Do I Need Jaw Surgery or Lipo? (photo)

      If you have enough fat to suction, liposuction is reasonable, but either a chin implant or osseous genioplasty would give the most significant improvement.

Thank you for your picture series.  You have answered your own question. Your best improvement is with a lower jaw advancement surgery.  This improves you neck/chin/jaw aesthetics and addresses your lower and upper jaw skeletal alignment which will improve your dental function and maintain your dental and jaw joint health. See a BC plastic surgeon who has experience with these procedures or see a BC oral and maxillofacial surgeon

Dr. ES

Thank you for your photos and question. You have very effectively demonstrated with photos the effect of having an obtuse neck.  It is a result of the level of muscle insertion on the bones of the neck.  Liposuction or a chin implant is not the answer.  A  suture suspension neck lift is the answer. This procedure is very effective in significantly improving the contour of necks such as yours.  Consult a surgeon with significant expertise with this procedure.   See link below.  Good luck.

Liposuction of the chin/neck area can yield a fantastic result. This can be combined with a chin implant to further enhance the appearance of the jawline. I would recommend a consult with a board certified facial plastic surgeon who uses computer imaging software. He/she can morph a photo of you and give you an idea of how the final result may appear. I hope this helps, and best of luck to you.

Your photos, especially your third photo illustrate your underlying issue responsible for double chin, which is lack of adequate skeletal support for your soft tissue chin and jaw line.  It is important for you to be evaluated by a surgeon who's familiar with not only soft tissue but also bony surgery.  If your upper and lower jaw and teeth are in proper position, then your chin can be addressed by bony chin surgery or chin implant augmentation.  If your jaws are out of alignment then corrective jaw surgery to move the lower jaw forward is the right surgery for you.  Liposuction under the neck alone will not give you the best profile aesthetics.