Chin lipo, Kybella or mini facelift? (Photo)

The best course of action to address the pocket under your chin would likely depend on the specific nature of the issue. If Kybella helped before, it might be worth considering another session or two to see if further improvement can be achieved.

Chin liposuction could also be an option, especially if the issue involves excess fat that is resistant to other methods. A mini facelift might be more suitable if there's also some skin laxity and if you're looking for a more comprehensive improvement in the lower face and neck.

Consulting with a board-certified plastic surgeon or dermatologist experienced in facial aesthetics would be the best way to determine the most appropriate treatment for your individual situation.

Best of luck !

That formation of a double chin is usually not a problem related to either subcutaneous, fat or skin. Obviously significant skin laxity will cause signs of aging like jowls, but for the most part young people who have a double chin do so because of the shape and size of their mandible.In particular individuals who have a small mandible or one a mandible that lacks projection in relationship to the Maxilla tend to form a premature double chin. When people say it runs in the family, it is the bone structure that runs in the family not a problem with fat distribution. This typically goes hand-in-hand with having a dental, overbite, occlusion and in profile pictures the upper lip will have more forward projection than the lower lip.
It doesn’t look like you have much subcutaneous fat anywhere on your face or in your chin and neck. If you’ve already had fat removed in the area, then removing more fat is probably going to lead to a point I’m diminishing returns. Excessive fat removal can also create problems, showing premature platysmal bands, and other issues related to overzealous aesthetic treatments, including the use of Kybella and overzealous Liposuction. Sometimes a small area of skin can be removed with direct excision, leaving a fairly minimally visible scar. This may be a good compromise compared to having a neck lift.
I would be careful with aggressive fat removal since doing so, when not indicated, doesn’t make things better, and can cause secondary problems that are irreversible.
I suggest having a few in person, consultations with local plastic surgeons in your community to see what each of them has to say. Sometimes simply accepting the way things are, and not having intervention is also a good option.
Best,
Mats Hagstrom, MD