Thank you for sharing your photos! While it is difficult to say without an in-person examination, you may benefit from a neck lift and non-surgical options. "Double chin” is one of the most frustrating issues for patients, because it can be a stubborn area that does not respond to exercise or diet. Until recently, the only solution was surgery. KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” Kybella is administered via injection, and two to four treatments are recommended over an 8-12 week period. It is effective for even a small amount of fat under the chin. You may also get improved neck contour with small incision surgery using a combination of liposculpture techniques that remove fatty neck deposits and help tighten skin. The neck lift is an easy way to reduce jowls, eliminate a double chin, slim the bands of muscle that form the wattle, and tighten neck skin. Typically, a surgeon will also decide to perform a lipectomy, suctioning out fat in order to resculpt the area. A lipectomy is performed through an incision less than a centimeter long under the chin and a 2 mm incision in the crease of the earlobe. A cannula is then inserted and fat is liposuctioned out in order to resculpt the neckline. If a neck lift is also being performed, excess skin will be removed. This can be done under twilight sedation with local anesthesia, instead of general anesthesia. In addition, you may also benefit from Thermage®. Thermage is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that’s clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance. This can treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after! I suggest you make an appointment with a board-certified plastic surgeon to discuss what treatments are right for you.