Will chin liposuction help or will I need skin tightening as well?

Based on the photos, your weight, and having suboptimal results from your Kybella treatments, I don't think liposuction will give you the results you are looking for. There are two things that should be addressed surgically:
1. Laxity in the skin: I think a neck lift would be a better option as the extra skin can be re draped. Liposuction, even laser liposuction, will leave you with a lot of loose skin.
2. Deep neck fat the equivalent of visceral fat in the belly: There is fat that is deep to the platysma muscle that can't be reached with liposuction and Kybella. Only a deep plane neck lift with contouring of those deeper fat layers can reduce the volume excess.
In summary, although you are not ready for surgery, i would not waste your money on liposuction and rather do it right when you are prepared for the more invasive approach.
Good luck in your search.

Thank you for providing detailed information about your situation. Given your history and concerns, here are some considerations and advice regarding chin liposuction and skin tightening:

Chin Liposuction
Chin liposuction can be effective in removing excess fat from the chin area, which can significantly improve the contour and appearance of your jawline. However, because you've mentioned that you have some loose skin, liposuction alone might not fully address your concerns.

Skin Tightening
After significant weight loss and procedures like Kybella, loose skin can be a common issue. Here are a few non-surgical skin tightening options that could complement chin liposuction:

1. **FaceTite**: This minimally invasive procedure uses radiofrequency energy to tighten the skin and stimulate collagen production. It can be effective for mild to moderate skin laxity.

2. **Renuvion (J-Plasma)**: This technology combines helium plasma and radiofrequency energy to tighten the skin. It’s known for providing more dramatic results compared to other non-surgical options, but individual results can vary.

Considerations
- **Degree of Skin Laxity**: Mild to moderate skin laxity can often be improved with non-surgical treatments like FaceTite or Renuvion. However, if the skin laxity is more severe, these might not provide the desired results.
- **Personal Goals and Expectations**: It’s crucial to have realistic expectations. Non-surgical treatments can improve skin tightness, but they might not offer the same results as more invasive procedures like a neck lift.
- **Consultation with a Specialist**: The best way to determine the most appropriate treatment plan is to consult with a board-certified plastic surgeon or dermatologist who can assess your skin quality and provide personalized recommendations.

Steps to Take
1. **Schedule a Consultation**: Meet with a specialist who can evaluate your specific case. They can offer insights into whether chin liposuction alone would suffice or if combining it with a skin-tightening procedure would yield better results.
2. **Discuss Options**: During your consultation, discuss all available options, including the potential benefits and limitations of each procedure.
3. **Consider a Combination Approach**: Often, a combination of procedures can provide more comprehensive results. For example, combining chin liposuction with a minimally invasive skin-tightening treatment might offer the best balance between effectiveness and recovery time.

While chin liposuction can help reduce fat, addressing loose skin often requires additional treatments. Given your concern about avoiding a neck lift, exploring options like FaceTite or Renuvion could be a viable path. However, an in-person consultation with a qualified specialist will be essential in determining the best approach for your specific needs.

Feel free to ask any further questions or provide more details if necessary. Your specialist will be your best resource for making an informed decision that aligns with your aesthetic goals.