Loose Neck Skin, What Options do I Have other than a Full Neck Lift?

You sound like you need a neck lift. Most women who try to just have a little skin removed under the chin end up with bulges at the sides of the neck and are unhappy. See several experienced surgeons for an opinion.

There are a few options for nonsurgical improvement to the neck area. An exam is needed to determine what is best for you. FaceTite requires no general anesthesia and can be used to tighten skin on the lower face and neck. Morpheus8 is another option. It combines RF technology with microneedling to improve overall skin tone and texture. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

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

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.

It's difficult to determine if a non-surgical treatment will address your concern. Especially via online and without photos to view. Also, it really depends on the amount of #sagging you are experiencing.  If anything, non-surgical treatments may improve the appearance of your concern and many treatments may be required. A board-certified plastic surgeon should evaluate both your anatomical features and aesthetic goals to determine which option best suits your individual needs. Factors which are considered during your consultation to determine if you are a #candidate for #rejuvenating the neck include: 
•Visibility and amount of excess fat below the chin and along the neckline.•The presence of banding down the front of the #neck.•The amount of #excess skin and condition of your skin.•Chin Deficiency.•Presence of Prominent Digastric Muscles (a.k.a. submandibular gland fullness).
During your consultation, your chin will be evaluated along with the neck and jawline.  A weak #chin means there is not adequate chin support for the skin along the neck line. In younger individuals a chin implant alone is usually all that is needed to improve the appearance of the neck. Subsequently, it will also improve the overall balance of the face and can create the illusion of a smaller nose. As a stand-alone procedure, chin augmentation can be performed in the office under local anesthesia. For individuals with signs of aging in the neck, a chin implant added to one of the recommended procedures above, will provide optimal results.According to your evaluation, your plastic surgeon may give you more than one option to choose from. Also, she or he can recommend non-surgical methods if you are deemed a candidate. 

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern.  It may be that you do need a surgical face/neck lift.  As far as other options, smart lipo can sometimes tighten skin without the need for cutting skin out.