I have skin sagging around corners of my mouth & chin that makes me look old. What procedure is best to remove this? (photo)

No question in my mind, you are ready for a facelift.  Don't bother with quick fixes or injectables.  They will be a waste of money and a dissappointment.  You are a perfect candidate for a facelift.  It also appears you need your eyelids done as well.

A facelift would likely be the most beneficial procedure to you at this time. Fillers may improve your nasolabial folds and Botox may bring up the corners of your mouth.  But these would be temporary fixes and may not give you the improvement you are seeking.  Consult with a board certified plastic surgeon with experience in facelifting and knowledge of facial anatomy.  Ask to see before and after photos of their own patients.

Sagging skin in the lower part of the face is usually best treated with a facelift to lift the cheeks and neck into a more youthful position. Of course, each patient is different. Keep in mind that the goal of any facelift procedure is not to totally eliminate folds around the mouth as getting too aggressive around the mouth can result in an unnatural appearance. The goal of a facelift is to make the patient look like a younger version of themselves, which can be a life-changing experience for many patients.
All the best,

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. 

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

Depending on the extent of the sagging, you
could be a candidate for a facelift or a mini lift. A full facelift will
provide the most dramatic results, but if you are not ready for a full facelift
or if your sagging is in early stages, a mini lift may be a better choice. At
my practice, a mini-lift is a minimally invasive procedure that addresses loose
skin of the neck and lower face with fewer incisions, which in turn results in
less recovery time for the patient. I recommend visiting a board-certified facial
plastic surgeon for an in-person consultation and assessment to come up with
the best treatment plan customized to your needs.

Thanks for this question.This is a great question. If you want some improvement then injections will help. These have to be done by an expert else the pouch will look worse. If you wanted complete correction then you should go for surgery. You may still have a little hanging there afterwards that would be easily corrected with some injections.Thermage is an option but I think that the benefits would be very limited.