Crepey neck skin at 37 - neck lift, laser, or fat? (Photo)

Hello and thank you for your question! Thank you for the photos with and without movement that definitely helps when giving suggestions. You may consider a Nefertiti neck lift. This is achieved with regular injections of Botox or the use of tiny injections of diluted Botox (mesobotox or microbotox) throughout the platysmal muscle area and/or in general on the neck area which might be causing this texture difference during movement. If that improves the look this may be something to incorporate in your regular Botox schedule. For further improvement, I would do a consultation for an ablative laser such as a CO2 to further improve skin texture and tightness as well as PDO Threads for even more improvement is collagen stimulation. I wish you luck on your journey to correct this! 

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer