Code Of Practice
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Double-Chin Treatment

Excess fat under your chin or hanging skin on the neck can affect your appearance and make you appear older. Exercise does not effectively target this area of the body. However, various surgical and nonsurgical treatments are available to help you get rid of a double chin.

We offer an injectable medication that helps reduce fat under the chin and improves the contour of the neck and jawline. Several injections are administered into the area at each session every four weeks until the desired effect is achieved.

Learn more

Consumer medicine information (CMI) leaflet

Deoxycholic acid

  • Consumer medicine information

Brand Information

Brand Name Active Ingredient Schedule
Belkyra Solution for Injection Deoxycholic Acid S4

Consumer medicine information (CMI) leaflet

Please read this leaflet carefully before this injection is administered.


This leaflet answers some common questions about the injectable medication.
It does not contain all the available information. It does not take the place of talking to your doctor.

All medicines have risks and benefits. Make sure you understand the risks and benefits of this injectable medication.

If you have any concerns about using this medicine, ask your doctor.

Keep this leaflet.

You may need to read it again.


This injectable medication non-surgically reduces fat under the chin, resulting in a more contoured neck profile and jawline.

Ask your doctor if you have any questions about the benefits and risks of this medicine.

This medicine is available only with a doctor’s prescription.

It is not indicated for use in children or adolescents, younger than 18 years.


When you must not be given it

This medicine must not be administered if you have an allergy to:

  • The active ingredient or to any of the other ingredients
  • Any other similar medicines

Some of the symptoms of an allergic reaction may include:

  • Shortness of breath
  • Wheezing or difficulty breathing
  • Swelling of the face, lips, tongue or other parts of the body
  • Rash, itching or hives on the skin

This medicine must not be administered if you have an infection in your chin or neck area where the product will be injected.

If you are not sure whether this medicine is right for you, talk to your doctor.

Before you begin treatment

Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have or have had any of the following medical conditions:

  • Have had, or plan to have, plastic surgery on your face, neck or chin, or if you have had other aesthetic treatments such as liposuction or neurotoxins (drugs sometimes used in the neck for cosmetic purposes such as to reduce wrinkling or for other medical reasons) in these areas
  • Have, or have had, medical conditions in, on or near the neck, a bleeding disorder, or difficulty swallowing

Tell your doctor if you are pregnant or plan to become pregnant.

It is not known if this medication can harm your unborn baby.

Use in pregnancy is not recommended.

Tell your doctor if you are breastfeeding.

The active ingredient in this medication may pass into breast milk. Use while breast feeding is not recommended.

If you have not told your doctor about any of the above, tell him/her before the mediation is administered.

Taking other medicines

Tell your doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines may interfere with each other. Your doctor and pharmacist have more information on medicines to be careful with or avoid while being given this medicine.


A medical practitioner will administer this medicine by injecting small amounts in several locations in your treatment area approximately every 4 weeks for up to 6 treatments or until the desired result is achieved.

Follow all directions given by your doctor carefully. They may differ from the information contained in this leaflet.

How much is given

Your doctor will determine how many injections you need based on the amount of excess fat you have under your chin. You may need up to 50 injections per treatment session.

For how long will the medication be given

The total number of treatment sessions needed to achieve a satisfactory response depends upon the individual. Your doctor will determine how many treatments you need.

No more than 6 treatments can be given. They should be no closer than a minimum of 4 weeks apart.

If you are given too much (overdose)

Immediately telephone your doctor or the Poisons Information Centre (telephone Australia 13/11/26), or go to Accident and Emergency at the nearest hospital, if you think that you have been given too much of the medication. Do this even if there are no signs of discomfort or poisoning.

You may need urgent medical attention.


Things you must do

If you are about to be started on any new medicine, remind your doctor and pharmacist that you are being given this medication.

Tell any other doctors, dentists and pharmacists who treat you that you are being given this medicine.

If you become pregnant while being given this medicine, tell your doctor immediately.

Keep all of your doctor’s appointments so that your progress can be checked.

Things to be careful of

This medicine is not expected to affect your ability to drive a car or operate machinery.


Tell your doctor or pharmacist as soon as possible if you do not feel well while this medication is being administered.

All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them. Most patients experience mild or moderate pain or discomfort at the time the medication is injected.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor or pharmacist if you notice any of the following and they worry you:

  • Bruising
  • Pain
  • Numbness
  • Swelling
  • Redness
  • Tingling
  • Formation of small areas of hardness
  • Itching around the treatment area

These are mild or moderate side effects of the medicine and are short-lived. Your doctor may ask you to use ice/cold packs, paracetamol, ibuprofen or other ways to reduce side effects.

Tell your doctor as soon as possible if you notice any of the following:

  • Trouble swallowing
  • An uneven smile
  • Discolouration at the site of injection
  • Ulcer (open sore) at the site of injection
  • Unusual hair loss at the site of injection
  • Taste disturbances

The above list includes uncommon side effects that may require medical attention.

If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:

  • Shortness of breath
  • Wheezing or difficulty breathing
  • Swelling of the face, lips, tongue or other parts of the body
  • Rash, itching or hives on the skin

The above list includes very serious side effects which may be the sign of an allergic reaction. You may need urgent medical attention or hospitalisation. These side effects are very rare.

Tell your doctor or pharmacist if you notice anything else that is making you feel unwell.

Other side effects not listed above may also occur in some people.



The medication will be stored by your doctor in a cool dry place, where the temperature stays below 30°C.


What it looks like

The medication is a clear, colourless, liquid. It is supplied in single-use 2 mL vials.


Each mL of solution contains 10 mg of the active ingredient, deoxycholic acid.

The solution also contains the inactive ingredients:

  • Sodium hydroxide
  • Dibasic sodium phosphate
  • Sodium chloride
  • Water for injection

This medicine does not contain lactose, sucrose, gluten, tartrazine or any other azo dyes.


BELKYRA is distributed in Australia by:

Allergan Australia Pty Ltd
810 Pacific Highway, Gordon,
NSW 2072

This leaflet was prepared: July 2016

Australian Register Number(s)

Disclaimer: All information presented on this page is intended for informational purposes only and not for rendering medical advice. The information contained herein is not intended to provide medical advice, diagnose, treat, cure or prevent any disease.

NOTE: The information included herein is the property of NPS MedicineWise.

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