Hi Suziesays,Thanks for sharing your question and photo,Based on the photo, you would benefit from skin tightening which can be performed with a lower facelift, or you may wish to consider non surgical methods first, a full examination at your consultation would be advisable, as your chosen surgeon would be able to discuss your options and outcome.Good luck and all the best
Hi Suziesays,I would recommend an in-person consultation with an experienced facial plastic surgeon. You may be a candidate for Botox to the platysma muscle, if the skin is not that saggy. Otherwise, you may require some form of a skin-tightening procedure as well— this may be in the form of a necklift or face/necklift.Best wishes,Dr. Jay