6’1, 172lbs, slim build but have head/neck fat, can I get rid it through exercise? (Photo)

This excess skin is not uncommon in the posterior scalp area. Losing weight may not change it either. Liposuction with radiofrequency to tighten the skin could be tried, but some hair loss might occur. Liposuction alone could also be tried without risking hair loss as much. Otherwise, the excess can be cut off, but it will leave a long scar and hair loss may occur over the scar.

You could possibly consider surgical excision of this but it would definately require an in person consult or at the very least a virtual consult.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.