Thank you for your question and for sharing your concerns with us. Kybella may not be the best option for you, although a physical exam would help to determine this. If you are looking for a non-surgical approach, you may want to consider Coolsculpting. As a plastic surgeon, I can also offer different options such as a thigh lift and/or liposuction as well as many other non-surgical procedures that can affect the neck such as the Coolsculpting, Ulthera and Profound depending on the specific concerns. As with any procedure, the experience and technique is the most important determinant of a good and safe outcome. I would recommend visiting with a plastic surgeon who also has a great deal of experience with non-surgical options so you can determine which option(s) are the best for you.