39 year old with sagging jowls. What are the best treatments to get rid of them? (Photo)

There are options both surgically and non surgically if you are considering options for your neck sagging.  I suggest a formal consultaiton with an expert who does both medical and surgical options.  Best, Dr. Emer.

Tightening up the jawline and neck would really make a great improvement  and is easy to undergo under local with a little iv sedation.

Please consult a cosmetic dermatologist or plastic surgeon to discuss your treatment options.  Non-surgical options include more filler in the cheeks, and filler and Botox to help lift a droopy mouth.  Thermage skin tightening helps tighten and lift saggy skin. 

A facelift and necklift would be the best option for you.  Once jowling occurs, a facelift is the treatment.  My Celebrity Facelift can be performed in 90 minutes under local anesthesia (like the dentist).  In addition, I would suggest some volume to your cheek area.  Women are very youthful and feminine when they have soft, full, 'apple' cheeks.  When the cheek area sags downward, it gives us a tired, more aged appearance. 

facial liposcupture might be a good option for you.  The Tumescent technique totally under local anesthesia.