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

Most people who seek liposuction of the chin and neck don’t have an abnormal fat distribution. The great majority of individuals who have this procedure tend to have skeletal balance issues that caused the underlying platysma muscle to drape the neck in the more oblique fashion.
The contour in this part of the face is affected by skin, subcutaneous fat, platysma muscle, so I’m platysmal fat, submandibular salivary glands and primary bone structure.
The people who get the best results tend to be young people with tight skin who are overweight and have excellent bone structure.
To get an assessment regarding bone structure I suggest consulting with oral surgeons.
For more definitive operation consider consulting plastic surgeons about a formal neck lift.
If you’re moving fat the first time did not give you a good result been taking more fat is unlikely to give an impressive result.
There are no good nonsurgical options for this.
Best,
Mats Hagstrom MD