Hi and thank you for your question! Kybella can help reducing excess fat present, but based on the pictures your problem seems to be more related to sagging skin. I agree that Kybella can also achieve some levels of skin tightening, but there are other treatments that can help. Ultherapy is one option, and you might want to continue with that. There are also skin tightening modalities based on radiofrequency that might help (e.g. Venus Freeze). I would also explore PDO thread-lift procedure for neck lift. Other than these, you may also look into surgical options for neck lift. I hope it helps and good luck!
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