Exhibit 5.1

October 8, 2013

KYTHERA Biopharmaceuticals, Inc.
27200 West Agoura Road
Suite 200
Calabasas, CA 91301

Re:

Form S-1 Registration Statement File No. 333-191450 and Registration Statement filed pursuant to Rule 462(b) promulgated under the Securities Act of 1933, as amended

Ladies and Gentlemen:

        We have acted as special counsel to KYTHERA Biopharmaceuticals, Inc., a Delaware corporation (the "Company"), in connection with the registration of shares of the Company's common stock, $0.00001 par value per share ("Common Stock"), pursuant to a registration statement on Form S-1 under the Securities Act of 1933, as amended (the "Act"), filed with the Securities and Exchange Commission (the "Commission") on September 30, 2013 (Registration No. 333-191450) (as amended, the "Initial Registration Statement") and a registration statement relating to the Initial Registration Statement filed pursuant to Rule 462(b) promulgated under the Act (the "Post-Effective Amendment" and together with the Initial Registration Statement, the "Registration Statement"). The Post-Effective Amendment relates to the registration of $22,999,934 of shares of Common Stock of the Company (the "Additional Shares").

        This opinion is being furnished in connection with the requirements of Item 601(b)(5) of Regulation S-K under the Act, and no opinion is expressed herein as to any matter pertaining to the contents of the Registration Statement or related prospectus (the "Prospectus"), other than as expressly stated herein with respect to the issue of the Additional Shares.

        As such counsel, we have examined such matters of fact and questions of law as we have considered appropriate for purposes of this letter. With your consent, we have relied upon certificates and other assurances of officers of the Company and others as to factual matters without having independently verified such factual matters. We are opining herein as to the General Corporation Law of the State of Delaware, and we express no opinion with respect to any other laws.

October 8, 2013
Page 2

        Subject to the foregoing and the other matters set forth herein, it is our opinion that, as of the date hereof, the Additional Shares have been duly authorized by all necessary corporate action of the Company and are validly issued, fully paid and nonassessable.

        This opinion is for your benefit in connection with the Registration Statement and may be relied upon by you and by persons entitled to rely upon it pursuant to the applicable provisions of the Act. We consent to your filing this opinion as an exhibit to the Registration Statement and to the reference to our firm in the Prospectus under the heading "Legal Matters." In giving such consent, we do not thereby admit that we are in the category of persons whose consent is required under Section 7 of the Act or the rules and regulations of the Commission thereunder.

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Exhibit 5.1