Thank you for sharing your photos! While it is difficult to say without an in-person examination, you may benefit from a lipectomy and non-surgical options. "Double chin” is one of the most frustrating issues for patients, because it can be a stubborn area that does not respond to exercise or diet. Until recently, the only solution was surgery. KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” Kybella is administered via injection, and two to four treatments are recommended over an 8-12 week period. It is effective for even a small amount of fat under the chin. Additionally, neck liposuction is a quick way to reduce jowls, eliminate a double chin, slim the bands of muscle that form the wattle, and tighten neck skin. Often, liposuction alone can help resculpt this area and tighten loose skin. Today with Smart Lipo, light can provide finer resculpturing of the neck and jowls. If greater tightening of the skin is required, it can often be done with tiny incisions behind the ear. These procedures can be performed as an outpatient without the need for general anesthesia allowing for a quick recovery. It's possible to do this on a Friday and be back to work on Monday!. In addition the above, for people who don’t want surgery CoolSculpting is a very effective option to help reduce fat in selective areas. The CoolSculpting fat-freezing procedure is the only FDA-cleared, non-surgical fat-reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise. Common side effects are numbness, swelling, tenderness, and bruising to the treated area, though these typically subside in a few days, but can last as long as a few weeks. After CoolSculpting, treated fat cells that die are naturally eliminated from the body. This process is not as rapid as invasive procedures, such as liposuction. Typically, the most dramatic results are seen in 1-3 months after treatment. I suggest you make an appointment with a board certified plastic surgeon to discuss what treatments are right for you.