What do I need to improve the saggy skin under my chin? (Photo)

In person exam is essential. Based on limited photos- it appears that you may benefit from facelift/ neck lift with muscle tightening. I suggest that you seek an experienced Board Certified PS

It looks like to are an excellent candidate for a chin implant. The chin implant is placed intra-orally through an intra-oral approach so there is no visible scar. This will elongate your chin and tighten some of the loose skin.

Best Wishes,

Gary Horndeski, M.D.

It’s hard to tell from your photos how much laxity you have in your neck. If there is significant laxity a facelift may be worthwhile even though you are in the younger side

Based on these photos it is very likely that you will have the benefit of several procedures performed at the same time; neck liposuction, skin tightening (Renuvion, Face Tite), and possibly chin augmentation. In-person consultation with a board-certified plastic surgeon with experience in those procedures is recommended. Good luck.

When they're sagging skin in the neck, a lower face and neck lift is required to tighten loose facial and neck skin, and tighten loose facial and neck muscles, lift the jowls, and remove residual fat deposit in your neck. The limited photographs demonstrate a recessive chin profile, so consider placement of a chin implant to give ypou better structural support for the soft tissues in the neck.