How to fix this double chin? Tried Kybella and CoolSculpting, but at this point there is just skin hanging. Suggestions? (photo)

It appears in the profile view that your chin is vertically short with a deep mentolabial fold. I would recommend a lengthening genioplasty with simultaneous submental liposuction. This will improve the overall facial balance.

​I find that VASER liposuction in combination with Renuvion or ThermiRF are best for contouring the chin in those who are candidates, but Kybella can be used as an alternative and gets better results when combined with Thermage/Ultherapy/Exilis, TruSculpt iD, or Coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer​

You have visible fullness under your chin. Sometimes it’s fat that is actually beneath the muscle sling. Kybella, Cool Sculpting, even liposuction addresses only the fat between the skin and muscle. To get to that fat would be a submentoplasty. We open up and remove fat from beneath the muscle. If you are young (early 50’s and below) the skin should drape back up after a procedure like this. But it’s important for your surgeon to feel your neck, skin and structures to determine what is best.