Is my hyoid bone too low for chin-lipo/implants to be effective? (Photo)

Thank you for your question and for sharing your photographs.

Based on the images you have posted, it appears that your chin projection extends slightly beyond the projection of your lower lip. Additionally, there is a relatively good distance between the chin point and the girth of the neck below the level of the digastric muscles and interdigastric fatty tissue.

Given these observations, I believe that a deep plane anterior neck lift carried out through an incision under the chin would be a more suitable solution for you. This procedure can address the volume situated deep to the platysmal muscle, which consists of central fatty tissue, digastric muscles lateral to the central fat, and the lower part of the submandibular glands situated lateral to the digastric muscles.

This approach decreases the volume under the chin and reduces the neck girth in the upper segment of the neck below the level of the jawline, enhancing definition. It also tends to produce the impression that the chin projection has increased, as the distance between the chin and the neck is perceived as longer.

In my opinion, your aesthetic appearance is based on the shape and size of your mandible.
The body of your mandible is relatively short.
I’m guessing you have a slight dental overbite occlusion.
At the same time your chin or mental region of the mandible is strong and slightly over projected.
Other words, your mandible is too small in the body region and overly extended in the mental regions.
The lack of projection of the body of the mandible causes the double chin and the extended mentalis causes the acute nasolabial fold.
Two seperate problems happening in close proximity making an assessment difficult and confusing many potential providers. We can not see the mandible as having only one problem(too big or too small)
To correct what I see as being the problem would include a chin reduction and advancement of the mandible, which is by most peoples standards simply too much surgery.
This leaves you with no simple viable options.
Fat distribution is not the issue so Liposuction isn’t going to do very much.
I wouldn’t do any surgical procedure unless you find a provider who can clearly explain the underlying ideology and show you lots and lots of before, and after pictures of previous patients who had the exact same anatomical configuration.
You’re a good looking guy and I think accepting your appearance as being normal is your absolute best option.
Best,
Mats Hagstrom MD