Can a good spa perform Kybella or do I need to go to a plastic surgeon or dermatologist?

Considering your extreme weight loss (congratulations, by the way), you may be dealing with loose skin in addition to (or instead of) residual fat.   I would recommend seeing a physician who has had experience with Kybella and make sure you trust them prior to getting injected.  A plastic surgeon would be able to give you options if the area is more loose skin because they would be able to remove it.  However, there are many excellent physicians out there that own/work at reputable med spas that can offer other non invasive ways of treating loose skin should that be the issue.  Certainly, check credentials prior to treatment.

Thank you for
your question Kweesie. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. It is difficult to make an assessment without photographs. Kybella and other treatments such as fractional CO2 laser resurfacing are available for the double chin and loose skin. It is important to find an experienced injector and many offices including medical spas, dermatologists, and plastic surgeons have outstanding injectors. Please
consult with a doctor for specific recommendations. Good luck!