Is a neck lift my only option to address laxity and platysma bands? (photos)

​A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.​

Greetings from Istanbul! Neck lift with platysmaplasty offers the best solution in your case. The photos you've provided are too up close, so it's hard to tell, but you may also benefit from a chin augmentation. Hope this helps, best of luck!

It appears that most logical first step would be Botox. It takes 7-14 days to see full effect; repeating or increasing the dose may be considered if no signicifant improvement. Neck lift to remove fine bands may be an option but I would suggest waiting with that. Hope this helps.