It's great that you've already taken steps to have your thyroid assessed, ruling out any potential medical issues. The neck roll you're describing could be caused by excess fat accumulation in that area, which can be resistant to diet and exercise. Here are some potential treatment options to consider: Liposuction: Liposuction, including techniques like Vaser liposuction, can be used to target and remove excess fat in the neck area, helping to redefine the jawline and reduce the appearance of the neck roll. Kybella (deoxycholic acid) Injections: Kybella is an injectable treatment specifically designed to reduce fat under the chin. It works by destroying fat cells, leading to a more contoured appearance over time. CoolSculpting: CoolSculpting is a non-invasive fat reduction treatment that uses controlled cooling to target and eliminate fat cells. It can be an effective option for reducing fat in the neck area without surgery. Neck Lift Surgery: In cases where excess skin and muscle laxity contribute to the neck roll, a neck lift procedure may be recommended. This surgical intervention can tighten the skin and underlying muscles for a smoother, more youthful neck contour. Before deciding on a treatment, I recommend consulting with a board-certified plastic surgeon or dermatologist who can assess your specific concerns, evaluate your medical history, and recommend the most suitable treatment option based on your individual needs and goals. They can also discuss the potential risks, benefits, and expected outcomes of each treatment option