Thanks for your question and thanks for including the photo as well. Youhave lots of options here and I would recommend that you consult with a board-certified dermatologist or plastic surgeon or the equivalent in your country. Liposuction will work here – with a skilled surgeon. Laser liposuction will work here – again with a skilled laser physician who knows liposuction. Laser lipo is not a non-invasive procedure; so you need to understand this from the onset. One advantage to using laser lipo, for those of us who do this, is that we feel that the use of the laser helps tighten the skin faster than traditional lipo – those that do not do this always do not agree with this.There are other options here as well. ThermiRF, a new technique with RF energy inserted into the neck, can also work here. Again, this is a minimally invasive procedure done by skilled surgeons.And the RF skin tightening devices will also do some good – and they are non-invasive. Having a series of treatments with the Venus Legacy, the EndyMed 3Deep, the Alma Accent, the BTL Exilis, or the Ellman Pelleve, all will help some here – not like laser lipo but some improvement will be seen.And finally, one needs to be aware that there will be an FDA approved injectable fat dissolving agent hopefully approved this year. It is a patented deoxycolate or detergent that, in clinical trials that I was part of, showed some very nice results in this area (it is the area that was studied) and may tighten some as well. More on this when it is approved.So find the right doc, learn the options, and take care of your concern.