Am I a good candidate for Kybella or would you recommend chin augmentation?

You can treat submental fat with Kybella injections,chin liposuction or CoolSculpting. Kybella often requires multiple treatment sessions and the results appear in the months following treatment as the body naturally eliminates the treated fat cells. Liposuction is a one-and-done procedure that can be performed using local anesthetic. Tiny incisions are created to insert the micro-cannulas used to suction out the fat. The results are apparent right away, but patients do have a few days of recovery time. Your problem seems relatively small and you may respond best to CoolSculpt Mini in which the fat is frozen away non-invasively.

You do have a slightly recessed chin as well, which could be improved using injectable dermal fillers. This approach allows for just enough augmentation to improve the facial contour without further deepening your mentolabial fold. The combination of CoolSculpt Mini and chin augmentation with fillers would give you the very best result.  Make sure you work with a board-certified dermatologist with expertise in these procedures to ensure the best possible result. 

The photos demonstrate a short chin in the vertical dimension. A chin implant will not be of benefit with your deep mentolabial fold. I would recommend a lengthening genioplasty with simultaneous submental and jawline liposuction. This will give you a more masculine chin and a well defined and contoured jawline. 

For a double chin, InMode FaceTite with VASERlipo would give you the best result.With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, or Erbium) and microneedling RF (Fractora, Morpheus8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:
1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite for internal tightening
7. Ultherapy and Thermage for external tightening
8. Regular Venus Legacy, Exilis Ultra, or InMode Forma treatments with facials to maintain tightness
9. PDO NovaThreads or Silhouette InstaLift cone threads for lifting and long-term collagen production
See an expert for a formal evaluation and to develop a personalized treatment plan based on your individual situation and goals.
Best, Dr. Emer

Kybella is a noninvasive way of treating submental fat.  Cephalometric analysis of your face would demonstrate what size chin implant you might want/need.  These can be done together or liposuction could be used to remove submental fat in a single surgical procedure.

Dear BloodStain,
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

Your photos appear to show some recession of your chin as well as some fullness under your chin.  I would say that augmenting your chin and reducing the fullness under your chin would give you the best result.  A chin implant can be done at the same time as liposuction of the neck, using the same incision.  If you wanted, you could do Kybella instead of the liposuction, but this would require more than one treatment session.  

You would be a great candidate for both Kybella. You could also have botox in your mentalis muscle (chin) and fillers in your chin and along the mandible (jawline). Please consult an experienced and board-certified physician to determine the best course of action.

Hello there,
    I would recommend a combination of treatments for the best result. 
Firstly, I would recommend Kybella to destroy any submental fat.
Secondly, I would recommend Ultherapy to tighten and lift the lower face and neck, allowing the skin in the submentum to re drape and return to a more youthful tightness. 
Thirdly, I would recommend chin filler or a chin implant to give you a little more chin projection. This will help to further masculinize your jawline, and will take up any leftover skin laxity in the submental area. 
Most patients will do a combination of the above treatments for the best result. That being said, you can choose one or two treatments as well. Hope this helps.
Sarah RN BSN 

The side profile photograph demonstrates a recessive chin profile for which a chin implant can improve. Chin implants are manufactured in a large array of sizes, thicknesses, and shapes which is best determined at the time of the consultation and examination. In our practice, we do not recommend Kybella because it is not very effective must be repeated  multiple times

HelloIt all depends on what you would prefer. Kybella is a choice if you wouldn't mind to go through 3-4 treatments over 4-6 months and that could potentially resolve the issue.Liposuction under local anesthesia is another option which one time procedure. and essentially will be done. it is minimally invasive and if done by expert then short recovery and results will be great.Being said that, you need to have formal evaluation.Best