Loose skin under chin? (photo)

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

It's best to begin by consulting with a surgeon in-person to discuss your options. The presence of banding down the front of the #neck, and, amount of excess skin and condition of your skin are among some factors which determine what treatments will best rejuvenate your neck . 
During your initial examination, your chin will be evaluated along with the neck and jawline. A weak #chin implies a lack of 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.
If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in #neck lift procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

A neck lift or a lower face and neck lift may be appropriate.  An exam would be necessary to make this determination.
Find a board certified plastic surgeon who performs hundreds of
facelifts, necklifts, and facial procedures each
year. Then look at the plastic surgeon's website before and after photo
galleries to get a sense of who can deliver the results. Kenneth
Hughes, MD Los Angeles, CA

Lower face and neck lifts are easy to undergo under local tumescent anesthesia. You don't have to take all the risks and complications any more from general anesthesia. Cost is roughly $8800 on special and there is much less complications under local. Sincerely, David Hansen,MD

There are a few options to improve your neck, but the best choice will depend on a careful analysis of the underlying cause of your hanging band.  From your photo, fat doesn't seem to be the problem so liposuction won't help.  If the band is due to loose skin, then you will need some tightening of skin, which is usually performed from behind the ears (a necklift).   The surgeon may also choose to add a suture from behind the ears to suspend/tighten the muscles a little.  However, if any skin looseness is minimal and mainly under the chin, and the band is due to sagging or overactive platysma muscles, then an incision under the chin will allow the surgeon to tighten and lift the muscle(s) and the skin may redrape upward smoothly once the muscle is not pushing down on it.  This approach can be done under local anesthesia with a preop tranquilizer or pain pill for relaxation in an office setting and only involves the short incision under the chin.  The more involved necklift is usually performed under IV sedation with local anesthesia.  In neither case, would you need to be "put under".  Seek out a board certified plastic surgeon experienced in face and necklifts for a thorough examination and discussion of your options.