Hi, Thanks for your question. According to your pictures , I don't see too much skin laxity in your face/neck and in my opinion you are not candidate for any surgical intervention at moment and not for fat removal however this is only based on these pictures. For the above reasons it is important to make a face to face assessment, where the doctor reviews medical history (smoking history, medical conditions, lifestyle, psychological and social history), ask the patient to complete some psychological questionnaires (to explore patient’s expectations and concerns, internal and external motivations) and perform a comprehensive assessment of the face and neck as a whole unit in order identify some area that could required treatment. In my clinic I follow the above procedure and also I give the patient several option for more invasive to less invasive treatments including NO treatment and healthy diet and lifestyle. There are several skin-tightening methods (surgical and non- surgical) for face and also body. My experience is with Facetite in combination with Morpheus 8 (3 sessions 4 to 6 weeks apart ), Renuvion-J plasma (requires only 1 session) , Exilis 360 Ultra ( Radiofrequency and Ultrasound) that require 5 to 10 sessions usually once a week. I also combine the above procedures with Profhilo, collagen-stimulating dermal fillers ( e.g. Radiesse, Sculptra etc. ), collagen drink and skincare in indicated. It is important also aftercare program and lifestyle ( healthy diet and regular exercise) to maintain the results however the results are never guarantee because each patient is different and the results varies patient to patient. I would recommend to make an appointment with a doctor expert in facial aesthetic treatments and skin tightening for a medical assessment in order to make a bespoke treatment plan if indicated. Hope this helps, Best Wishes, Dr Giuseppe Fiore