Beginning stages of turkey neck. What's the best option to tighten the neck? It’s starting to sag. I’m 47 yrs old. (photo)

I think more and more non-surgical options would be recommended for someone with your skin changes.  The spectrum of options include microneedling,  laser lipo of the neck (if you have a pinch of fat there), radiofrequency treatments, Ultherapy (ultrasound treatments) and only when you hit 60 years of age should you consider necklift surgery.  Visit with a board certified plastic surgeon who does a lot of non-surgical treatments also to consult with.  Best Wishes!!

The neck can have horizontal wrinkles and rings from an early age (genetics play a key role) as well as from sun damage and aging in almost everyone. They can be super annoying and are hard to get rid of.Surgically removing them is the best way to get rid of them but this can leave a lot of scars in very visible areas which most people don’t want.These rings are usually at the skin level. There are several nonsurgical and surgical options to consider. Some can be done at the same time. Surgery combined with injections and laser treatments before or after surgery is usually the biggest difference.  For people not interested in surgery, the hyaluronic acid injections and laser treatments are the most reasonable options, maybe combined with a chemical peel.These procedures can be done safely in the office and the results are often very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully  address your specific concerns and determine the right treatment plan.I hope this helps. If it does, please take a moment to up vote this answer on the “respond” button on the top right.  Have a great day.

You can use botulim toxin locally to correct the muscle contraction but also at your age is just going to become worse with time.  In a long run is probably better to consider surgery for a more permanent solution and also will improved your overall looks