Thank you for your question and pictures. You would be an amazing candidate for neck liposuction to remove any fat under the chin area, this could be combined with a local anaesthetist facelift and necklift which will remove any excess skin. This would help achieve a contoured L shaped neck and remove any jowls, giving a nice sharp jawline. In terms of scar tissue, it wouldn't cause a problem or affect the overall results. It would just cause the surgery to last slightly longer. Most of my patients want a facelift however do not want the downtime associated. The Concept Facelift is the procedure I perform, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age. What are the benefits of a local anaesthetic facelift? Minimally invasive as it is a short scar facelift, although has the same effects as the Traditional Facelift as the SMAS muscle is tightened along with the skin.There is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. All The Best