Sagging jowls and neck lines at 34, will laser tightening work or do I need surgery for a youthful lift? (photo)

Sagging neck requires excess skin removal not laser. Save your money for a facelift even though you are young in years your genetics give sagging skin.

From the photos it appears you are a candidate for Morpheus8. This noninvasive treatment combines RF technology with microneedling to improve overall skin tone and texture. Three sessions are typically recommended for optimal results. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

A combination of non-surgical options like Kybella, PDO NovaThreads, Ultherapy and Thermage would do well in combination for skin tightening for the neck. VASER Liposuction (with ThermiRF, Renuvion and InMode FaceTite) is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. I suggest getting a formal evaluation with a cosmetic dermatologist to develop a long-term treatment plan that works for you. Best, Dr. Emer.

Might consider "PRECISION SMART LIPO LIFT", ThermiTight RF Lift, Fat grafts or Voluma fillers, and finally a mini facelift. Or combination of all three...