Of all the people who come in seeking chin and neck liposuction these people all have one thing in common. They all have a facial a skeletal imbalance with a mandible that is small or lacking in forward projection in comparison to their Maxilla. Rarely do people have an abnormal fat distribution. A double chin is caused by a mandible that is short or lacks forward projection. This causes the underling Platysma muscle to drapes and neck in an oblique fashion. Liposuction of the chin and neck can give nice improvements depending on the candidacy for the procedure. This is often related to the patient’s age, skin quality, amount of mandibular hypoplasia, and amount of fat available to remove. Still, liposuction is the procedure that does not treat the underlying primary problem, and for that reason, partial improvement is usually the best patients should expect, without having some thing that addresses the bone structure itself. Individuals who have a small mandible typically have a dental occlusion overbite. The profile pictures the upper lip will have significantly more forward projection than the lower lip. You can consult with doctors who are oral surgeons or plastic surgeons to get different perspectives about various treatment options. Best, Mats Hagstrom, MD