Necklift and fat pad removal or just chin lipo? (photo)

I would be cautious doing a traditional or laterally based neck lift at your age. Based on the photos I would not recommend any incisions around your ears. I would focus on less invasive procedures like liposuction that can be combined with some buccal fat contouring. Those two procedures together can have very powerful results on improving the jawline with very little downtime and no external scars.
It is possible your surgeon was talking about a "Deep" or "submental" neck lift with just in incision under your chin. That would be another good way to treat your under chin area but would be a little overkill in your case. I would clarify with your surgeon where they plan to make their incisions and maybe get a second opinion. Hope that helps.
Good Luck,Matthew Tamplen MD

The best option largely depends on your skin's elasticity. Based on your photos, it appears that your skin has good elasticity, meaning liposuction alone may be sufficient. However, the true test comes from physically assessing the skin, so your plastic surgeon will be the best judge.
In general, younger individuals tend to have better skin elasticity. However, factors like pregnancy—due to hormonal changes—can reduce elasticity, potentially leading to loose skin after liposuction. Significant weight loss (typically over 20 pounds) can also contribute to skin laxity.
For mild skin laxity, a skin-tightening treatment—such as radiofrequency thermal heating—can be performed either at the time of liposuction or afterward to enhance results.

it's dependent on your exam findings. My guess is, based off of your photos, your age/weight, that the concern is more your platysma muscle, which would not be treated with traditional lipo, so that is probably why they recommended the neck lift route. you should ask your surgeon specifically about this since she is the one who examined you.