The great majority of individuals seeking treatment for a double chin at a young age, typically have a facial, skeletal imbalance with a mandible that is small in relationship to their maxilla. Almost 100% of people seeking this procedure will have a dental occlusion overbite. On profile pictures the upper lip will have more forward projection than the lower lip. The facial, skeletal imbalance is usually the primary underlying reason rather than fat distribution. In your pictures it looks like this is the case for you as well. You also have a substantial amounts of subcutaneous, fat and skin laxity. because the problem is multi factorial any treatment that only treats a single variable, especially treatments that don’t treat the primary underlying cause will give partial improvements at best. Well done Liposuction can give a big improvement but will still leave you with skin laxity and the same genetic bone structure that causes a premature double chin. And neck lift 6 to 12 months after well done liposuction would be the ideal treatment. Alternatively, you could have a neck lift with Liposuction combined. Addressing bone structure issue as well but most people are generally not willing to have jaw advancement surgery. This anatomic area is multi factorial, expected different providers to have different opinions in regards to what’s the best treatment. I don’t think anybody is going to question the indication for removing excess subcutaneous fat. The question is if that is sufficient or do you also need to address skin and underlying muscle laxity. I suggest having multiple consultations with porn, certified plastic surgeons in your community. Delivering consistent quality Liposuction results is more difficult than most people realize. To find the right provider I suggest having multiple consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had similar facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you before and after pictures of at least 50 previous patients. Continue having consultations until you feel very comfortable. You found the right surgeon for your needs. Liposuction alone may give substantial improvement, but may be insufficient to get the ideal or best outcome. Best, Mats Hagstrom, MD