Am I a candidate for Kybella? (Photos)

Kybella is good for dissolving the submental fat under the chin area while contouring the jawline and making the chin more defined, but a combination approach is needed to get the most improvement with non-invasive options. I recommend a combination approach with Thermage, Ultherapy, and Exilis. VASER liposuction in combination with ThermiRF is the best alternative for contouring the chin and can be performed with a neck lift, if you're a candidate. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Thanks for your question and posting pictures.  We have discontinued Kybella treatments in our practice for melting submental fat.  If you want a non-surgical approach, the FDA recently approved the SculpSure laser for treating submental fat (double chins).  It is a quick 25 minute, completely non-invasive treatment.  In the FDA study, the participants had 100% satisfaction after 1 or 2 treatments.  In the Kybella FDA studies, there is high satisfaction after an average of 6 treatments.  I did SculpSure recently and it was only mildly uncomfortable.  I had no noticeable swelling.  With Kybella, you will have noticeable swelling for 1-4 weeks. 
The treatment cost for 1 SculpSure Submental is less than the average cost of 1 Kybella treatment.  Before you consider CoolScupt, try holding an ice pack under your chin for 4 minutes.  Now think about doing it for an hour.  You have youth on your side.  I'm not sure that you will need any skin tightenng treatments after SculpSure Submental.  Before considering Ultherapy, read the reviews about the high level of pain.  Most patients don't return for their second treatment.  Best of luck.

Thank you for your pictures and questions! That picture is a little to low and tilted up to get a good idea of how much fat you have under your chin and a physical exam would be the ideal way to tell if you are a good candidate. If you can pinch some fat between your fingers when you bring your chin down to your chest then you are most likely a candidate. Kybella targets only fat cells and causes inflammation which makes your own body break down and get rid of the fat. It takes a couple sessions spaced about a month apart. If you are not a candidate for Kybella you could consider using fillers to enhance your jaw line. I recommend seeing a board certified plastic surgeon or expert injector in person to discuss your concerns and plan the right services for you.

I think you stated your diagnosis correctly yourself when you said you had a weak chin. You didn't say you had a fat neck. You said you have a weak chin. That is the correct answer, if the problem is one of facial or skeletal imbalance then ideally you should not be looking at fat removal as the treatment.  At 136 pounds I can't imagine you have much fat in that area. Kybella is unpredictable and can cause massive fat loss way beyond what you ever wish you signed up for.  Since the problem is skeletal and not fat, on top of that you don't have much fat in my opinion you're wasting your money and it will undergo an immense inflammation looking like a bullfrog for a week or two with virtually no benefit.  Your chin is slightly pointed which means chin implants can be used but with caution making sure you don't get an excess of pointed Chin. It's a little hard to explain but your mandible is small in relationship to your maxilla.  At the same time your man the bowl is pointed giving you a forward projected Chin despite the mandible being small.  This is probably the most challenging thing to correct in my opinion.  If this really bothers you you can try using fillers though I'm guessing at your age and what most 18-year-olds are up to having temporary treatments for facial aesthetics may not be your thing.  My opinion to you is do nothing. You're a good looking young guy. Enjoy life and don't look in the mirror so much.  Best, Mats Hagstrom MD