Hello, Thank you for your question and for sharing your concerns about the appearance of your chin area. Deciding between liposuction and a neck lift depends on several factors, including the amount of excess fat, skin elasticity, and your overall aesthetic goals. Liposuction: Ideal for: Younger patients with good skin elasticity and localized fat deposits under the chin. Procedure: A minimally invasive procedure where a small cannula is used to remove excess fat. Recovery: Relatively quick, with most patients returning to normal activities within a week. Neck Lift: Ideal for: Patients with excess skin and muscle laxity in addition to fat deposits. Procedure: Involves removing excess skin and tightening underlying muscles, providing a more comprehensive rejuvenation of the neck area. Recovery: Longer than liposuction, with a few weeks of downtime and some swelling and bruising. Given your age and weight, if your skin is still relatively elastic, liposuction might be a good option for you. However, if you have significant skin laxity or muscle banding, a neck lift might provide a more satisfactory and long-lasting result. It's essential to consult with a board-certified plastic surgeon who can evaluate your specific situation and recommend the best course of action. They can also discuss the potential risks and benefits of each procedure to help you make an informed decision.