Do I need a chin implant and lipo or a kybella (belkyra) and dermal fillers? (photos)

Thanks for sharing. In general, current neck rejuvenation procedures include:
A NECK LIFT* with a LOWER FACELIFT would be the gold standard and gets the best results usually reserved for patients about mid to late 40's and older. You also get jawline improvements.A NECK LIFT* stand alone would be the next best procedure and tightens only the neck.CHIN LIPO and/or LASER LIPOLYSIS if only fat removal is required with good skin elasticity, typically in a younger patient. A Platysmaplasty can be added for further muscle tighteningPROFOUND RF, FaceTite, and ULTHERAPY are FDA approved minimally invasive tightening technologies using using radio frequency or ultrasound energies. KYBELLA injections for a double that melts fat under the chin and takes a few sessionsBOTOX to the platysma bands to decrease their show*It is important the a Neck lift involves some liposuction and importantly a platysmaplasty which is a procedure that tightens the underlying loose neck muscles. 
Based on your photo and being younger, chin lipo and chin augmentation I feel would be ideal.   I usually perform these procedures under local anesthesia and oral sedation comfortably with natural results.  Ultimately it is best to be examined and consulted in person. Talk to several board certified plastic / facial plasrtsic surgeons .

Thanks for your question and photos. There are a few options available that could potentially treat fat under the chin and define facial features. Non invasive solutions include Kybella and laser treatments, which in my opinion have less than optimal results. Surgical option would be liposculpture of the areas of concern and complimenting that with a chin implant for a more defined jaw line and profile. Alternatively, liposuction combined with skilled fat transfer along the actual jawline to make it more pronounced including the chin is a good option especially in mild to moderate situations. Best to get an in-person consultation with a board certified plastic surgeon to discuss individual procedures that suit you.

Dear aimaim,Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office.  I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable.  It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery