Posting pictures would have given us a better chance to help you with this question. A neck lift is a surgical procedure that engages the SAMS and neck tissues to a higher position. We know the results that can be given with a surgical neck lift.Lazerlift is a fancy name that was given to a procedure that is performed with the SmartLipo machine (PrecisionTX). PresicinTX is a very effective procedure to decrease the fat volume of the neck and bring some tightness to it. I perform this procedure in my office and it really gives very nice results, but a neck lift brings better results on a very sagging neck.The most important thing is to go to a board certified Facial plastic Surgeon that is capable of performing both procedures, that way you will be able to select between the minimally invasive vs. the surgical option depending on which one fits better your concerns, physician exam, and butget.Hope this helps,Dr. Gus Diaz