Submental Liposuction techniques, utilizing fat extraction sculpturing of the neck, gives the patient a more youthful look. In young persons, extraction is carried out in the submental areas. In older patients, who have diffuse fat accumulations and less skin tone, extraction includes the submental and submandibular areas, along with dry tunneling to the lateral borders of the sternocleidomastoid muscle and inferiorly to the suprasternal notch. With liposuction submental sculpturing, necessity for chin augmentation is critical to tauten the submental skin and to give a better neck-chin angle. Hard chin implants are preferred over the soft gelatinous types. Results obtained by the dual approach of submental fat suction sculpturing and hard chin augmentation have been excellent.