The cost of any type of cosmetic surgery is driven by 3 fees, which include time in the operating room, time under anesthesia, and the surgeon's fee for performing the neck-lift procedure. In our practice, we do not recommend fat removal in the cheeks. Frequently, a double chin includes fatty deposits above and below the platysma muscle in the neck. Liposuction could only remove the fatty compartment above the platysma muscle, but a neck lift with platysma plasty will remove the fat below the muscle and give a better jawline definition. No skin removal is necessary for patient's less than 50 years of age. For many examples, please see the link and video below