36 years old- Would I be a candidate for Kybella or Chin Lipo? (Photos)

I am personally not a fan of Kybella. For it to work, you need multiple treatments and there is swelling and pain for a few weeks after each treatment. I think that targeted lipo is always better, and it only requires 1 recovery. It can also usually be done under local anesthesia. Given the choice, I think most plastic surgeons who recommend liposuction if you are open to that.

"For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production

See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer"

Yes, you look like a candidate for submental liposuction based on what I see in the photos. I am generally not a fan of Kybella because it causes worse and longer swelling, is less controlled, and often requires multiple rounds. The addition of radiofrequency skin tightening would also be helpful to help tighten the skin in the area, as well.