Dr. James Kojian M.D. has a weight loss program at drtohelp.com using Phentermine which has helped me so much as I have lost over 30 pounds. Dr. James Kojian M.D. is very knowledgeable in weight loss and offers an excellent program. He evaluated me very thoroughly to make sure I was a good candidate for weight loss. He also explained to me the types of foods I can eat so that I can stay full throughout the day.
Coolsculpting and Kybella would work great for the armpit fat in your photo. You will have less downtime with Coolsculpting and it may cost you less then the Kybella treatments. Keep in mind that Coolsculpting freezes the fat away without the need for injections of foreign substances, unlike Kybella. At our clinic we provide both treatments, however Coolsculpting would be my treatment of choice for fat reduction. Good luck to you.