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Can anything help a too-prominent, lopsided chin that's especially evident when I smile? I have a double chin, too. (photos)

When I smile, my chin seems shapeless and it has a sag to the neck and also the fat behind the chin is very prominent. I can feel a sort of tendon or muscle going from my chin down the front of my neck that actually sticks out when I smile. Is it possible to remove or relax this? What can be done to eliminate the double chin and also give it a more tapered appearance? I'm in my 40s, nonsmoker.

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