Dislike nose and lower face - what can I do to improve appearance? (photos)

Thank you for your question and for providing photos. A combination of rhinoplasty and a neck lift procedure are likely your best options for improving the appearance of these areas. Rhinoplasty can reshape the nose to create balance with your other facial features. Keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome.
A neck lift procedure can revitalize the appearance of the throat and jawline by tightening the muscles that can cause horizontal banding, as well as removing excess skin to create a smooth, long-lasting result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty techniques, who can address your concerns and inform you of what you may expect from both procedures.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."