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.
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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 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 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.
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.
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.
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.
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.
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.
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.
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.
| Option | How it works | Best for | What to expect |
|---|---|---|---|
| Belkyra | Injections that destroy fat cells | Small, defined pockets, such as under the chin | No surgery. Swelling, bruising and tenderness for several days. |
| Fat freezing (CoolSculpting) | A device cools fat cells through the skin | Larger zones of fat | No needles or cuts. Change is gradual. |
| Liposuction | Surgery that removes fat through small cuts | People who prefer a surgical option | You need recovery time after surgery. |
| Skin tightening | Energy devices that tighten loose skin | Loose skin, not fat | Does 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.
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.”
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)
“Timeless Asian Beauty”

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.
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?
Is there downtime after Belkyra?
Belkyra or CoolSculpting: which is better for me?
How much do Belkyra injections cost in Toronto?
What is Belkyra made of and how does it work?
Does Belkyra hurt?
How long does Belkyra last? Is it permanent?
How long does it take to see results from Belkyra?
Is Belkyra authorized for sale by Health Canada?
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
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.
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.
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.
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…
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 .
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!
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…
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…
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.
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.
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.
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…
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 .
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!
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…
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…
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…
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!
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.
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.
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…
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!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
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…
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…
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!
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.
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.
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…
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!
xiaojie chen
7 reviews
Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!
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…
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.
Patients come to our Markham clinic from across the Greater Toronto Area.
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.



















































