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The document is a consent form for Kybella, an FDA-approved nonsurgical treatment for reducing submental fullness, commonly known as a double chin. It outlines the procedure, potential risks, and necessary pre-treatment disclosures. The patient acknowledges understanding the treatment process, associated risks, and agrees to the injections for cosmetic purposes.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does insurance pay for Kybella?

Typically, insurance does not cover Kybella as it is considered a cosmetic procedure.

Do the Kardashians get Kybella?

The gorgeous Kardashian sister has already shared that she had help from CoolSculpting during her recent slim-down, and now, after Kim questioned her on Botox and Fillers, shes sharing how Kybella has helped her sculpt a leaner silhouette, while keeping all of her natural beauty intact.

What makes you a candidate for Kybella?

If you eat well, exercise and are generally healthy but are consistently bothered by the appearance of a double chin, this could be the right choice for you. If you have tried everything to get rid of submental but still have a double chin, talk to your provider.

How do you qualify for Kybella?

As a good rule of thumb, you can expect to qualify for Kybella injections if you are in relatively good health and worried about the appearance of your chin or neck. However, to qualify, it is important that you are not obese, pregnant, or breastfeeding.

Who is not a candidate for Kybella?

What Contraindications Are There for This Treatment? You will not be able to get this treatment if you are pregnant or breastfeeding. Additionally, you will be considered a poor removal candidate if you suffer from a bleeding disorder, like hemophilia.

What should be on a facial consent form?

This type of consent form requires the client to disclose their skincare routine, medication use, and other relevant background info. It also requires the clients signature, which confirms their understanding and acceptance of the associated risks.

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