Thank you for your question and sharing your photo. I would recommend visiting with a plastic surgeon who offers both non-invasive and invasive solutions for the neck. Based on the photo, it appears that you have some fullness and skin laxity. Both can be addressed surgically with a neck lift and will give you the most definitive results.Non-surgically, I could propose a combination of treatments such as Coolsculpting mini, Kybella or the Profound SubQ to help reduce some of the volume. In addition, treatments such as Ultherapy or Profound can help restore some more tone and bounce to the skin. Together with a volume reduction and skin tightening procedure, you should see great results, but still not quite as definitive as the surgical option.
