As we age, our facial fat changes. We tend to lose the "baby fat" just under our skin, resulting in deflation and loose skin. On the other hand, deeper fat pockets (like the one under the jaw) increase, resulting in fullness under the jawline that blunts the normal contour of the neck. Liposuction can definitely improve the fatty fullness, but some form of skin tightening may be needed to smooth the loose skin. This can be done by surgically removing the skin, as in a neck lift, or by laser tightening of the skin, as with Precision Liposuction. In addition, a chin implant can dramatically improve the appearance of the neck in those patients with a lack of natural chin projection. The right procedure for you may include any or all of these things, depending on your exam.