Injectable Fat Reduction · Toronto / Markham

Belkyra Injections in Toronto & Markham

Health Canada–licensed deoxycholic acid that permanently dissolves stubborn fat — physician-led by Dr. Dan Xu (M.D., CCFP).

Dr. Dan Xu, M.D., CCFP
Dr. Dan Xu, M.D., CCFP
Allergan/Juvéderm N.A. Trainer · 5,000 clients · 80,000 treatment areas · PicoSure Pro Specialist

Quick Answer

Belkyra injections in Toronto & Markham permanently destroy stubborn fat cells, most often under the chin, without surgery. If you are looking for Kybella in Toronto, Belkyra is the same Health Canada–licensed medicine under its Canadian name. Dr. Dan Xu and our team perform each treatment. Most people need 2 to 4 sessions, 4 to 6 weeks apart.

View Contents (12)
  1. 01 Why choose ID Cos…
  2. 02 What are Belkyra …
  3. 03 How do Belkyra in…
  4. 04 Where do we use B…
  5. 05 Who is a good can…
  6. 06 How many Belkyra …
  7. 07 What happens befo…
  8. 08 What are the side…
  9. 09 How much do Belky…
  10. 10 How does Belkyra …
  11. 11 Dr. Dan Xu, M.D.,…
  12. 12 “Timeless Asian B…
WHY ID COSMETIC CLINIC

Why choose ID Cosmetic Clinic for Belkyra injections?

Belkyra is a medical injection, so results depend entirely on accurate mapping of the fat pad and the nerves around it. Your plan is led by Dr. Dan Xu (M.D., CCFP), an Allergan/Juvéderm North-American trainer with 80,000 injection procedures. Dr. Dan Xu and our team perform each treatment. We plan each session to your anatomy for a smooth, natural contour — never an over-dissolved or uneven result.

Many people read Belkyra reviews before they book. You can read what our clients say in our Google reviews near the end of this page.

Why mapping and dosing matter

Deoxycholic acid is standardized, so the product itself is the same. Your outcome depends on accurate injection mapping, the correct dose, and protecting the marginal mandibular nerve. This small nerve moves your lower lip and smile. Poor technique risks asymmetry or nerve weakness.

Dr. Xu trains other physicians in injectables. That mapping and dosing experience is your safeguard for a smooth, natural result.

Our experience and certifications

  • 5,000 clients · 80,000 treatment areas
  • Submental (double-chin) & facial fat dissolving
  • Thousands of Asian patients treated
  • Complete photographic record for every patient
  • M.D. full medical-school training
  • CCFP family-medicine certification
  • Facial anatomy & muscle-dynamics expertise
  • Evidence-based, device-agnostic protocols
  • Allergan / Juvéderm North American trainer
  • Cynosure / Sofwave / Candela KOL
  • McMaster University clinical preceptor
  • IMCAS international speaker
  • CPSO-registered physician (publicly verifiable)
  • Google 4.9★ · 283 reviews
  • Informed consent at every session
WHAT IS IT

What are Belkyra injections?

Belkyra (sold as Kybella in the U.S.) is a Health Canada–licensed injectable that permanently destroys fat cells. Its active ingredient, deoxycholic acid, is a molecule your body naturally uses to break down fat from food. When it is injected into a small pocket of fat, it breaks open each fat cell, so the cell can no longer store fat. The destroyed cells are gradually cleared by the body and do not return.

Belkyra is a prescription medicine, so a doctor must assess you before treatment. At our clinic, this happens at your free 30-minute consultation with Dr. Xu.

Is Belkyra the same as Kybella?

Yes. Belkyra and Kybella are the same medicine, with the same active ingredient, deoxycholic acid. Kybella is the brand name used in the United States, and Belkyra is the name used in Canada.

So if you search for Kybella in Toronto or anywhere in Canada, Belkyra is the treatment you are looking for. How it works, the number of sessions and the aftercare are the same.

HOW IT WORKS

How do Belkyra injections work?

Belkyra injections work by placing deoxycholic acid into the fat, where it destroys fat cells that your body then clears away. Treatment is a series of small injections across the target area, about 15–20 minutes per visit. Mild swelling, tenderness or bruising for a few days is normal and is part of the fat-clearing process.

  • Topical numbing + ice for comfort
  • Injection points mapped to your anatomy to protect nerves
  • Results build gradually as cells are cleared over weeks

After the injections, your immune system, which is the body’s natural clean-up system, removes the broken fat cells. This takes several weeks. It is why some swelling is expected, and why your results build slowly instead of showing right away.

WHAT IT TREATS

Where do we use Belkyra injections?

We use Belkyra injections in two areas: under the chin and along the lower side of the face. Belkyra is best for small-to-moderate fat pockets. Each area has its own page with more detail, linked below.

Double Chin (Submental Fat)

Belkyra’s primary Health-Canada–approved indication — a sharper jaw-to-neck line.

Explore double chin →

Facial / Side-Face Fat

Refine lower-cheek and jowl fullness for a slimmer contour, tailored to Asian face shapes.

Explore facial fat →
CANDIDACY

Who is a good candidate for Belkyra treatment?

Belkyra treatment suits adults with localized, pinchable subcutaneous fat, meaning a small pocket of soft fat just under the skin. Your skin should also have reasonable elasticity, so it springs back well. Belkyra is a non-surgical alternative to liposuction. It is not a weight-loss treatment.

  • Good fit: small-to-moderate fat pockets resistant to diet & exercise
  • Not suitable: pregnancy or breastfeeding, an active infection at the site, or significant skin laxity, meaning a lot of loose skin (this may need tightening instead)

Dr. Xu checks your fat, your skin and your medical history at your free consultation. If loose skin is the main cause of the fullness, Dr. Xu may suggest a skin-tightening treatment instead of Belkyra, or together with it. Please tell us about your medicines and any past treatment in the area.

YOUR JOURNEY

How many Belkyra sessions will you need?

Most people need 2 to 4 Belkyra sessions, spaced 4 to 6 weeks apart. The exact number depends on how much fat you have and the result you want. Dr. Xu confirms your plan at your consultation.

Your Belkyra journey has four steps: 1) a free 30-minute consultation and assessment with Dr. Xu, 2) a personalized injection map and session count, 3) quick in-clinic sessions every 4–6 weeks, and 4) a gradual, long-lasting contour as fat cells clear. Most patients see meaningful change within 2–4 sessions.

When will you see Belkyra results?

Most people start to see a change four to six weeks after each session. By then, the swelling has gone down and your body has cleared the treated fat cells.

Your result builds with each session. Your final result is usually judged one to two months after your last session, at a follow-up visit with Dr. Xu.

PRE · DURING · POST CARE

What happens before, during and after Belkyra?

A few simple steps before and after your visit help reduce bruising and swelling.

  • Before — avoid fish oil and alcohol for 24 to 48 hours to reduce bruising, and avoid blood thinners only if your prescriber agrees; arrive with clean skin. Do not stop a prescribed medication without your prescriber’s advice.
  • During — topical numbing, then a grid of small injections in a short session.
  • After — minimal downtime, though swelling, tenderness, bruising, numbness or firmness is common and can last several days, up to about two weeks; ice helps, and most people return to normal activities the same day. Avoid heavy exercise for 24 h. Contact us if you have trouble swallowing, an uneven smile or weak facial muscles, or dizziness or fainting right after treatment.
RISKS & SAFETY · INFORMED CONSENT

What are the side effects and risks of Belkyra?

Most Belkyra side effects are common and temporary. You may have swelling, bruising, tenderness, numbness or firmness at the treated site. Less common effects include a temporary uneven smile, if the marginal mandibular nerve that moves your lower lip is affected, or trouble swallowing. These are almost always transient, meaning they pass, and are minimized by careful mapping. Contraindications are reasons not to have Belkyra. They include pregnancy or breastfeeding, an infection at the site, or unrealistic expectations. Every treatment includes informed consent.

Before your first session, Dr. Xu reviews your medical history and explains each possible reaction. You go ahead only when all your questions are answered. If anything worries you after treatment, call the clinic.

PRICING & PAYMENT

How much do Belkyra injections cost?

Belkyra injections usually cost about CAD $800–2,200 per session, or about CAD $1,600–4,800 for a full course (usually 2 to 4 sessions).Prices are for reference only and reflect general Toronto pricing. Please contact us for your exact price. The price depends on the area and the number of vials needed. Your exact plan and quote are confirmed at consultation. Book a free 30-minute consultation with Dr. Xu for a personalized assessment and transparent pricing.

Belkyra is a cosmetic treatment, so OHIP does not cover it. For a full breakdown of what affects your price, read our Belkyra cost guide.

BENEFITS & COMPARISON

How does Belkyra compare with other options?

Belkyra suits small, defined pockets of fat, while fat freezing suits larger zones. Here are its main benefits and how it compares with other options.

  • Permanent — destroyed fat cells do not regenerate.
  • Non-surgical — no incisions, no general anesthesia, minimal downtime.
  • Precise — ideal for small, defined pockets like the double chin where CoolSculpting applicators don’t fit well.
  • vs CoolSculpting — Belkyra targets small precise areas; fat-freezing suits larger zones. We recommend the better fit at consultation.
OptionHow it worksBest forWhat to expect
BelkyraInjections that destroy fat cellsSmall, defined pockets, such as under the chinNo surgery. Swelling, bruising and tenderness for several days.
Fat freezing (CoolSculpting)A device cools fat cells through the skinLarger zones of fatNo needles or cuts. Change is gradual.
LiposuctionSurgery that removes fat through small cutsPeople who prefer a surgical optionYou need recovery time after surgery.
Skin tighteningEnergy devices that tighten loose skinLoose skin, not fatDoes not remove fat.

Belkyra works on fat, so loose skin may need a different plan. To see every option for fullness under the chin, visit our page on double chin reduction. For a closer look at two of these options, read our Kybella vs CoolSculpting guide.

YOUR PHYSICIAN

Dr. Dan Xu, M.D., CCFP

ID Cosmetic Clinic Founder & Medical Director · Author of Timeless Asian Beauty

As a Chinese-Canadian medical aesthetic physician in Toronto, Dr. Dan Xu is known for deep clinical expertise, a refined aesthetic eye and a keen cultural sensibility. Dr. Xu brings experience from over 80,000 injectable procedures, and has successfully managed over 8,000 complex medical aesthetic cases.

Dr. Xu’s deep expertise is in facial contouring, anti-aging and pigmentation treatment for Asian faces. Dr. Xu has a Canadian life sciences background and an M.D. degree with honours, along with CCFP certification in family medicine. Drawing on clinical experience in China, Korea and Canada, Dr. Xu has developed a systematic aesthetic injection framework tailored to Asian bone structure, aging patterns and muscle characteristics.

Dr. Xu’s aesthetic philosophy is simple: “Beauty should elevate who you already are — not alter what makes you, you.”

80,000Clinical procedures
8,000+Complex revision cases
4.9★Google 283 Reviews

Professional Certifications & Credentials

  • Education — Doctor of Medicine (M.D.) + Family Medicine Specialist (CCFP)
  • Authority — Allergan / Juvéderm Official North American trainer
  • Authority — Cynosure PicoSure Pro Canadian KOL
  • Authority — Sofwave & Candela Key Opinion Leader
  • Authority — McMaster University Clinical Preceptor (Clinical teaching physician)
  • Authority — IMCAS Speaker at international medical aesthetic conferences
  • Trust — CPSO Registered physician · Publicly verifiable
  • Trust — Author of Timeless Asian Beauty (2024)
AUTHOR · 2025

“Timeless Asian Beauty”

Timeless Asian Beauty — by Dr. Dan Xu, M.D., CCFP

Timeless Asian Beauty, written by Dr. Dan Xu, is a book dedicated to Asian faces. Rather than imposing rigid beauty standards, it invites readers to explore beauty through culture, anatomy and self-understanding.

Drawing on clinical experience in China, Korea and Canada, Dr. Xu challenges the long-dominant Western-centric aesthetic bias. The book addresses the bone structure, aging patterns and muscle characteristics of Asian patients, with a systematic framework for aesthetics.

At the heart of the book is the essence of Asian aesthetics: natural, soft and expressive. Dr. Xu shares real case-based treatment approaches throughout the book.

Not to change who you are — but to embrace the most authentic version of yourself.
Identify with your own beauty. – Dr. Dan Xu, M.D.

Free Download — Limited Time

PATIENTS ASK

Common questions about Belkyra injections

Here are short, clear answers to the questions people ask most about Belkyra injections.

How many Belkyra sessions will I need?
Most people need 2 to 4 sessions, spaced 4 to 6 weeks apart. Dr. Xu confirms your plan at your consultation, based on how much fat you have and where it is.
Is there downtime after Belkyra?
There is little to no downtime, and most people return to normal activities the same day. Expect mild swelling, tenderness or bruising for a few days, and sometimes for up to two weeks. If you have an important event, plan your session well ahead of it.
Belkyra or CoolSculpting: which is better for me?
It depends mostly on the size of the area. Belkyra is an injection that suits small, precise pockets of fat, like the double chin. CoolSculpting freezes fat and suits larger areas. We recommend the best fit for you at your free consultation.
How much do Belkyra injections cost in Toronto?
Belkyra injections usually cost about CAD $800–2,200 per session, and about CAD $1,600–4,800 for a full course.Prices are for reference only and reflect general Toronto pricing. Please contact us for your exact price. Your price depends on how many vials you need at each session, and most patients need two to four vials per session. Dr. Dan Xu checks your chin profile at your consultation and then gives you a personalized cost estimate.
What is Belkyra made of and how does it work?
Belkyra's active ingredient is deoxycholic acid. This molecule occurs naturally in the body and helps break down fat from food. When it is injected into the fat under the chin, it breaks open the walls of the fat cells, and your body's immune system gradually clears them away. The surrounding skin, muscle and nerves are largely unaffected, which makes it a targeted way to reduce a double chin.
Does Belkyra hurt?
Most patients feel moderate discomfort during the injections, like a stinging or burning feeling that fades quickly. We apply a numbing cream and ice first to make you more comfortable. Afterward, the area may feel tender, swollen or numb for several days. This is expected and usually settles on its own, without prescription pain medicine.
How long does Belkyra last? Is it permanent?
Yes, the effect on the treated fat cells is permanent, because destroyed fat cells do not regenerate. Your results are long-lasting as long as your weight stays stable. If you gain a lot of weight, the fat cells that remain in the area can grow, which may reduce your result. Dr. Dan Xu advises keeping a stable weight to protect your result over time.
How long does it take to see results from Belkyra?
Visible improvement usually begins four to six weeks after each session, once the swelling goes down and your body has cleared the treated fat cells. Because Belkyra works gradually, your final result is usually judged one to two months after your last session. Dr. Dan Xu reviews your progress at your follow-up visits.
Is Belkyra authorized for sale by Health Canada?
Yes. Belkyra became Health Canada–licensed in 2015, making it the only injectable deoxycholic acid product authorized in Canada specifically for reducing moderate to severe submental fat in adults. Submental fat means the fat under your chin. This regulatory approval means the product has met Canadian standards for safety and efficacy. ID Cosmetic Clinic in Markham uses only Health Canada–licensed products and follows established injection protocols when administering Belkyra.
Where can I get Belkyra near me?

You can get Belkyra at our clinic at 30 Gibson Dr, Units 113-117, in Markham. When you choose a clinic, ask who plans and performs the injections. Dr. Dan Xu and our team perform each treatment, after a free 30-minute consultation. For other kinds of fat-dissolving treatment, see our fat dissolving injections page.

Real Clients · Google Reviews

What Our Clients Say

★ 4.9 · 283 Google reviews

Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →

View all 283 reviews →

BOOK YOUR CONSULTATION

Ready to start your treatment journey?

Book a free 30-minute consultation with Dr. Dan Xu (M.D., CCFP). Dr. Xu will conduct a professional assessment and design a treatment plan tailored to you — no upsell, no pressure, just answers to the questions you truly want to know.

📞 Phone
🕙 Hours
Mon–Sun · 10:00 AM – 6:00 PM
🌐 Service Area

Patients come to our Markham clinic from across the Greater Toronto Area.

✉ Quick Action
FREE 30-MIN CONSULTATION · DR. DAN XU

Free 30-Min Consultation

Every consultation is conducted personally by Dr. Xu (Mon–Sat).

24 hr response · English/Chinese OK

The device defines possibilities; the physician defines direction. Identify with your own beauty.