Option to treat saggy jawline & fat pockets around the mouth? (Photo)

Hi @Creative594571. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Kybella is currently approved for use in the submandibular (under chin) region, so I would not recommend using it to your areas of concern. While PDO threads may help lift the region to reduce the appearance of jowls, radiofrequency microneedling via Morpheus8 will help to target the region by reducing fat and tightening the skin. This will diminish the jowls, and results will gradually appear in the 3-6 months post treatment. Going forward, I would complete multiple in office assessments with board certified experts to discuss your aesthetic goals. This way, they can craft the ideal treatment plan to suit your needs. 
Best of luck!
Kian Karimi MD, FACS

What I am seeing in your photos is an accumulation of submental fat under the chin combined with skin laxity that is leading to the jowl formation. I believe you might benefit from a combination of chin liposuction to remove the fat and a skin-tightening treatment like ThermiTight to tighten up loose skin under the chin and along the jawline. These two treatments can be performed at the same time and leave almost no visible scarring. Recovery is typically just a few days and the results are both dramatic and long-lasting. Make sure you work with an experienced, board-certified dermatologist with extensive training in these procedures to ensure an optimal outcome. 

I don’t believe Kybella in the jowls and lower face would be helpful for you - in fact, it could lead to more skin laxity. A nonsurgical skin-tightening treatment like ThermiTight might be your best option for addressing the loose skin and improving definition along the jawline. If submental fat under the chin is also a problem, as some of your photos suggest, I would recommend a bit of liposuction to remove the fat. The two procedures can be performed in the same session for excellent, long-lasting results. Make sure you work with a board-certified dermatologist with extensive training in this type of chin contouring to ensure the best possible results. 

Treatments to remove stubborn fat, such as Kybella or liposuction, will only make the skin laxity worse. In your case, a treatment to address both the fat deposits and the sagging skin will produce the best result. The best option for you is likely a lower face and neck lift that can accomplish both of these goals in a single surgery. The procedure is performed under general anesthesia and recovery is 1-2 weeks. However, the results are both dramatic and long lasting. Make sure you work with an experienced, board-certified facial plastic surgeon to ensure an optimal outcome. 

kybella CAN be used but you will get more sagging. and this is what I see more of this Is NOT fat pockets this is early laxity, drooping of the skin.  without surgery morpheus, fillers, threads can all help,  otherwise you are a candidate for facetite and.or face/neck lift.  fillers on the chin, around the mouth, jawline will help as well give some support and contouring. at home dermalrolling will help tighten the skin along with sente pressed contour (see link to emeragecosmetics.com). 
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

 The photographs demonstrate classic facial changes of aging, which include fat deposits in the neck, jowls, and laxity of the skin in the neck as well.  Consider a lower face and neck lift procedure to lift the jowls, tightened loose facial and neck skin, tighten loose facial and neck muscles, remove the fatty deposits in the neck above and below the platysma muscle which also includes a platysma-plasty.

Thanks for your question. Kybella can address the submental fat deposits in the center of your neck under the chin, but is not safe to be injected into the fat pockets (jowls) by your mouth due to concerns with facial nerve branches that control the movement of your mouth.
From the limited pictures provided, you may benefit from a lower face and neck lift, where the excess fat is removed and the muscle is tighented, then excess skin is pulled and removed to give a smoother and tighter jaweline contour. It also address the jowls you are concerned about. If you are only considering a non-surgical option, various threads lift options can provide temporay improvement by suspending the saggy tissue upward, using barbed or knotted sutures.
Hope this helps, and good luck!

the idea of using threads for this is absurd. they just aren't that powerful. You have excesses of fat. Kybella has been used for that but I haven't seen results and  its not approved for that area. A syringe liposuction under local in the office is what I do, it's a one time procedure unlike kybella, and I have never in 35 years of practice have seen excess skin resulting from that.   
you need to see someone who has more than non invasive option.