How Does KYBELLA Work?

KYBELLA is formulated with deoxycholic acid, a naturally occurring molecule in the body that helps break down and absorb dietary fat. When injected beneath the chin, it destroys fat cells in the treatment area. Once these cells are eliminated, they cannot return, creating a sleeker, more contoured profile.

I have been going to Refined MD since 2013 and absolutely love the atmosphere and everyone. Especially RN Rachelle has been working magic not only on my skin but also my Botox and fillers for my face. She is absolutely amazing. She has been doing the Laser MD and it has completely changed my skin.

Tami B., 5-Star Yelp review

View Before & After Photos

Dr. Steven Swengel
Dr. Steven Swengel
Board-Certified Dermatologist

Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.

Meet Dr. Steven Swengel
Dermatologist
Board-Certified Dermatologist
Kybella For Double Chin, RefinedMD, Los Gatos

What To Expect During a KYBELLA Treatment

Your anatomy and goals are unique, which is why our providers create a personalized treatment plan. Most people need a series of injections spaced several weeks apart to achieve their best results. With each session, you’ll notice a gradual improvement in the shape and definition of your chin and jawline, all without surgery or downtime.

Each treatment takes only about 10 to 15 minutes. Some patients need 2 or 3 sessions, while others may require 5 or 6 to achieve the desired results.

In some cases, we may recommend complementary treatments, such as dermal fillers or EMFACE® facial toning treatments, to further support chin and jawline definition once submental fullness has been reduced.

What To Expect After Treatment

Like most injectable procedures, KYBELLA involves minimal downtime. Common side effects include swelling, redness, firmness, or tenderness in the treatment area, which typically resolve within a week or two. These are typical signs that your body is responding to treatment and breaking down fat cells. We provide detailed aftercare instructions to ensure you feel comfortable during your recovery.

A Reputation Built on Results

Dr Roy does amazing work. He is a true artist. He thoroughly explained the procedure, very helpful with...
Fabulous polite, professional and highly skilled Doctors and staff. Have had several Halo laser treatments...
Refined MD has been my go-to destination for aesthetic treatments for nearly four years, and I couldn't...
RefinedMD has been my go-to for all things skincare for years! They have top-of-the-line equipment,...

Why Choose RefinedMD?

Our providers combine medical expertise with an eye for aesthetics. Our boutique practice offers a full range of nonsurgical and surgical options, giving you access to comprehensive care in one place. Whether you’re seeking subtle refinement or a more dramatic change, our team ensures your results look natural and fit seamlessly with your features.

Request a consultation to discuss your concerns by using the online form or calling us at (408) 688-2082.

Request a Consultation
Lineup of black Revision Skincare bottles and tubes arranged on a light surface, showcasing multiple facial treatment and skincare products against a softly blurred background.

Shop
Skincare
Products

Visit Store

Specials & Promotions

Santa, But Make It Refined: A Holiday Night Out

This isn’t your standard holiday party. Join RefinedMD on December 4 for a festive evening filled with a little glamour, a little mischief, and plenty of holiday cheer. Stop by the office, grab a cocktail, explore offerings from local vendors, and strike a pose for a photo with our very special sexy Santa. Bring a friend, make it a date night, or simply stop in to celebrate with the RefinedMD team. Expect an evening designed for mingling, shopping, sipping, and kicking off the holiday season in style, all with a distinctly Refined twist. Additional details are coming soon, so save the date and start deciding what you’re going to wear for that Santa photo.

Define Your Target: CoolSculpting Focused on Results

Choose the area you want to transform, and let’s focus on it. RefinedMD’s CoolSculpting special offers a set package price for a defined body area, including the lower abdomen, full abdomen, flanks, back, neck and chin, or inner or outer thighs. Complete your personalized package within 120 days as our team focuses on helping you achieve visible results in your selected area. It’s a straightforward approach to body contouring: one target area, one package price, and a treatment strategy centered on your goals. Plus, medically eligible patients who purchase a qualifying CoolSculpting package receive 12 weeks of microdosed tirezepatide at no additional cost. Schedule a consultation to determine eligibility and create your transformation plan.

Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.

Contact