Vertical neck folds at 32 - would this qualify for a neck lift? (Photo)

Thank you for the question. You do have skin laxity, and that’s not unusual particularly if you’re on the thinner side. When one is thin, loose skin can be a problem. A lower face and neck lift is the only way to redrape and tighten your skin. Energy devices from Ulthera to Renuvion or SkinTite won’t tighten the skin to the degree you want. Consult with a an experienced face surgeon and discuss your options. If you’re open to surgery and incisions around your ears, you can achieve a very nice result and rejuvenated neck. All the best!

The first problem is to figure out just what is causing the neck folds: loose skin or a combination of skin and muscle. If an examination showed definite skin laxity, and possible loose muscles, then a necklift to include skin tightening and muscle tightening with partial muscle transection might be helpful. However, considering your apparent young age, if there really isn't much excess skin, then perhaps another try of non-surgical skin tightening might appropriate.