I’m worried a doctor would say there's not enough fat under my chin/jaw for Kybella? (Photos)

It appears you have a small amount of submental fat under your chin that would respond well to either Kybella or other measures like CoolSculpt mini or even micro-liposuction. Kybella is an injectable treatment that uses deoxycholic acid to destroy the fat cells, creating a more defined jawline over time. Most patients require multiple treatment sessions, but I would need to evaluate you in person to create your personalized treatment plan.

Liposuction is a one-and-done procedure performed using local anesthetic. Micro-cannulas are very tiny and remove the fat from the area, leaving little or no scarring behind. Recovery typically takes a few days. Some may say it’s too early to treat the problem, but at this early stage you can treat it more easily before it gets worse… and it tends to do that over time. Instead, you can enjoy a lovely result now that will last for years. No matter which treatment you choose, make sure the doctor you work with is both board certified and highly experienced to ensure an optimal outcome.
 

Kybella does nothing for sagging and does very little for contouring of the neck and lower face.  my younger patients tend to use facetite, threads, and fillers to give them more contouring. and ongoing they do morpheus every 2-4 months, thermage and ultherapy twice yearly. (see link)
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite 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 full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Most of the changes I see in your picture may berelated to the muscles when you flex your neck.Kybella won't change that. I suggest an in person consultation. You would like to avoid a situationwhere the area is overcorrected. Best wishes.

Dear sabriell,
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

On several of the photos, I see a small pocket of submental fat which may respond to Kybella treatment. An in person consultation would be required to confirm you are a good candidate for this treatment.

Maybe you should seek more in person or virtual consultations. Find a true expert injecting MD (ONLY!). I might recommend trying 1/2 vials of KyBella in initial session than wait 3-6 weeks for results. Expect to be paying $1,000-$1,800. 

if someone tells you you’re not a candidate for a procedure they are telling you what is in your best interest, what is accurate and is doing you a favor.Most peoples facial appearance is primarily determined by their facial bone structure. In your case the height of your mandible is quite small in relationship to your fairly tall maxilla.This makes your mid face disproportionately larger.From your pictures it doesn’t look like you have much fat to remove.Fat removal particularly with Liposuction gives excellent results in the chin and neck area.  Personally I’m not a fan of Kybella and do not offer that treatment in my practice.When it comes to being a candidate for a procedure most people fall somewhere on the spectrum. Every once in a while we find someone who’s a perfect candidate just as some people are not candidates. most people fall somewhere in the middle and have potential for summer improvements.The less fat someone has the less impact factor mobile procedures are going to have.It’s rarely a black or white yes or no answer or decision.A quality consultation instead discuss his options and what treatments could and could not do for you.Likewise, some people are OK going through treatments for a very small or modest change while others need to have a significant impact to justify the procedure.I don’t think excess fat is the reason for your concern.I do know that accurate assessment always come from in person consultations that are done thoroughly and a good discussion face-to-face is hard to beat.Why don’t you make a few appointments for consultations with plastic surgeons in your area.   Many providers offer consultations for free.Best, Mats Hagstrom MD