in fullness under the chin. This permanent destruction of fat cells is why Kybella’s effects are considered long-lasting.
According to the American Society of Plastic Surgeons, Kybella is recommended for adults who are bothered by fat under their chin and haven’t seen improvement with traditional diet and exercise. However, it’s crucial to consult with a qualified professional to determine if you are a suitable candidate.
The Kybella Journey: Expecting the Swelling Phase
Morgan Cohen’s video highlighted a significant aspect of the Kybella experience that often surprises patients: the intense swelling during recovery. She candidly described a phase where she felt like “Quagmire from Family Guy” for three weeks, initially regretting her decision.
This “Quagmire” phase, while alarming to some, is a normal and expected part of the treatment process. Dr. Monica Li, founder of Vancouver Skin and Clinical Assistant Professor at the University of British Columbia, explained that “substantial swelling during recovery is not uncommon and is related to the amount of Kybella injected.” She further noted that “the swelling is related to inflammation that is triggered by the way Kybella works – permanent destruction of fat cells at the injected site. Swelling usually lasts about a week, but some individuals may experience this up to a month.”
Dr. David Shafer, a double board-certified plastic surgeon, echoed this sentiment, stating that Kybella works by disrupting fat cells, leading to their absorption by the body. This disruption causes temporary swelling, which is actually “a good sign that it is working.”
Navigating Side Effects and Risks
Beyond swelling, other common side effects of Kybella injections include bruising, tenderness, numbness of the skin in the treated area, and redness. These usually subside over time.
However, it’s vital to be aware of more serious risks, though rare. Dr. Li highlighted potential complications such as:
- Nerve injury: This can lead to an asymmetrical smile or facial muscle weakness.
- Difficulty swallowing: A temporary but concerning side effect.
- Skin breakdown, ulceration, or infection: These serious complications at the injection site require immediate medical attention.
Proper administration by an experienced and certified professional significantly reduces these risks. Individuals who are pregnant or breastfeeding, or have an active infection or inflammatory skin condition at the injection site, should avoid the treatment.
The Treatment Protocol and Efficacy
Seeing optimal results from Kybella often requires patience and multiple sessions. Dr. Shafer noted that “Kybella generally takes 2 to 4 treatments spread out monthly.” He added that “each subsequent treatment usually has less swelling as there is less fat left to digest.” Many patients may not see a significant difference until after their second treatment, emphasizing that “one treatment is rarely enough.”
While many users, like Morgan Cohen, express satisfaction with their final results, some social media comments reflect varied experiences, from “Kybella did absolutely nothing for me” to “you just changed my life.” These differing outcomes underscore the importance of realistic expectations and proper candidate selection. Kybella works best for those with a double chin caused by fat, rather than loose or sagging skin, which may be better addressed with surgical options like a neck lift or facelift.
Beyond the Chin: Off-Label Uses and Alternatives
While Kybella is FDA-approved only for use under the chin, some individuals, including Morgan Cohen, have explored its use in other areas, such as the underarm fat. It’s crucial to understand that off-label uses of Kybella have not been evaluated for safety and effectiveness by the FDA. Dr. Li warned that “outcomes may vary, including no improvement of the treated area, and unexpected side effects may develop.”
Plastic surgeons like Dr. Raffy Karamanoukian prefer other methods, citing the “notable risk of persistent swelling that undermines our ability to suggest the treatment as a quick, non-invasive lunchtime procedure.” On the other hand, Dr. Patrick Treacy, a dermatologist, expressed a preference for Lipodissolve, an alternative fat-dissolving injection not FDA-approved in the United States, suggesting it can achieve comparable or superior results in a single session and is more affordable. However, he acknowledges Kybella’s validity where it is widely available under appropriate medical supervision.
The FDA strongly advises against purchasing fat-dissolving products online and attempting to inject them yourself due to significant health risks. Always consult a qualified healthcare provider for any cosmetic treatment.
Is Kybella Right for You? Key Considerations
If you’re considering Kybella for a double chin, here’s what to keep in mind:
- Candidate Profile: Best for those with excess submental fat, not loose skin.
- Recovery Expectation: Be prepared for significant swelling that can last from a week up to a month. Ice and compression can help manage discomfort.
- Treatment Course: Multiple sessions (typically 2-4) are usually required for optimal results, spread out monthly.
- Professional Guidance: Seek treatment from a board-certified dermatologist or plastic surgeon to ensure safety and effectiveness.
- FDA Approval: Kybella is only approved for under-chin fat. Discuss any off-label uses with your provider and understand the unproven risks.
Morgan Cohen’s viral journey serves as a powerful reminder that cosmetic transformations involve a process, and understanding the full scope of treatment, including its less glamorous recovery phases, is essential for a satisfying outcome.
