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

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.

It very likely combination of skin fold and possibly, collection of fat. Excision of the skin with scar hidden in the hairbareing scalp would be one of the options. In person consultation with a board certified plastic surgeon is recommended. Good luck.

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.

The fold that you described and is shown in the photo is likely a normal part of your genetic makeup. It is unlikely it would be impacted by diet, exercise, or weight loss. You can consider direct excision of the redundant skin. The result would be a scar along that fold that could be hidden in the hairline.

I’m guessing would you have is a fold on the back of your scalp. I don’t know what the ideology is but it is most likely just a genetic variant and it’s unlikely that reduction is going to improve this and I do not think exercise is going to change it in any significant manner.
It would be unusual to have excess fat in this part of the body so my best guess is that it represents either subcutaneous, connective tissue attachments that are pulling on the skin similar to what causes cellulite, but in a very different manner, or it is skin excess that forms of fold when you extend your neck.
Direct skin, excision may be a viable option, but could also leave you with a potentially visible scar, ingrown hairs, numbness of your scalp and other issues. It looks like you have a full head of hair. Otherwise excision of a strip of hair bearing skin is sometimes done to treat male pattern baldness in which case if you had hair loss, you could potentially achieve two outcomes with one procedure. It looks like hair loss is not an issue for you. I suggest having a few in person consultations. Now you may find a significant number of plastic surgeons who have not treated something exactly similar in the past. Therefore, you have to expect some providers may rely on assumptions rather than experience.
That is the case with me.
Best,
Mats Hagstrom, MD