You might wish to consider HA fillers before jumping into expensive, aggressive, surgeries that can entail significant post-surgical downtime. The profile shows considerable volume deficit in the chin and lack of projection. An appropriate HA filler for augmenting the chin can increase chin projection and create greater harmony between the projections of the chin, lips and nose. This would also serve to tighten and better define the jawline, which, in turn, can also serve to pull up the skin under the chin. A second HA filler can be used to lift and straighten the corner angles of the mouth and reduce the marionette lines. All of the above can be accomplished, if so desired, in one treatment session, which, in the hands of an experienced, board certified cosmetic dermatology injector can be done in no more than twenty minutes with immediate, i.e. on the spot, results. Hope this helps and best of luck.