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LUXURGERY The confluence of luxury and aesthetic surgery Sachin M. Shridharani, M.D. Plastic Surgery 800A Fifth Avenue Street Level New York, New York 10065 T: (212) 5080000 w Fax: (212) 5080005 info.

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How to fill out the Kybella Consent Form online

Completing the Kybella Consent Form online is a vital step in your journey toward the Kybella treatment. This guide provides clear and supportive instructions for filling out each section of the form.

Follow the steps to successfully complete the Kybella Consent Form online.

  1. Press the ‘Get Form’ button to access the Kybella Consent Form and open it in your document editor.
  2. In the first field, enter your full name as it appears on your legal documents.
  3. Next, fill in the date of consent in the designated area, ensuring it is formatted correctly.
  4. In the purpose section, confirm your understanding of the treatment by checking or stating 'Kybella (deoxycholic acid) to destroy fat cells in the submental region.'
  5. Review the risks and benefits section carefully. It is essential to understand the potential side effects and outcomes associated with the treatment before proceeding.
  6. In the alternatives section, ensure you acknowledge that other options are available and that the choice of Kybella is voluntary.
  7. Complete the cost/payment section by confirming your understanding that this is a cosmetic procedure not covered by insurance.
  8. In the consent section, read the statements thoroughly and confirm your understanding and agreement by signing in the designated area.
  9. Finally, after reviewing all sections for accuracy, save your changes, and consider downloading, printing, or sharing the document as needed.

Complete your Kybella Consent Form online today to take the next step in your treatment!

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Background: Deoxycholic acid is an FDA-approved injectable for treatment of excess submental fat.

Development timeline for Kybella DateArticleApr 29, 2015Approval FDA Approves Kybella (deoxycholic acid) to Treat Submental Fullness, or 'Double Chin'Mar 9, 2015Kythera Biopharmaceuticals Announces FDA Advisory Committee Unanimously Recommends to Approve ATX-101 Mar 9, 2015

Kybella's most common side effects are pain, swelling, and bruising where it was injected. Other injection site reactions are also common. Rare but serious side effects are also possible. This includes more serious injection site reactions, difficulty swallowing, and nerve damage.

It is specifically FDA-approved for the treatment of submental fat (fat beneath the chin). This means that numerous clinical studies have been performed and that Kybella has been proven safe for this purpose.

Kybella is the first and only FDA-approved injectable drug that contours and improves the appearance of a double chin, jowls and other small pockets of fat. The medication causes the destruction of the fat cells.

Generally, a good Kybella candidate is in relatively good health and concerned about excess fat in the submental region. However, good health and excess chin or neck fat alone are not enough to qualify.

KYBELLA® Post-Treatment Guidelines DO NOT participate in strenuous activities for 3 days following treatment. DO NOT scratch, pick or traumatize the area in any way. DO NOT massage or manipulate the injection site. a normal part of the process.

KYBELLA® is the only FDA-approved injectable treatment that destroys fat cells in the treatment area under the chin to improve your profile.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232