Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin, lip), liposuction and/or facelifts for over 30 years. Non smiling photos of your face from the front and side would help in the evaluation. I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. The chin can be augmented with a dermal filler (Radiesse, Restylane Lyft) however, a silastic chin implant will be far more cost effective over the years. Hope this helps.