Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (lip implants, cheek implants, chin implants), liposuction and/or facelifts for over 30 years. From the photos, your chin itself is very weak, there is evidence of "jowls" in the lower face, excess skin and a modest amount of excess fat under the chin. Despite your age, the presence of excess skin under the chin and in the lower face (jowls) isn't a good indication of how well the skin will shrink down after fat is removed from under the skin. Although, liposuction remains the "gold" standard in reducing unwanted fat and would be expected to be quicker (one procedure about 10 minutes long), more effective with more reliable results versus fat dissolving or topical skin treatments....no method of fat reduction alone will provide a meaningful aesthetic result when excess loose skin is present, especially when the chin itself is weak. When reducing fat in an area of loose skin, some form of skin removal would be indicated. Fat removal and skin removal can be accomplished using a small, curved incision under the chin. Even in that scenario, there's no mechanism to add the forward chin projection that's required to correct the "weak" chin. This would require placement of a silastic chin implant through the same incision under the chin as described below. 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".
