Hi, while non smiling photos of your face from the front and side would help in the evaluation...in general terms face or neck liposuction alone isn't suggested for patients above 40 years of age. Why? Because the skin looses elasticity as we age and the incidence of having loose skin after liposuction alone in the face or neck after the patient is 40 years old goes up dramatically. Excess skin can be removed using a small, curved incision under the chin and if the chin is "weak" the same incision can be used to place a silastic chin implant as described below. I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". The silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat to further shape the neck as well as removal of excess skin. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. Hope this helps.