What are my surgical options for platysmal neck band removal besides neck lift? 44 years old. (photos)

​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.​

Thank you for your question and for providing photos. Since you are not interested in neck lift surgery and haven’t achieved desired results from Botox injections, you may benefit from RF microneedling to restore the skin’s elasticity.
This technique uses radiofrequency technology combined with microneedles to encourage the body’s natural collagen production and improve the skin’s overall appearance. I suggest scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and make the best recommendation for you.

In such a thin neck like yours, any surgical procedure to address visible muscle bands would not create desired improvement. It would be best to seek a mild/moderate improvement with Botox injections. Good luck.