I would like to find the best treatment to tighten and sharpen my jawline and to remove jowls? photo)

Thank you for your question and photo. You have several options both surgical and non. I suggest you seek a board certified plastic surgeon for a consultation to go over what options best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

Age is not necessarily a factor when considering a facial-rejuvenation procedure, and non-surgical routes are temporary, and will not offer the wow-effect of a surgical procedure. A lower face and neck lift can combat the appearance of early aging, and when performed by a skilled board-certified plastic surgeon, it can offer you a beautiful and natural aesthetic result. This being said, I can see that there is also perhaps some disproportion in the lip area that is causing more visual attention to the lower part of your face. If you are having difficulty finding a surgeon in the UK, many plastic surgeons offer virtual consultations where we can speak with you to understand your aesthetic needs. I often speak with overseas patients and I find it’s a helpful way to begin the process.

Thank you for sending a picture. While it is impossible to make a recommendation without seeing you in consultation, there is no reason to not consider a facelift despite the reluctance among the surgeons in your area. While fillers and nonsurgical treatments can provide subtle improvements, if you have excess skin in the neck and early jowling, neither will provide the correction that a facelift will provide. In addition, results from surgery typically lasts a decade or more; fillers and ultherapy at most a couple of years.I would recommend consulting with a board certified facial plastic surgeon who regularly performs facelift procedures to see if you are a candidate and to explore your options.