What is the Best Option for a Small Double Chin? (photo)

You appear to have a rather classic case of "double chin" secondary to a recessed chin.  Meaning that a chin implant will give more projection to your chin and therefore take up some of the "slack" of the skin under your chin and help alleviate the double chin problem.  Some very minor liposuction under your chin may also help eliminate the double chin problem but this can only be determined after careful physical exam.  

Once the double chin is eliminated, your nose may suddenly be in good balance and thus not benefit from any nose surgery.  Glad to help... 

       I think that you will see great improvement with a chin implant and submental liposuction.  The liposuction will remove the small amount of fat present.  The chin implant will increase the projection of your chin and create the illusion of a longer jaw.  The implant will also take up a little bit of loose skin.  Find a plastic surgeon with ELITE credentials.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA