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

The neck can get sagging skin for many reasons including a lot of sun exposure, weight gains or loss, pregnancy etc.  Aging of the neck is very common before aging of the face.  It's one of the things that can be very frustrating to patients of all ages especially the turkey neck in patient’s with a family history. The face and neck keep changing as you age. Some of the changes are at the skin level, some at the deeper levels like the fat, retaining ligaments or muscles. There are several nonsurgical and surgical options to treat each of these different areas. Some can be done together and it really depends how much improvement you want to see as well as what part really bothers you. If there is significant sagging, surgery is usually the preferred procedure but can still be combined with injections and laser treatments before or after surgery.  A simple way to think about it - think of surgery as addressing any excess skin and laxity as well as removing fat.  Think of laser as tightening the skin levels. Injections like Kybella can nonsurgically help diminish the fat and offer improvement and there are all sorts of laser procedures that can tighten different layers as well.Most of these procedures can be done safely in the office and the results are very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully see and address your specific concerns and determine the right treatment plan.I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.  

Thank you for your question and photos. As other doctors have suggested, there are a couple of approaches to rejuvenate the neck area. The first is to target the muscle with Botox injections, which can reduce the appearance of lines. If skin laxity is the biggest concern, a neck lift will provide the most dramatic, long-lasting results. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and design a treatment plan tailored to your precise needs and goals for the best possible result.

I see and hear your concern.  In the long run, surgery in the form of a neck lift is the treatment option that will provide the most value to you (in terms of a good result, long-term effect, financial cost, and time spent).  You can certainly try nonsurgical options first.  However the nonsurgical options do not provide much value in this area, and the time/cost tends to add up.  Hope this helps!