What type of surgery would I need to reduce the fleshy bit on my chin so it doesn't protrude? How much would it cost? (photos)

Cost factors vary significantly for a number of good reasons: Prices vary greatly because the surgery itself encompasses a wide range of techniques that can be performed to different extents. My recommendation is to first find the most qualified surgeons where you want the surgery performed that are board certified by the American Board of Plastic Surgery you trust, then compare prices between them. See the below link on suggestions on how to find the most qualified plastic surgeon for your procedure. General Factors that influence the price of plastic surgery include:


1. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctor’s office? Geographical location also has a significant influence. RealSelf has average charges for most areas of the USA.


2. Type of Anesthesia - local, IV sedation or General Anesthesia? Will a board certified anesthesiologist, nurse anesthetist, or an RN be used?
    
      3. Experience and training of your surgeon. The best and longest trained is most often a plastic surgeon board certified by the American Board of Plastic Surgery
   
      4. Length and Complexity of Surgery - how difficult will your surgery be and how long it will take, etc. Will other complementary procedures also be also performed during the same surgery?

You have a large soft tissue chin pad and a protruding chin bone underneath it. This can be reduced using a submental technique where both bone and soft tissue is removed and tucked from the underside of the chin.

For want of a better description you have what is referred to as a "witches chin". This is caused by two elements . The first is a relative prominence of soft tissue over the mentum (point of the chin). The second is a lack of support to the underlying soft tissue and muscle structure. On animation (smiling) the muscular forces pull the tissue foward and then downward creating the crease under the chin and giving it all the look of old "witches".       In order to solve the problem two things are done. First excess tissue under the chin is removed in a multi-layered and overlapping fashion to prevent protrusion and to elevate and stabilize the depressor muscles. Second a very small chin implant is placed ...this is to help elevate the tissues and not to add protrusion or make the chin stick out. When done properly this somewhat complicated procedure will elevate the chin, remove the crease created by the chin hanging down and will prevent excessive protrusion on smiling. Voila...the "witches chin" is gone. The procedure was originally devised to help older women who were having face lifts and suffered from chin ptosis. It does however work very nicely in younger women who have this problem.

Your facial development pattern leads to a " relative "prominence of the chin . The lower front teeth  are the main support for the lower lip and if they are not positioned forward of the chin, the chin is prominent. You need to consider increasing the height of the chin and changing the slope of the lower jaw. Simple shaving of the tissue is not a good idea to obtain good balance