Your photo shows lower face and neck laxity with visible neck bands, so a face and neck lift consultation would usually include discussion of both jawline tightening and neck muscle/skin tightening. The exact incision pattern depends on your hairline, ear shape, skin looseness, and whether the surgeon needs to work mainly on the lower face, the neck, or both. For a typical lower facelift/neck lift, incisions often start in the temple or sideburn area, pass along natural curves in front of the ear, curve around the earlobe, then continue behind the ear and sometimes into the hairline. If the central neck bands need direct tightening, a small incision under the chin is often added for platysmaplasty. A board-certified plastic surgeon can mark this on your own face during consultation, because the best incision design is the one that allows adequate lift while hiding scars in natural creases and hair-bearing areas as much as possible. Ask to see healed scar photos from patients with similar hairline and skin quality.