Thank you for your question! Both Ultherapy and Kybella are great treatments for definition of the chin and jawline, but they do different things. Ultherapy uses ultrasound-heating to tighten the skin, whereas Kybella is an injectable treatment that dissolves fat cells and helps to improve the appearance of a double chin. You will achieve some skin tightening with Kybella treatment, but this does not happen with everyone.I often use Ultherapy and Kybella in conjunction with one another since many patients often have both sagging skin and excess fat. If someone's predominant problem is loose or sagging skin, I will do Ultherapy first followed by Kybella if needed. If someone primarily has excess fat in the submental region, I will do Kybella first and finish with Ultherapy to refine the results.Because of the angle, it is difficult to tell from your photo what treatment would be best for you. If you are considering either procedure, I recommend scheduling a consultation with a provider who is familiar with both treatments so they can help you decide what procedure is best for you. I hope this answer is helpful! Best of luck.