Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin, lips), liposuction and/or facelifts for over 30 years. Non smiling photos of your face from the front and side would help in the evaluation. When a "double chin" exists, this might be due to a lack of forward chin projection and sometimes there's excess skin under the chin as well as fat. Reducing fat alone by any method will not correct a weak chin nor will it remove excess skin from under the chin. In general terms, liposuction remains the "gold standard" in immediate, effective and reliable reduction of excess fat. Injections are far less immediate or reliable which is why they have to be repeated. In my experience and humble opinion, having liposuction of the neck under local infiltration is very minimally invasive, quick, easy and highly effective (reliable). For that reason, it remains the procedure of choice for reducing unwanted fat. Fat cells are distributed throughout the face and body and can increase in size as weight is gained. Liposuction reduces the amount of fat cells in the area treated. Significant weight gain "will" cause fat cells i other areas of the face and or body to increase in size. Where that occurs can not be predicted. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. Hope this helps.