Hi Debra, There is a great new procedure, which I perform, for defining the jawline and tightening the neck called Precision Tx. This procedure is also sometimes referred to as a Laser Lift. The procedure is performed using 3 tiny incisions and inserting a very small cannula under the skin which delivers laser energy to melt fat and tighten the skin, and stimulate new collagen to form. A consultation will determine if you are a candidate for Precision Tx, and this will give you a minimal amount of scarring.
Thank you for your question about a neck lift and the risk of hypertrophic scarring. This should not be a problem. Neck lift incisions go around the ear. There is usually a small incision under the chin. Healing in these areas is usually excellent. Scar hypertrophy (thickening) can usually be avoided by handling the skin gently and, if thick scars still form, with taping, massage and injections. Chances are you will have an excellent result. Hope this helps. Best wishes.