Do I need a chin implant or fat removal, or both?

Without the benefit of an in-person exam, I would suggest buccal fat removal with a chin implant. Buccal fat removal is one of my favorite operations and will give you more angularity and a leaner appearance. Combined with a chin implant, I think it would make a positive change in your appearance. 

*Opinions stated here are only opinions. They are not based on a clinical exam, which is recommended.

It seems that chin augmentation and vertical lengthening  with implant would be a good solution for you. I do not think that you need a liposuction of the neck.You should consult a board certified plastic surgeon with good reputation in facial implants for clinical evaluation and discuss your options. Good luck. 

A full set of facial photographs are required to make a determination about placement of a chin implant, since the implant and the mandible are both three-dimensional structures. From the limited photographs, it appears that there is a mild recessive chin present for which a chin implant can improve. Best to leave the cheeks alone. For more information about chin implants including diagrams  and many before-and-after results, please see the link and the video below

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak but there is not much, if any, excess fat under the chin.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 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.  In my opinion, you are a good candidate for chin implant surgery.



Hope this helps.

You should have a picture with your upper face included. With what you give, a conclusive decision cannot be reached. I doubt that you need a liposuction.

The photos are not really adequate to accurately assess your face. It looks like you may benefit from a chin implant or chin advancement.