I am 64. What can be done for me? It is like my skull is shrinking and my skin is hanging. (Photo)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

From your photo it would seem that a surgical procedure would give you the best results.  If you do not want to undergo surgery than there are noninvasive procedures that would give you some improvement . Fillers and/or fat transfer would provide lift and volume to the upper face. Laser resurfacing with C02 laser (lumenis accupulse) would soften the wrinkles and provide some tightening. A tightening procedure (lutronic infini ,profound or ultherapy) would tighten some of the skin laxity.  You should consult with an experienced provider who can best advise you.

 A lower face and neck lift going to be required to tighten loosening last skin in the face and neck.  Cheek implants would be of some benefit to restore lost volume in the midface as well.

Greetings,
Ultherapy is a great alternative to adding filler and tightening the skin. It is a nonsurgical alternative to a facelift. It uses ultrasound technology to counteract signs of aging like skin sagging and wrinkles on the face, neck, and chest. The FDA-cleared technology stimulates collagen production, which should create a more youthful look overall. Also, Bellafill is one of our favorite fillers to also stimulate. collagen production.
We hope this helps.

Hi and welcome to our forum!
From your photo, I note considerable laxity of skin resulting in exaggerated nasolabial folds (between upper lip and cheek), sagging cheeks with infolding of lax skin, baggy upper and lower eyelids, and downward lateral curves to your mouth.
Non-surgical modalities will be inadequate to correct the amount of sag you demonstrate.
I recommend you consider a face / neck lift and upper / lower eyelid lift (blepharoplasty). 
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...