Have I lost my smooth jawline due to fat or lax skin? (Photo)

Liposuction is frequently utilized to eliminate a "double chin" and/or help sculpt a jawline.  However, your issue is skin laxity which is best addressed with surgical tightening of the neck muscles and neck skin (i.e. a necklift +/- a full facelift). Glad to help.

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Your photographs reflect a combination of loose skin and underlying muscle, fat is not your problem.No amount of superficial laser, light, ultrasound, etc is going to tighten this area-- if it sounds too good to be true...it probably is too good to be true.Make the time to visit a board certified plastic surgeon and learn more about facial and neck lift surgery.  You appear to be a great candidate who would likely see worthwhile results!Thanks for asking!Dr Ellen Mahony

You have tried a few of the most popular non-surgical devices that can tighten the skin. It is clear that these did not deliver enough improvement for you. Your photo indicates that the main issue is laxity and not excess fat. With more mature skin you would achieve more predictable and nicer improvements with a facelift. This canbe customized to focus just on the jaw line and upper neck if desired. Recovery from these limited procedures is shorter than most patients realize.  Laser assisted liposuction can be used to firm and tighten jaw line and neck skin as well. In selected patients, I use SmartLipo Triplex with continuous internal temperature monitoring to improve safety. Not all laser assisted lipo devices are created equal. I would not recommend i-lipo or trusculpt for your needs. Once you know your options, risks, costs and potential benefits you will more confidently be able to make an informed decision.Dr. Mosher

      The neck is probably better addressed with a neck lift or a lower face and neck lift in this case.Kenneth Hughes, MDLos Angeles, CA