Thank you for your question! If the sagging jowls are caused mainly by fat, then Kybella can help. Kybella will not tighten skin. If surgery is not an option for you, then Profound RF is your best option. We now combine this with Threads to improve results. Seek out an opinion from a board-certified surgeon.
It would be off label use and given the possibliity of a temporary nerve paralysis this would not be recommended. The jowls include sagging skin and fascia and the Kybella addresses neither of those. Options to address a jowl other than a facelift include fillers used carefully, skin tightening like Ulthera and surgery. Overall its not debatable that only surgery will get you the true results of eliminating the jowls. Of course there is more downtime and more cost but think carefully about what your end goal is. If its just to soften a jowl then you can totally go with the aforementioned options. Good things don't come easy. Hope that helps!SAGAR PATEL MD