Can my neck situation improve with smart lipo? (photos)

If you only did liposuction of any kind it would make your skin look worse. You have to address all the things that are causing what you don't like which includes the skin laxity and possible underlying muscles. Please seek an in person consultation with a board certified plastic surgeon in your area to come up with the best treatment plan. Good luck, Dean Vistnes. 

I suggest you find your way to a REAL plastic surgeon and not someone who is going to tell you what you want to hear. Under normal circumstances that would require a heavy duty facelift. For someone who is 100 percent against this approach, and is willing to put up with a relatively small amount of improvement it might be considered.