Kybella is a great option to spot reduce small pockets of fat like the area under the chin. Because Kybella works by causing the fat cells to be dissolved over time, the body creates collagen which leads to tissue tightening. This tightening takes place over time as the fat is going away leading to no loose skin.
In our practice, we assess the tissue in the submentum, or what most people call the chin area, prior to treatment. We usually have a pretty good idea if someone will need to have a few Kybella treatments and if the patient will want some type of skin tightening procedure afterwards. Some skin tightening devices that can be done later are ultherapy, ThermiTight or ThermiSmooth. But it is best to wait a few months to see what happens and if further treatments are desired.