What treatment would get rid of these old lady jowls? (42 year old) Kybella? Lipo? Fillers? (Photo)

If your looking for a non surgical route for your jowls then consider dermal fillers to volumize the midface and cheeks. Most likely, 2 syringes of Restylane Lytton or Voluma. Kybella is probably the same as Coolsculpt so I would have to see you in person to be sure. 

Fat dissolving injections are very effective at reducing or even eliminating jowls. I use a compounded mix of deoxycholate and phosphatidylcholine monthly for a series of 3 to 5 sessions .Swelling in first week is usual and is required for it ro be effective but is not usually noticed by others .

 It is hard to tell without pictures. If it is fat, then Coolsculpting will help. You will need few treatments and end results will be visible after 3 months. If you have started with coolsculpting I advise you to stick with it. It is a great procedure. Kybella is great as well with removing submental fat. If you have sagging skin, then you will have to consider some treatment for skin tightening. If you want to contour your jowls, then you will have to look into dermal fillers after you are done with dissolving your fat, and tightening your skin. You may consider different lasers for skin tightening. Good luck!

Thank you for
your question StefB88. Kybella is
the first and thus-far only FDA-approved non-surgical injectable treatment for
the double chin. After reducing the double chin with Kybella or Cool Sculpting often times jowls become more prominent. Jowls form from volume loss in the mid-face and collagen loss in the skin. Therefore treatment includes fillers such as Voluma to restore lost volume in the mid-face and fractional CO2 laser resurfacing to stimulate collagen in the skin. Please
consult with a doctor for specific recommendations. Good luck!

If you are looking for a non-surgical fix for the jowls, your best bet would be to place some filler in the mid-face/cheek area to help give a "lift" to the sagging skin in the jowls. If you just remove the fat in that area, you will simply have more sag....

It is hard to tell just by looking at this picture pictures. If it is fat, then Coolsculpting will help. You will need few treatments and end results will be visible after 3 months. If you have started with coolsculpting I advise you to stick with it. It is a great procedure. Kybella is great as well with removing submental fat. If you want to contour your jowls, then you will have to look into dermal fillers after you are done with dissolving your fat, and tightening your skin. You may consider different lasers for skin tightening. Good luck! 

Kybella is FDA-approved for and can be very effective in getting rid of the fat under the chin.  Your photos demonstrate that you also have fat in the jowl area and that there is some degree of skin laxity.  For these reasons, I feel you would be best treated with the Precision Tx module of SmartLipo.  This is a minimally-invasive treatment utilizing laser energy to melt fat AND tighten skin.  It is done in the office under local anesthesia and typically takes one hour.  We have seen some dramatic results with this procedure and downtime is minimal.  While Coolsculpting will undoubtedly get rid of some of the fat, it will not address the loose skin.  Best of luck.

Dysport® injections to tighten the jawline, or Ulthera® laser/Ultherapy® to lift the cheeks can all contribute to diminishing the jowls.

Thanks for the great question. Many patients have jowls which do have excess fatty tissue in them. Although Kybella is only FDA approved for use in the submental area, some practitioners are using it to treat the jowls. Because of the shape of the applicator, Coolsculpting will not be able to help with you jowls. There are other surgical ways of removing jowls such as liposuction or a facelift. Best of luck!~Dr. Sieber

Coolscupting or Kybella are great for eliminating fat under the chin, but these treatments don't tighten skin. Jowls are formed from sagging skin and are not generally a place where there are fat deposits. The best skin tightening treatment that lifts sagging skin is Infini RF. Infini works by combining microneedling and radiofrequency. It causes a robust remodel of the dermis and works really well on jowls. You do have to treat the whole face, as much of the effect is from tightening the skin in the upper face as well. It usually takes 3 or more treatments, with about 1-2 days of swelling and 3-5 days of redness after each treatment. The effect takes a full 4-6 months, during which you just keep looking better and better. It can also tighten skin after coolsculpting-- so your neck would benefit too. Good luck!