Hello!Given that you have loose skin and minimal neck fat, you're the perfect candidate for a neck lift, and if it's done right, the result should be excellent! My "open" technique, which I would recommend for you, involves an incision behind the ear and along the hairline. If you wear your hair down then the scar is invisible to others, and even if you wear your hair up the scar should be unnoticeable to the casual observer. While some surgeons might recommend placing the scar horizontally in the hair-bearing scalp behind your ears, the resulting problem is an irregular zig-zag hairline that is a tell-tale sign of surgery (and therefore, I don't recommend that approach). Although the scar placed in the hairline means that it's visible, if the surgeon closes the incision very precisely then it is much more well hidden and least noticeable than any other scar placement. The key to a long-lasting result is to place an array of permanent sutures in the muscle layer on either side of your neck and then anchoring these sutures to the strong tissues behind your ears (called the "mastoid fascia"). Permanent sutures are needed for a permanent result (with the soft sutures I use, there's no risk of sutures eroding through the skin as you may have heard about the "Thread Lift"). I place the array of 5-7 sutures from under the jawline to just above the collar bones to create a "suspension bridge" that lifts the muscle layer, restores the angled neck line, and the loose skin lifts and tightens as a result. I don't recommend a "skin-only" lift which might look good for the first 6 months but then it will loosen again and your result will disappear. For my patients, the result is immediate, recovery is about 10-14 days, pain is mild (temporary tightness is common but not very bothersome), and surgery is done under light general anesthesia delivered by a board certified anesthesiologist. Neck lift is a very safe surgery when done by a skilled surgeon in the right environment. All the best in your search!- Dr. Rad