When looking into a procedure like this, you need to see what is causing what you don't like in the mirror. The things that can be address surgically are the skin, the fat and the muscle. Definitely seek out a board certified plastic surgeon in your area with an expertise in Facial Aesthetics for a consultation and more details. From these pictures it is hard to say what your best options are. Dean Vistnes, M.D.Vistnes Plastic SurgerySan Francisco Bay Area#realself #drdeanvistnes