What is the best way to tighten the skin on my neck, and lower face jawline? (Photo)

I just turned 40 and have begun to notice significant sagging along my neck, lower face, and jawline. I had hyper diluted Radiesse injected on my lower face, jawline, and neck and now I have developed nodules that look awful. My provider flushed them with saline and recommended that I see a plastic surgeon to address the issues that I am seeing. Would a lower or mini facelift be appropriate and is that a possibility given the nodules I currently have?