You appear to be an excellent candidate for a slight reduction (and a lift) to decrease the possibility of recurring droop. A lollipop incision would provide the smallest and most minimal scar. If there is a persistent history of keloid scarring elsewhere, scars may be treated with injectables...
Sometimes particular nerves are injured during surgery and it may be possible to anesthetize these nerves with a combination of local anesthesia and steroids. This can be repeated as necessary. An anesthesiologist specializing in pain management can perform this. A final option...
Thank you for the question and picture. It is difficult to give you good advice based on the single photograph; you will be best off asking this question of your plastic surgeon who has had the advantage of examining you carefully. Generally speaking, patients undergoing this...