Are neck/face lift my best options? Which kind should I pursue? (Photo)

In person exam is essential , as well as good set of standard photos - all angles.
Based on limited photos- it appears that you would benefit from a lower facelift/ neck lift with muscle tightening. I suggest that you seek an experienced Board Certified PS to review your options

Hi there. Many thanks for submitting your question and photo. It looks as if you may have tried some less invasive approaches to the neck already? Although it is big step up and you are young, I would be considering either a full deep neck lift or combined deep plane face and neck lift. Often improvements in neck contour make the biggest overall change in facial rejuvenation surgery and may even sharpen up the jawline (without committing to facelift). A deep plane facelift will be the most effective at lifting the jowls and creating a crisp jawline contour. You are young so it would be very reasonable to defer this as it is a major undertaking but would provide a definitive solution. Less invasive approaches such as threadlifts are unlikely to lead to satisfactory or long-lasting outcome. Always best to consult an experienced plastic surgeon with a facelift practice as there will be nuances in the examination that can help develop a more accurate and tailored plan. Good luck!

Based on this single photo that does not reveal all what is needed for good evaluation, it appears that lower face/ neck lift vs. extended posterior neck lift would be a good option for you. In person consultation with a board certified plastic with expertise in face/neck lifts is recommended. Good luck.