Do I need a neck lift? Is there another procedure that would tighten this skin? (Photo)

With minor surgery you could probably obtain some good improvement. The least involved would be a submentoplasty which could be done under local anesthesia and an incision in a neck crease beneath the chin. The skin could be smoothed and some excess skin removed. If the platysma muscles were lax they could be tightened also. A more definitive but more involved procedure would be neck lift performed with incisions around the ears to remove skin from the sides. Finally there are nonsurgical options which could help. Sofwave is an ultrasound based therapy to tighten the skin and smooth it. Sylfirm X is a bipolar radiofrequency technique to both tighten and smooth the skin. Sofwave is more or less "one and done". Sylfirm X requires a series of treatments. Both are done under topical anesthesia with minimal downtime.

Ok I think your best non-surgical options include Morpheus8 treatments in a series or Ellacor. Ellacor for the neck is off label so you'll need to talk to your provider if they've had good experience with the type of changes you have. Neck lift would be the gold standard though. Best Wishes!!

The fact is: the retraction feature on your skin is gone because of your age, because of the weight loss and also genetics which dictate your quality of tissues.
No energy to tighten skin, no injections, no threads, nothing conservative will improve the degree of saggy skin you developed. You are candidate for Deep plane Neck lift to remove excess of skin PLUS submandibular glands, subSMAS fat and digastric muscle trimming.
Be encouraged!
Dr. Cárdenas

Dr. Cárdenas