Facial aesthetics are primarily determined by facial bone structure. It is the facial skeletal structure that gives each person their unique individual look and appearance. This is true, whether it makes us attractive or not so much. Issues related to the lower 1/3 of the face are therefore generally determined by the shape and size of the mandible. Individuals who have a small mandible are going to be prone to having loss of jawline definition, premature double chin, and premature jowl formation. When the mandible lacks in projection in comparison to the maxilla and dental overbite, occlusion also happens. In your case, all of your issues are related to bone structure and you don’t have an abnormal fat distribution. Orthodontic treatments are also not going to advance your mandible. Sliding genioplasty can advance the mentalis. In your case, your chin is not projecting all that much so as sliding genioplasty would be appropriate. The body of your mandible is also lacking in projection, and this explains the overbite occlusion. My best suggestion is for you to consult with oral surgeons to understand all the various treatment options. First and foremost, get a formal assessment so you understand the facial, skeletal relationships, and the implication that these have period. Once you have a good understanding of the problem, you can then select treatments appropriately. Cool sculpting is a relatively ineffective way of reducing subcutaneous fat. Since fat distribution is not the underlying problem in your case, you most likely find that treatment to deliver no benefit. Any form of fed reduction, including Liposuction is only going to give you partial improvements. Well done, Liposuction can give a good results, especially in those who have substantial fat to remove in the first place. The ability to deliver consistent quality liposuction result is more difficult than most people realize. I would also like to point out That the most effective treatment are always going to be based on treating the underlying primary etiology. This area is often misunderstood by a lot of people in Aesthetic surgery. For that reason you should expect to get different opinions from different providers, especially if they have different training backgrounds. Your problem is primarily related to bone structure your best of consulting with those who treat these problems and that tends to be oral surgeons more than plastic surgeons, though some plastic surgeons are trained in doing more advanced mandibular surgery. Good luck, Mats Hagstrom MD