Hi Mal,
From your description and expectations it sounds like you should go with a surgical neck tightening procedure.
Fraxel re:pair is good at improving skin laxity in the neck and jaw line, but it will not give a "surgical" result, especially if you have muscular platysmal bands in your anterior neck. Fraxel repair will spare you the 3-4 hour operation under anesthesia and surgical scars, improve your overall skin appearance, and take a few years off your face, but your neck bands will still be present.
Unfortunately we have heard of a majority of patients who share your Thermage experience. Good luck and be well.
Dr. P



