Hi and thank you for your question! Kybella, CoolSculpting and SculpSure all target fat and they should help with reducing the excessive fat, but they might not help much with tightening the area (although some skin tightening effect is usually seen). The other treatment option you might consider that primarily tighten the skin is Ultherapy and based on the pictures, you might be a candidate. Please consult an experienced cosmetic doctor to see if Ultherapy can help you. I hope it helps and good luck!
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