What can I do to fix loose vertical skin on my neck? (photos)

Considering your age and good quality of skin my first suggestion would be a neck lift. This is done thru a small incision underneath the chin in twilight or local anesthesia. Other option to soften those muscle bands would be treatment with Botox which is, as you know, temporary. Good luck.

Dear Amanda32184,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. I recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon who can perform a thorough evaluation and discuss with you the best treatment options to meet your goals. If the vertical bands are muscle bands in your neck (plastysmal bands), they can be relaxed temporarily with neurotoxin injections or be treated definitively with surgery through a procedure called platysmaplasty, which can be performed in conjunction with other procedures of the neck such as necklift and submental liposuction. If the bands are due to more of a skin laxity issue, then skin tightening procedures versus necklift may be the more ideal treatment to pursue.