I was 45 at the time of the procedure. I am perfect body weight and an avid weight lifter. If you look at my pictures when I was young I had a slight double chin. I now have a bad double chin and still perfect weight. I had chin liposuction and an implant. While doing the lipo the doctor decided not to put in the chin implant. He just did the lipo. Having many days of sorenesss I returned to him and he wasnt pleased. He then told me that he was going to do Thermage on me to tighten the skin. This was painful and did remove all my wrinkles but did little for the double chin. Thermage company was going to use me in their brochure but didnt because it didnt take either. I felt foolish and couldnt really go back to the doctor to complain. I think what I really need is a necklift. I do face exercises all the time but it doesnt help. I am sick of it and I blew 5,000 doing the procedure with the Thermage but my face skin is like a babies butt. I also have sleep apnea and I know that this is one of the causes. I sometimes want to rip it from my face espcially when i see my muscular body with a dough boy face. I think I giveup and there is no hope for me. I may just grow a beard but I work in law enforcement and I cant until i retire. Makes my life unhappy.