Can Kybella be used to remove jowls? (photos)

Kybella is a dynamic product with broad capabilities, including off label and off the face. It truly is surgery in a bottle, with permanent removal of fat - the main alternative treatment being liposuction. 
I have always used Kybella to not just treat the area directly under the chin, but to blend it in to the lateral neck and jawline. This yields a more natural and thorough treatment. The only time I use the cookie cutter grid is when I am teaching other physicians how to use it,  which you can see in the attached video.
With the ability to treat broad area, it is easy to customize a Kybella treatment to match your exact goals, needs and anatomy. It can take multiple treatments, but I tend to get towards final results after two treatments, and the second treatment can be even more custom tailored to achieve that final result. Liposuction can achieve results with one treatment, but does not allow for the fine-tuning when needed, so which treatment will be best for you will depend on a discussion with your surgeon. Based on your photos, Kybella may not be your best option. 
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Kybella is only approved for treating the pocket of fat under the chin. Based on your photos, I don't think that it will deliver the results that you want. You have skin laxity that can only be corrected surgically with a face/neck lift.Kindly,Kouros Azar

Thank you for your question.  Kybella is FDA-approved for the submental area (under the chin).  You are good candidate for surgical intervnetion and please seek out a plastic surgeon in your area. Best of luck.