I seem to have a heavy chin with marionette lines. Is a submental lipo procedure required? (Photo)

To make an assessment or even to try to make an assessment we need at a minimum to start with quality pictures. For facial aesthetics we need proper frontal pictures and sideways pictures taken at straight angles without facial expression.
Try setting the timer on your camera or have someone else take the picture for you.
Look at how plastic surgeons take before and after pictures to get an idea.
Most likely your primary issue stems from facial skeletal relationships most likely a mandible that is small compared to your maxilla.
Liposuction may be appropriate. Typically younger people do better with Liposuction and older people to better with a neck lift. For me the general cut off age is 50. People over the age of 50 tend to have less skin elasticities in this makes them lesser candidates for Liposuction.
Best,
Mats Hagstrom MD