Elizabeth Arthur, MD

Kybella cannot be used on the face, only under the chin. Cool sculpting also can’t be used. It sounds like you need a combination of liposuction and face lift. 


Also cheek filler will give some lift, but if the skin is heavier or the jowls larger, there won’t be enough “lift”. 

You may have some reactive post inflammatory blood vessel formation. It can
happen whenever the skin is irritated. You may need a treatment with a
vascular laser such as a VBeam.

Kybella will only decrease the fat where it’s injected. Some people do notice
that once their double chin is gone, their jowls look better; even
though it wasn’t injected into the fat of the jowl area. We think this
may be from the inflammatory response and the tightening of the skin in
the submental (under the chin) area.

Yes, it was recently approved by the FDA for the crow’s feet. We have used it for that indication for years. 

Without seeing the motion of your face, it’s tough to say whether Botox would
be of benefit or not. Some people swear by silk pillow cases to prevent
the tugging and pulling of the skin at night. Frownies may also be of
benefit!

After 2 weeks you should be able to resume all of your normal activities, including wearing a hat. Certainly you’d want the hat to be routinely cleaned.
As far as sleeping position, you can resume your normal position.
When it comes to shampooing, you can shampoo as you did before the surgery. I wouldn’t scrub however. Your scabs should be coming off by now. Remember a small hair will be attached to the scab, but the follicle will remain in the scalp.