Well, damn. Updating this a year later. I went for a lipo consult last week and, as I feared, there is a lot of skin. He asked me if I have had experienced a massive weight loss...(I haven't). He said it was quite unusual.
I'm not ideal, but he would still do it. I would be at risk of being left with a fold or wrinkle in the skin. He said it might be hidden under the chin anyway. Too risky to go ahead without exactly knowing what the outcome would be.
So I saw a different surgeon and she seems to think lipo should be fine with my skin. She's a plastic surgeon but she doesn't specialize in just lipo; the other surgeon specializes pretty much exclusively in lipo (but is a cosmetic surgeon).
With such a widely different opinion, who to trust?
She did mention something about having 'poor attachment' to the hyoid, but I'm not sure what that means exactly.
My hyoid
https://i.imgur.com/TQTzXv6.jpgIt's actually not as awfully bad IRL as it looks in the ceph, but when I turn my head to the side it looks pretty sloped.
https://imgur.com/aFyRPneMaxfac said my throat length was 36, should be at least 40.
I really need to lose at least 2-3kg to get back to what I was last year, but I've always had a bit of a neck problem.