38 Yrs Old with Sudden Extreme Turkey Neck, Sagging, Thinning Neck and Lower Face. Neck Lift? (photo)

38 w/neck and lower face of a 65 yr old. History:Recent early menopause, heavy stress, weight gain/loss in the last few yrs (45 pds). On HRT now and no positive skin changes –thinning / sagging by the weeks with caving cheeks.Derm more concerned with sun damage. Looking for advice on long term affects, risk of fillers in neck, full lift vs lower face /neck lift .Cheeks fillers for lifting neck to hold off surg? I have read neg rev on “lunch lifts”? The pace of this ordeal is very traumatizing.