10 months post op, fat pad is becoming noticeable again. Are there non surgical options or will I need a revision? (photos)

More liposuction is unlikely to provide significant benefit. The fullness noted is related to deeper submental fat, possible digastric muscle fullness, and possible submandibular gland size. These elements are not addressed with liposuction, but by a deep necklift.

It appears that you have excess and loose skin. I would recommend going on consultations to discuss a lower neck and facelift. Further liposuction will not be beneficial.

Dear TTownMama,
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