Does firm thick skin not get as dramatic improvement from facelift as thin damaged skin would? (Photo)

I agree that your skin is not the problem-it is actually just fine. You have a short distance from chin to hyoid bone which creates more of a problem in the neck. However, alot of people with your neck issues achieve excellent results with face and necklift in association with augmenting the chin (chin implant) and submental muscle repair and liposuction (conservative). Be optimistic.

You should be able to achieve very significant improvement with a facelift.  I would consider your skin type to be quite favorable to achieve good results.Best wishes!Dr. Konstantin