Could something like kybella or fillers significantly improve my chin or only a facelift could help?
Kybella will be of no use in your situation. You deep tissues show laxity not fat excess. Dissolving fat or removing fat would make your conditition worse.I don't have a frontal view of your face, but I believe a regional facelift would be something to consider.Hope this helps
It appears you have lack of elasticity of the chin and neck. A necklift would remove the excess skin giving you a more defined jaw line and chin. A in person consultation would decide if this is the best procedure or possibly lipo suction if there is fat in that area upon examination,