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The 2 most common procedures to address a masculine lower face area mandibular angle reductions and chin reduction. In your case, both procedures could be done, to decrease the size, width and height of your lower face. Of the 2, chin reduction would show the most dramatic effect. This would decrease the height, prominence and assymetry of your chin and reshape the W shape into a more feminine V.
We should be able to greatly improve your neck and jawline through a small incision underneath your chin. This can contour the skin, reduce laxity, and reduce the chin hang
Unfortunately your photo cuts off at the bottom so I cannot see the entire photo. In general, a genioplasty with jawline contouring can help to achieve the aesthetic goal you are looking for. You may also consider buccal fat removal, to help reduce some of the weight/fullness off the lower cheek...
Hard to tell without exam, but it could be scar tissue, a cyst, or potentially abnormal bone formation. It should be able to be removed through an intraoral (inside the mouth) incision.