Best Way to Treat Jowls, Nasal Labial Folds, Festoons? (photo)

After examining your profile, you certainly would benefit from a neck lift, chin enhancement and probably some fat grafting.

Personally, I would not recommend liposuction from the cheek areas.

If you are unsure about the proposed plan, visit another face specialist to obtain a second opinion.

Facial rejuvination surgery can address the concerns you listed. Each surgeon has their preference for which procedures they feel are most appropriate. In my opinion a short scar facelift and Platysmaplasty (probably what your surgeon is referring to as an "anterior neck lift") would be and excellent way to achieve long lasting and substantial improvement in your lower facial features. The attached video explains the different incisions types that are used with lower facial rejuvenation surgery.