Should I Have a Face Lift or Lipo to Correct Double Chin?

Patients with sagging necks are very poor candidates for liposuction.  I would recommend a facelift, platysmaplasty, and liposuction at a minimum.

From the photo you have jowling as well as a double chin. you will have a better result if you have a full facelift by an experienced facelift surgeon.

The picture is helpful but it isn't a close-up and doesn't include the lateral view which is important. Even more important is being able to examine the patient personally and assess the quality of the skin, especially the elastic tone. This is affected quite a bit by age and menopausal status. For a woman up to her late 40's, often lipo with immediate Thermage for skin toning is an option, but beyond that a facelift procedure is most often the best choice. Lipo alone would be considered primarily for patients in their 30's or younger.