42 F, not overweight, do I need a facelift to fix this chin situation? (Photos)

Hi there!
Kybella is used to dissolve small pockets of fat and would not be beneficial for you as it looks as though the issue is skin elasticity. This may actually cause more skin laxity. Fillers to strengthen the chin and jawline may improve the appearance slightly but you want to be careful not to overdo fillers and look unnatural. In your case, a natural, subtle facelift to lift, reposition and remove the excess skin would be very beneficial.
Hope this helps!

Thank you for submitting your question and including photos. You would be a great candidate for submental liposuction. Unfortunately that fullness is usually genetic but can be decreased with liposuction and morpheus8 treatments to help tighten the skin. I recommend scheduling a consult with a board certified plastic surgeon like myself so we can create a surgical plan based on your goals.

You could defintely benefit from a facelift/necklift but you look young, so you may want to consider something less invasive to start. Microneedling with RF works well and usually takes 3 sessions. Kybella can help with any excess fat but does not tighten the skin. The best option would be AirSculpt for fat removal and then Renuvion for skin tightening, which is all done in one session that takes about an hour. Hope that helps!