V Line jaw with lower face lift?

this can be done with implants, bone shaping, fillers/threads, lifting. I suggest you see an expert who treats many facial shaping patients. Best, Dr. Emer.

Facial shaping and facelift in 21 yo TG patient? NO facelift! Having done TG Facial Feminization for 40 years I need photos or an in person evaluation to give you an answer to your question. 

For significant V line jaw reduction, we will perform simultaneous face or neck lift otherwise there can be loose or saggy skin after reduction.  Most moderate reduction in young patients do not need face or neck lifting. Recommend an in office consult with a 3D facial CT scan for a full assessment/

Could you please upload pictures of the areas of your concern?  We will do the best to help you.  We just cannot give you any good initial advices without seeing pictures of you.  Thank you

 Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin and/or lips), liposuction and/or facelifts for over 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  At 21 years of age you wouldn't have jowls in the lower face which remains the main indication for any type of facelift.  In any case, the photos would help determine what should be done.  If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.