48 year old, female: best options for neck? (photos)

The best improvement typically is a lower face and neck lift called a mini lift procedure. This would address the loose skin around the neck and jaw line. It is an outpatient procedure and typically takes a couple of hours to complete and the results last longer when you are in your 40's and 50's. There are less aggressive procedures at well that could be appropriate based upon an examination. I would recommend consultation with a board certified facial plastic surgeon in your area.

In person exam is essential, as well as profile photos of your neck. Generally speaking, if there's excess skin(cheeks, jowls, neck) and loose muscle- it can be addressed with lower facelift/neck lift w/muscle tightening. I suggest that you seek an experienced Board Certified PS

The photographs presented are completely inadequate in order to evaluate your neck. Please submit a full set of facial photographs from all angles with your chin in a neutral position to make a determination about the appropriate surgical procedure for your neck. The skin tone in your neck will determine which procedure to perform.

Thanks for the posted photos. My recommendation is a mini FL/NL SMAS plication. After healing of 1 month+ then a TCA peeling of your neck. The surgery fee $8,000. Best to in person or virtual consult with....