Have I lost my smooth jawline due to fat or lax skin? (Photo)

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Your photographs reflect a combination of loose skin and underlying muscle, fat is not your problem.No amount of superficial laser, light, ultrasound, etc is going to tighten this area-- if it sounds too good to be true...it probably is too good to be true.Make the time to visit a board certified plastic surgeon and learn more about facial and neck lift surgery.  You appear to be a great candidate who would likely see worthwhile results!Thanks for asking!Dr Ellen Mahony

Based on your photograph you're thin and do not have significant fat beneath her chin.Therefore you will be disappointed with the results of liposuction or laser liposuction of the chin and neck.Since you have tried the best available skin tightening techniques and are unsatisfied with the results I would urge you not to spend more on a procedure that will not tighten the skin shown in the photograph. Please consult a board certified plastic surgeon and consider having a proper neck and lower facelift for the best possible result.