I am 66 years old and I hate the sagging on my neck and jowl area. What treatment do you suggest?

Tightening the platysma mucle, removing excess fat as well as skin can only be accomplished by a full facelift.

At 66 years young, you can almost certainly benefit from a facelift to tighten your neck and jowls.  Concentrate on finding an experienced plastic surgeon in your area who does natural work.  You probably also will need your eyelids done unless they have been done before.  Don't get talked into any fat injections though.  They are a waste of money.

Based on your description, as reasonable approach would be a face and neck lift that would address the jowling and neck laxity that you describe. Skin excess would be addressed during this procedure as well. The addition of fat grafting to the midface often helps to improve overall facial youthfulness.

Lower face-neck lift for 66 year old

From your limited description it appears that you would benefit from a
lower face-neck lift. In my practice a patient with your presentation get a
significant rejuvenating effect from this procedure with rather rapid recovery.
Seek out an experienced and talented surgeon for in person consultation. Review
the surgeon’s before and after photos to assess the type of results that you
might expect for yourself.

Based on your age and the areas that you mentioned, I think you would be a good candidate for a face and neck lift.  I would love to help you with it if you are interested in traveling to Austin.

If you have a sagging neck and jowls, you need to have a facelift.  This will help to pull up the deep tissues of the face and cheeks which will decrease the jowling.  The incision will extend behind the ear to tighten the neck.  I almost always do an incision under the chin to tighten the platysma muscle which will help to sharpen the angle of the neck and eliminate any banding.     

Sagging jowls and loose skin of the neck is best and most effectively treated by a facelift.  I typically not only remove the loose skin but reposition and tighten the muscle beneath for a more natural look.  Seek several consultations from BC PS or FPS to find the doc that can produce the look you desire.Earl Stephenson, Jr, MD, DDS, FACS

Face/neck lift to remove excess skin and jowls is what you need. See a very experienced facelift surgeon who has natural looking results. 

Your history sounds like you would benefit from a face and neck lift. Dr Guarav Bharti is excellent in your state. Good Luck

Thank you for your question, but a specific answer cannot be given without a clinical examination (best) or at least a photograph.With that being said, the tradition approach is a face/neck lift surgically in many cases. However, lesser invasive procedures such as RadioFrequency tightening may help if the skin tone is still fairly good.A new minimally invasive procedure that can be performed in the office under local anesthesia is ThermiGen. This uses RF energy with temperature controlled heating of the skin from below (not above like the noninvasive forms) monitored by a thermal camera. It is showing superior results compared to the noninvasive forms. I would suggest you consult with a surgeon with extensive experience in surgical and non-surgical techniques to find the best procedure for your concerns. Good luck.