Jowls; can anything be done to improve it's appearance? (photos)

"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."

Congrats on losing the weight.  Unfortunately this typically goes hand in hand with more drooping skin.  Keep in mind that once you reach your final idea weight, you should try to stay in a relatively tight range so that there are not significant flucuations up or down.  As far as procedures, I would suggest a mini facelift as an option.  A mini facelift (ie S Lift) specifically addresses the jowls and usually requires less downtime and cost.  Your neck appears to have good shape, so the necklift portion of a lower facelift can be passed on.  If cost were not an issue, you would probably benefit from fat grafting to your cheek hollows to balance the harmony of your mid and lower face.

Its difficult to determined by the picture
you post if surgery is recommended in your case. More pictures in different position need to
be evaluated but if we determined that surgery is not recommended jet may be
skin tighten procedures as termage can be a good option for you after your weigh loss