What is the best treatment for this double chin? (photo)

For a double chin, InMode FaceTite with VASERlipo would give you the best result.

With significant neck sagging you would need a facelift / neck lift with muscle tightening (platysmaplasty). At the same time, I would recommend lasers (Fraxel, CO2, Halo, or Erbium) and microneedling RF (Fractora, Morpheus8, PiXel8, Intensif) to improve the crepey skin and wrinkles. Overall, the neck can be treated with a combination approach:

1. Microneedling and laser treatments for texture
2. Botox, Dysport, Xeomin or Jeuveau to help platysmal bands
3. Intensif, Fractora, PiXel8, or Morpheus8 microneedling RF for crepey skin and lifting
4. Injectable fillers like Belotero, Restylane Silk, Versa, and Juvederm Volbella to improve lines and folds
5. Face/neck lifting if sagging is prominent or premature, with or without platysmaplasty (muscle tightening)
6. Renuvion (J-Plasma), ThermiRF, and InMode FaceTite/AccuTite 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 formal evaluation and to develop a personalized treatment plan based on your individual situation and goals. Best, Dr. Emer

Dear meme2408,
Kybella typically takes 3 to 5 treatments to work. This is why I've stopped carrying Kybella in my office. I recommend neck liposuction more often then any injectable procedure for the neck now. It provides superior results gives me more control over the area than any injectable. It also costs about the same as what you paid for your first kybella session. The liposuction can be done under local while awake in the office and recovery is about the same as kybella.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

CoolMini will can cause skin tightening in the sub-mental area, unlike fat dissolving injections that can cause skin laxity.The CoolMini is a non-surgical, FDA-approved procedure to reduce unwanted chin fat and tighten the skin. CoolMini uses controlled cooling to effectively reduce stubborn fat that resists all other fat reduction methods, like diet and exercise, while simultaneously tightening the skin in the area. The results are proven, noticeable and lasting.

Unlike surgical fat removal, like liposuction, the CoolMini involves no medications or general anesthesia and there is no risk of surgical complications. No recovery time is needed after treatment, so you can continue your daily activities without taking any time off. Once treatment is completed, your body will naturally flush out the unwanted fat cells and will continue doing so after treatment.

More information is needed, such as a full set of facial and neck photographs, and your age. Liposuction can accomplish removal of fat deposits above the platysma muscle, while a neck lift procedure accomplishes removal of the fat deposits above and below the platysma muscle.

Best treatment option is directed superficial liposuction under local anesthesia. Fee in the $3,000 ranges.

Kybella would be a great option for you! Have a consultation with a certified physician.

Best of luck!