Deep Plane neck or lipo? (Photo)

The answer will depend on a consultation and an exam, but your solution is going to be surgical. Whether a deep neck lift or a deep plane facelift is most appropriate depends on the degree of skin laxity present/

Much more information is needed, such as a full set of facial and neck photographs from all angles. From the one very limited photograph, you appear to have significant fat deposits located both above and below the platysma muscle, which is going to require a deep neck lift procedure. A platysma plasty is performed after the deep neck fat has been removed from below the platysma muscle itself. If you're less than 45 years of age, no skin removal is required.

Unfortunately, you have developed an inflammatory response from the cool sculpting. That being said, vaser liposuction may not be able to treat this, and you would benefit greatly from a deep plane NECK LIFT. This would allow for direct excision of the hardened fat above the muscle, and then address the fat below the muscle as well.